ATI RN
ATI n200 Med Surg Exam 6 Questions
Extract:
Question 1 of 5
Which finding would most concern the nurse when caring for a client diagnosed with a bowel obstruction?
Correct Answer: D
Rationale: Frank blood in the N/G suction container suggests serious complications like bowel ischemia or perforation, requiring urgent intervention. Dehydration (urine specific gravity 1.035), colicky pain (expected), and mild hyponatremia (serum sodium 132 mEq/L) are less immediately critical.
Question 2 of 5
The nurse assesses a client admitted 4 hours ago with a diagnosis of diverticulitis. Which assessment finding must be reported immediately to the healthcare provider?
Correct Answer: C
Rationale: A temperature of 102.6°F indicates a significant infection or abscess, requiring immediate reporting. Fecal incontinence and hematoma are concerning but not directly related to diverticulitis, and unchanged abdominal girth suggests no acute worsening.
Question 3 of 5
The nurse evaluates that an obese client understands the need for a healthy weight loss pattern by indicating an intention to lose:
Correct Answer: C
Rationale: Losing 1 pound per week is a safe, sustainable goal for healthy weight loss, minimizing health risks. Rapid weight loss (5 or 10 pounds per week, or 3 pounds every 5 days) can lead to nutritional deficiencies, muscle loss, and other complications.
Question 4 of 5
The nurse determines that dietary instructions for a client who had a partial gastrectomy were effective when the client states, 'I:
Correct Answer: A
Rationale: Avoiding beverages with meals prevents dumping syndrome, a common post-gastrectomy complication. Large meals, bread with every meal, and lying down (especially on the left side) can exacerbate symptoms and are not recommended.
Question 5 of 5
The nurse suspects that the client hospitalized with severe ulcerative colitis, may be developing the complication of toxic megacolon. Which assessment finding supports these suspicions?
Correct Answer: C
Rationale: An enlarging abdominal girth indicates distension, a key sign of toxic megacolon due to colonic dilation. Tenesmus, hyperactive bowel sounds, and anal fissures are associated with ulcerative colitis or other conditions but are not specific to toxic megacolon.