ATI RN
ATI n200 Med Surg Exam 6 Questions
Extract:
Question 1 of 5
Which sign or symptom would the nurse expect to find in a client diagnosed with ulcerative colitis?
Correct Answer: A
Rationale: Frequent liquid, bloody stools are a hallmark of ulcerative colitis due to colon inflammation. A hard abdomen, low-grade fever, and urinary incontinence are less specific or unrelated.
Question 2 of 5
The nursing student is writing a problem list for a client just admitted with a total small bowel obstruction. Which problem should the instructor ask?
Correct Answer: B
Rationale: Bowel obstruction risks gastrointestinal tissue perfusion due to potential ischemia. Fluid volume excess, infection, and pain are secondary concerns.
Question 3 of 5
The client with irritable bowel disease (IBD) is prescribed sulfasalazine, a sulfonamide antibiotic. Which intervention should the nurse implement when administering the medication?
Correct Answer: B
Rationale: Adequate hydration (2000 mL daily) prevents crystalluria and kidney stones, a side effect of sulfasalazine. Bruising, once-daily dosing, and stool assessment are not primary concerns.
Question 4 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 indicates possible bowel ischemia or perforation, which requires immediate intervention and is the most concerning finding. Urine specific gravity of 1.035 suggests dehydration, which is concerning but less urgent. Colicky pain is expected in bowel obstruction, and mild hyponatremia (serum sodium 132 mEq/L) is not immediately life-threatening.
Question 5 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.