ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Question 1 of 5
A nurse is collecting data from a client following removal of the client's endotracheal tube. What findings should the nurse report to the provider?
Correct Answer: B
Rationale: Stridor suggests airway obstruction, requiring urgent reporting. Crackles indicate lower airway issues, while cough and breathing are positive post-extubation signs.
Question 2 of 5
A nurse is looking after a patient who is 12 hours postoperative following a transurethral resection of the prostate (TURP) and has a 3-way urinary catheter with continuous irrigation. The nurse observes that there has been no urinary output in the last hour. What should the nurse do first?
Correct Answer: B
Rationale: Checking tubing patency addresses the likely cause of obstruction, preventing complications like bladder distention. Analgesics, provider notification, and fluids are secondary.
Question 3 of 5
In a post-surgical unit, the nurse cares for many patients experiencing pain. Which situation is likely to lower a patient's pain threshold?
Correct Answer: B
Rationale: Anxiety activates the sympathetic nervous system, amplifying pain signals and lowering the pain threshold. Awaiting biopsy results may cause stress but not directly affect pain physiology. Sleep difficulty impacts pain tolerance but less directly. Pain thresholds vary individually.
Question 4 of 5
A nurse is caring for a client who is postoperative and requesting something to drink. The nurse reads the client's postoperative prescriptions, which include, "Clear liquids, advance diet as tolerated." What action should the nurse take first?
Correct Answer: C
Rationale: Auscultating the abdomen assesses bowel function, ensuring readiness for liquids. Elevation aids comfort, offering juice is premature, and ordering a tray advances diet too quickly.
Question 5 of 5
A nurse is caring for a client who has heart failure and respiratory arrest. What should be the nurse's first action?
Correct Answer: B
Rationale: Establishing an open airway is critical in respiratory arrest to restore oxygenation. Auscultation, IV access, and pulse checks are secondary to ensuring airway patency.