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: Shortness of breath when lying flat, night sweats, and chest pain at night indicate potential cardiac issues like heart failure or angina, necessitating immediate evaluation.
Question 2 of 5
A client is receiving Total Parenteral Nutrition (TPN) for severe malnutrition. Which laboratory result provides evidence supporting TPN effectiveness?
Correct Answer: C
Rationale: Pre-albumin in the expected range indicates improved nutritional status, reflecting TPN effectiveness. Other results are less specific to nutrition.
Question 3 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: Shortness of breath when lying flat, night sweats, and chest pain at night indicate potential cardiac issues like heart failure or angina, necessitating immediate evaluation.
Question 4 of 5
The nurse teaches the client with gastroesophageal reflux disease (GERD) about ways to minimize symptoms. Which of the following statements made by the client indicates that more teaching is needed?
Correct Answer: A
Rationale: Tea, like coffee, contains caffeine, which can worsen GERD by relaxing the esophageal sphincter. Smaller meals, avoiding food before bed, and elevating the bed head are appropriate.
Question 5 of 5
The nurse is recording data obtained from a client's admission assessment. Which notation is most consistent with the presence of a gastric ulcer? The client states that pain:
Correct Answer: D
Rationale: Pain 30 minutes after eating is typical for gastric ulcers due to acid and food irritation. Pain relief by eating is more common in duodenal ulcers.