ATI RN
ATI n200 Med Surg Exam 6 Questions
Extract:
Question 1 of 5
The occupational health nurse is completing an assessment on an employee who has a history of type 2 diabetes, coronary artery disease, unstable angina, and gastroesophageal reflux disease (GERD). Which statement(s) should prompt the nurse to refer the employee for PROMPT evaluation of their cardiac status? (SELECT ALL THAT APPLY)
Correct Answer: A,B,C
Rationale: Orthopnea, night sweats, and nocturnal chest pain suggest heart failure or angina, requiring urgent cardiac evaluation. Headaches and sleepiness post-eating are unrelated to cardiac issues.
Question 2 of 5
The nurse is leading a community-based discussion group on pharmacotherapy used in obesity. Which statement(s) made by the participants is/are correct? (SELECT ALL THAT APPLY)
Correct Answer: A,D
Rationale: Non-pharmacological methods are first-line, and approved drugs work via absorption or appetite mechanisms. Other claims are false due to side effects, variable efficacy, and unrealistic weight loss goals.
Question 3 of 5
Which finding would most concern the nurse when caring for a client diagnosed with a bowel obstruction?
Correct Answer: D
Rationale: Frank blood in the N/G suction container suggests serious complications like bowel ischemia or perforation, requiring urgent intervention. Dehydration (urine specific gravity 1.035), colicky pain (expected), and mild hyponatremia (serum sodium 132 mEq/L) are less immediately critical.
Question 4 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.
Question 5 of 5
During an intake assessment, a client with antisocial personality disorder uses profanity, sexual orientation slurs, and threatens to spit at the nurse. What is the MOST appropriate statement or ask for the nurse to make about the client's behavior?
Correct Answer: D
Rationale: Acknowledging the client's emotions while setting clear boundaries promotes a safe environment. Confrontational, irrelevant, or defensive responses may escalate the situation or fail to address the behavior effectively.