ATI RN
ATI n200 Med Surg Exam 6 Questions
Extract:
Question 1 of 5
The nursing student is writing a problem list for a client just admitted with a total small bowel obstruction. Which problem should the instructor ask?
Correct Answer: B
Rationale: Bowel obstruction risks gastrointestinal tissue perfusion due to potential ischemia. Fluid volume excess, infection, and pain are secondary concerns.
Question 2 of 5
The nurse knows that which of the following routes is the SAFEST to infuse total parenteral nutrition (TPN)? (SELECT ALL THAT APPLY)
Correct Answer: A,B
Rationale: Central lines (subclavian catheter, PIC
C) are safest for TPN due to high osmolarity. Nasogastric tubes and peripheral IVs are unsuitable.
Question 3 of 5
A nurse is preparing to administer Ringer's lactate 500 mL IV bolus to infuse over 8 hours. The drop factor of the manual IV tubing is 20 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 21
Rationale: Infusing 500 mL over 8 hours (480 minutes): (500 ÷ 480) × 20 = 20.83 gtt/min, rounded to 21 gtt/min.
Question 4 of 5
The nurse is planning a teaching session for a patient with a duodenal ulcer. Which instructions are MOST important to include in the teaching? (SELECT ALL THAT APPLY)
Correct Answer: A,D,E
Rationale: Avoiding aspirin and ibuprofen prevents gastrointestinal irritation, and smoking cessation aids healing. Coffee and dairy can worsen ulcer symptoms by increasing acid.
Question 5 of 5
A client takes the morning dose of 10 units of insulin aspart at 0800. At what time would the nurse assess for hypoglycemia?
Correct Answer: A
Rationale: Insulin aspart, a rapid-acting insulin, has an onset of 15-30 minutes, making 0830 the earliest time to assess for hypoglycemia. Later times (0930, 1030, 1130) are beyond the peak risk period for this insulin.