ATI RN MED – surg 2
Below is the formatted set of multiple-choice questions tailored to my request. Each question integrates
NCLEX-style (NGN) case study scenarios, vital signs (where applicable), and corresponding rationales,
aligned with the 2023 ATI RN Med-Surg curriculum and exam structure. NUMBERING FROM 11
ONWARDS
---
### CASE STUDY SCENARIO 1
**A nurse is assessing a client who is 12 hours postoperative following a colon resection. The client's
vital signs are:**
- Temp: 99.0°F (37.2°C)
- HR: 90/min
- RR: 20/min
- BP: 128/78 mmHg
- O2 Sat: 96%
The nurse notes the following findings:
- Hypoactive bowel sounds on auscultation.
- Hemoglobin level: 8.2 g/dL.
- Gastric pH: 3.0.
Which finding should the nurse report to the surgeon?
**a. Heart rate 90/min**
**b. Absent bowel sounds**
**c. Hemoglobin 8.2 g/dL**
**d. Gastric pH of 3.0**
**Answer: C. Hemoglobin 8.2 g/dL**
*Rationale:* Hemoglobin levels below 10 g/dL postoperatively indicate anemia, which may be a sign of
internal bleeding or other causes. The other findings (absent bowel sounds and heart rate of 90/min) can
, be expected after surgery. Reporting this to the surgeon is essential to prevent potential complications
such as hypovolemia or tissue hypoxia.
---
### CASE STUDY SCENARIO 2
**A nurse is caring for a client with a history of diabetes insipidus presenting with excessive thirst and
polyuria. The following serum and urine findings were noted:**
- Serum Sodium: 148 mEq/L
- Urine Specific Gravity: 1.004
Which medication should the nurse expect to administer to manage this condition?
**a. Desmopressin**
**b. Regular insulin**
**c. Furosemide**
**d. Lithium carbonate**
**Answer: A. Desmopressin**
*Rationale:* Diabetes insipidus results from insufficient antidiuretic hormone (ADH). Desmopressin, a
synthetic form of ADH, decreases urine output and restores fluid balance. The other medications are
unrelated to managing DI.
---
### CASE STUDY SCENARIO 3
**Vital Signs:**
- HR: 88/min
- BP: 130/78 mmHg
- O2 Sat: 98%
Below is the formatted set of multiple-choice questions tailored to my request. Each question integrates
NCLEX-style (NGN) case study scenarios, vital signs (where applicable), and corresponding rationales,
aligned with the 2023 ATI RN Med-Surg curriculum and exam structure. NUMBERING FROM 11
ONWARDS
---
### CASE STUDY SCENARIO 1
**A nurse is assessing a client who is 12 hours postoperative following a colon resection. The client's
vital signs are:**
- Temp: 99.0°F (37.2°C)
- HR: 90/min
- RR: 20/min
- BP: 128/78 mmHg
- O2 Sat: 96%
The nurse notes the following findings:
- Hypoactive bowel sounds on auscultation.
- Hemoglobin level: 8.2 g/dL.
- Gastric pH: 3.0.
Which finding should the nurse report to the surgeon?
**a. Heart rate 90/min**
**b. Absent bowel sounds**
**c. Hemoglobin 8.2 g/dL**
**d. Gastric pH of 3.0**
**Answer: C. Hemoglobin 8.2 g/dL**
*Rationale:* Hemoglobin levels below 10 g/dL postoperatively indicate anemia, which may be a sign of
internal bleeding or other causes. The other findings (absent bowel sounds and heart rate of 90/min) can
, be expected after surgery. Reporting this to the surgeon is essential to prevent potential complications
such as hypovolemia or tissue hypoxia.
---
### CASE STUDY SCENARIO 2
**A nurse is caring for a client with a history of diabetes insipidus presenting with excessive thirst and
polyuria. The following serum and urine findings were noted:**
- Serum Sodium: 148 mEq/L
- Urine Specific Gravity: 1.004
Which medication should the nurse expect to administer to manage this condition?
**a. Desmopressin**
**b. Regular insulin**
**c. Furosemide**
**d. Lithium carbonate**
**Answer: A. Desmopressin**
*Rationale:* Diabetes insipidus results from insufficient antidiuretic hormone (ADH). Desmopressin, a
synthetic form of ADH, decreases urine output and restores fluid balance. The other medications are
unrelated to managing DI.
---
### CASE STUDY SCENARIO 3
**Vital Signs:**
- HR: 88/min
- BP: 130/78 mmHg
- O2 Sat: 98%
