ATI RN
ATI N 1201222 Med Surg Final Exam Questions
Extract:
Question 1 of 5
The patient has just been started on an enteral feeding and has developed diarrhea after being on the feeding for 2 hours. What does the nurse suspect is the most likely cause of the diarrhea?
Correct Answer: C
Rationale: Formula intolerance often causes immediate diarrhea in new enteral feeding due to gastrointestinal reaction. Contamination, antibiotics, medication, and fluid overload typically have delayed or different presentations.
Question 2 of 5
A nurse is teaching a client who has a new prescription for ferrous sulfate. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: Vitamin C enhances iron absorption. Ferrous sulfate duration varies, milk inhibits absorption, and stools are dark green/tarry, not red.
Question 3 of 5
A nurse is providing education to the family of a client who has a new diagnosis of epilepsy. Which of the following seizure precaution instructions should the nurse include regarding care of the client when they start having a seizure?
Correct Answer: A
Rationale: Moving objects prevents seizure injuries.
Tongue blades, lying on back, and restraining risk harm.
Question 4 of 5
A nurse is caring for a client who is postoperative following an open reduction and internal fixation (ORIF) of a fractured femur. Which of the following interventions is the most important for the nurse to complete in the postoperative period?
Correct Answer: C
Rationale: Neurovascular checks detect complications like compartment syndrome or impaired blood flow, critical post-ORIF. Exercises prevent thrombosis, pain management aids comfort, and crutch instruction supports mobility, but neurovascular status is priority.
Question 5 of 5
A nurse is caring for a client who has impaired mobility. Which of the following support devices should the nurse plan to use to prevent the client from developing plantar flexion contractures?
Correct Answer: C
Rationale: A footboard maintains dorsiflexion, preventing plantar flexion contractures. Trochanter rolls prevent hip rotation, heel pads protect skin, and abduction pillows align hips.