ATI RN
ATI n200 Med Surg Exam 6 Questions
Extract:
Question 1 of 5
Urinary tract infections associated with indwelling catheters are a major component of hospital-associated infections. What must nurses do to help decrease the incidence of these infections in their clients? (SELECT ALL THAT APPLY)
Correct Answer: A,B,C,D
Rationale: Clean technique, early catheter removal, avoiding catheterization, and adequate fluid intake reduce UTI risk. Keeping the bag at bladder level is incorrect; it should be below to prevent reflux.
Question 2 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 querry for the nurse to make about the client's behavior?
Correct Answer: D
Rationale: Setting boundaries by acknowledging anger and stating that the behavior is unacceptable is the most effective response. Other options are confrontational, irrelevant, or defensive, potentially worsening the situation.
Question 3 of 5
The nurse receives physician orders for a client who has a suspected small bowel obstruction. Which order(s) should be followed? (SELECT ALL THAT APPLY)
Correct Answer: A,C,D
Rationale: Measuring girth monitors distension, IV saline maintains hydration, and morphine manages pain. A soft diet is inappropriate as patients should be NPO.
Question 4 of 5
The nurse is caring for several clients on the med-surg unit. Who would be most at risk for development of gallstones?
Correct Answer: B
Rationale: Pregnancy and prolonged bedrest increase gallstone risk due to hormonal changes and bile stasis. Other clients have fewer or less immediate risk factors.
Question 5 of 5
The nurse is caring for a client who is 4 hours post-op after an open cholecystectomy. The nurse would expect the client's bowel sounds to be:
Correct Answer: B
Rationale: Bowel sounds are absent or hypoactive post-cholecystectomy due to anesthesia and surgical manipulation. Normoactive, hyperactive, or borborygmi are not expected.