ATI RN
ATI n200 Med Surg Exam 6 Questions
Extract:
Question 1 of 5
Which instruction, given to the client by the nurse, is ESSENTIAL in the prevention of the development of colic related to cholecystitis?
Correct Answer: D
Rationale: Decreasing dietary fat intake prevents gallbladder contractions that trigger biliary colic in cholecystitis. Fluid intake, narcotics, and supine positioning do not directly address colic prevention.
Question 2 of 5
An elder adult client has been successfully treated for a hemorrhoidectomy. Upon discharge, which statements made to the nurse by the client demonstrate an understanding of teaching? (SELECT ALL THAT APPLY)
Correct Answer: A,B,D
Rationale: Walking promotes bowel function, stool softeners prevent straining, and increased fluids aid hydration and soft stools. Frequent enemas can irritate the rectal area and disrupt healing.
Question 3 of 5
The nurse is leading a community-based discussion group on pharmacotherapy used in obesity. Which statement(s) made by the participants is/are correct? (SELECT ALL THAT APPLY)
Correct Answer: A,D
Rationale: Lifestyle changes should precede pharmacotherapy, and weight loss drugs typically affect absorption or appetite. Other statements are incorrect due to safety concerns, unrealistic expectations, or inappropriate duration.
Question 4 of 5
The nurse understands that the most complete explanation of obesity is that it is the result of:
Correct Answer: B
Rationale: Obesity results from a complex interplay of genetic, metabolic, behavioral, and environmental factors, not just one cause like genetics or energy imbalance.
Question 5 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.