ATI RN
ATI Nur 211 Med Surg Exam Unit 4 Questions
Extract:
Question 1 of 5
The patient who is morbidly obese has just undergone gastric bypass surgery. Which immediate post-operative intervention has the greatest priority?
Correct Answer: D
Rationale: Dressing changes are not the highest priority immediately post-op. Bowel sounds are assessed later. NG tube repositioning addresses nausea but is not primary. Elevating the head reduces aspiration risk and improves breathing.
Question 2 of 5
A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client for which of the following findings as an indication of gastrointestinal perforation?
Correct Answer: A
Rationale: Sudden abdominal pain is a classic sign of perforation, causing peritonitis. Bowel sounds may be diminished, not hyperactive. Tachycardia, not bradycardia, occurs due to pain or shock. Hypotension, not increased blood pressure, is typical.
Question 3 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 4 of 5
The nurse is administering 40mg/10ml of pantoprazole IV over 4 minutes. How many ml per minute with the nurse administer?
Correct Answer: 2.5 ml/min
Rationale: Rate (ml/min) =
Total Volume (ml) / Time (min). The total volume of the pantoprazole IV is 10 ml, and the time frame for administration is 4 minutes.
Therefore, the calculation would be: Rate = 10 ml / 4 min, which equals 2.5 ml per minute. So, the nurse should administer 2.5 ml of pantoprazole IV per minute to deliver a total of 40 mg over the 4-minute period.
Question 5 of 5
A 3-month-old is being treated for gastroesophageal reflux. The health care provider orders 2mg/kg of ranitidine to be administered every 12 hours. The client weighs 10 pounds. The elixir comes in a strength of 15mg/mL. How many mL of ranitidine should the nurse administer to this client per dose?
Correct Answer: 0.6 mL
Rationale: The infant weighs 10 pounds (4.53692 kg). The dose is 2 mg/kg, so 9.07384 mg per dose. The elixir is 15 mg/mL, so 9.07384 mg ÷ 15 mg/mL = 0.60492267 mL, rounded to 0.6 mL.