ATI RN
ATI Nur 211 Med Surg Exam Unit 4 Questions
Extract:
Question 1 of 5
The patient reports experiencing frequent watery stools after eating undercooked meat at a restaurant. Which health care provider prescription would the nurse implement first?
Correct Answer: D
Rationale: Metronidazole is an antibiotic used for certain infections, but it is not the first action without evaluation. Loperamide can worsen infectious diarrhea by retaining pathogens. A CBC provides health information but is not an immediate intervention. Collecting a stool sample is crucial to identify the causative organism, guiding appropriate treatment.
Question 2 of 5
The nurse is caring for a client with Clostridium Difficile. Which of the following infection control precautions should the nurse implement?
Correct Answer: A,B,C
Rationale: Gloves protect against C. diff spores. Restricting restroom use prevents spread. A private room isolates the infection. Alcohol-based sanitizers are ineffective against C. diff; soap and water are required. Masks are unnecessary as C. diff is not airborne.
Question 3 of 5
A teenager is admitted with an acute onset of right lower quadrant pain at McBurney point. Appendicitis is suspected. For which clinical indicator should the nurse assess the client to determine if the pain is secondary to appendicitis?
Correct Answer: D
Rationale: Urine retention is not typically associated with appendicitis. Increased bowel motility is not specific to appendicitis, which may cause decreased motility. Gastric hyperacidity is related to gastritis or ulcers, not appendicitis. Rebound tenderness is a classic sign of appendicitis, indicating peritoneal irritation.
Question 4 of 5
What is the most common cause of chronic gastritis?
Correct Answer: A
Rationale: Helicobacter pylori (H. pylori) is a type of bacteria that infects the stomach lining and is the most common cause of chronic gastritis. Aspirin and other NSAIDs can cause gastritis but are not the most common cause. Chronic alcohol consumption can lead to gastritis but is less common than H. pylori. Smoking exacerbates gastric conditions but is not a direct cause.
Question 5 of 5
Which of the following responses should the nurse offer to a patient who asks why he's having a vagotomy to treat his ulcer?
Correct Answer: C
Rationale: A vagotomy does not repair a perforation. It does not involve removing ulcerated tissue. It cuts the vagus nerve to decrease acid production, promoting ulcer healing. It is unrelated to preventing stomach sliding, which is addressed by fundoplication.