ATI RN
ATI Nur 211 Med Surg Exam Unit 4 Questions
Extract:
Question 1 of 5
When scheduling diagnostic tests, which of the following would the nurse schedule last?
Correct Answer: D
Rationale: EGD requires fasting but can be scheduled flexibly. Barium enema requires bowel prep and is done earlier. Ultrasound is non-invasive with minimal prep. CT scans should be last as residual barium from other tests can interfere with imaging.
Question 2 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 3 of 5
Which statement by the patient with chronic gastroesophageal reflux disease (GERD) indicates a need for further teaching?
Correct Answer: C
Rationale: Elevating the head of the bed is a recommended practice for individuals with GERD, as it helps prevent stomach acid from flowing back into the esophagus during sleep. This shows the patient is taking proactive steps to manage their condition. Using antacids can provide symptomatic relief from heartburn and discomfort associated with GERD. Taking them between meals and at bedtime can help neutralize stomach acid, which is a common practice for managing GERD symptoms. Eating large meals, especially rich or fatty foods, and snacking before bedtime can exacerbate GERD symptoms by increasing stomach pressure and acid production. Patients with GERD are typically advised to eat smaller meals and avoid eating close to bedtime to reduce reflux episodes. Chewing gum can actually be beneficial for some GERD patients as it stimulates saliva production, which can help neutralize stomach acid.
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 nurse is providing teaching to a client who has peptic ulcer disease and a new prescription for sucralfate tablets. Which of the following information should the nurse provide?
Correct Answer: C
Rationale: Sucralfate works by forming a protective barrier over the ulcer and is best taken on an empty stomach. Antacids can interfere with the effectiveness of sucralfate if taken simultaneously. It’s usually recommended to wait at least 30 minutes to 1 hour after taking sucralfate before taking an antacid. Sucralfate should be stored at room temperature, away from moisture and heat, but it does not need to be refrigerated. This guidance is essential to ensure that the medication maintains its effectiveness. Sucralfate is typically taken 1 hour before meals and at bedtime to optimize its protective effect on the stomach lining and ulcers. This timing allows it to coat the ulcer effectively before food intake. Sucralfate tablets should be swallowed whole and not crushed or chewed, as doing so may affect how the medication works. This instruction helps ensure that the sucralfate can properly adhere to the ulcer surface.