ATI RN
Free Medical Surgical Certification Practice Questions Questions
Question 1 of 9
You are caring for a patient with an infected wound. You would expect
Correct Answer: C
Rationale: Infected wounds are typically left open to allow drainage.
Question 2 of 9
A very obese female client returns to her room after abdominal surgery. The client is drowsy, but oriented; her abdominal dressing is dry and intact; and her vital signs are T 98.4, P 87, R 18, and BP 146/72. An appropriate postoperative nursing diagnosis would be:
Correct Answer: D
Rationale: The assessment information provided does not suggest a postoperative airway problem or a problem with compliance. The assessment information provided does not suggest a problem with compliance or a postoperative airway problem. While the client is obese and has altered nutrition, the nutritional problem is more than her body requirements, not less. Pain is a common phenomenon in clients who have had surgery. Postoperative pain is related to the manipulation of and the injury to tissues during the surgical procedure.
Question 3 of 9
Which emotional reaction does the client go through when facing mortality in an attempt to postpone death?
Correct Answer: B
Rationale: Bargaining involves seeking compromises or promises in hopes of extending life, reflecting the client's struggle with mortality.
Question 4 of 9
Which procedures are done for curative purposes (select all that apply)?
Correct Answer: D
Rationale: Procedures such as hysterectomy and herniorrhaphy are typically performed for curative purposes, addressing specific medical conditions.
Question 5 of 9
When assessing a client with pneumonia, which clinical manifestation should the nurse expect to find?
Correct Answer: C
Rationale: The correct answer is C: Dullness on percussion. In pneumonia, the affected lung tissue becomes consolidated, leading to dullness on percussion due to decreased air movement. The rationale behind this is that consolidation causes the air-filled lung tissue to become filled with fluid and inflammatory cells, impairing normal sound transmission upon percussion. Incorrect choices: A: Fremitus - Increased tactile fremitus is typically found in pneumonia due to the denser lung tissue, making this choice incorrect. B: Hyperresonance - Hyperresonance is commonly found in conditions like emphysema with increased lung air volume, not in pneumonia. D: Decreased tactile fremitus - This is contradictory as pneumonia usually presents with increased tactile fremitus due to the consolidated lung tissue.
Question 6 of 9
Describe the physiologic stress response.
Correct Answer: A
Rationale: The correct answer is A because it is the most appropriate response based on physiological and medical principles.
Question 7 of 9
How is the initial information given to the PACU nurses about the surgical patient?
Correct Answer: C
Rationale: The ACP provides a verbal report to PACU nurses, detailing the patient's condition and needs.
Question 8 of 9
A patient comes to the clinic with a complaint of a dull pain in the anterior and posterior neck. On examination, the nurse notes that the patient has full range of motion (ROM) of the neck and no throat redness or enlarged head or neck lymph nodes. What will be the nurse’s next appropriate assessment indicated by these findings?
Correct Answer: C
Rationale: The correct answer is C. Inspection of the ears is appropriate given the location of the pain and absence of other systemic symptoms.
Question 9 of 9
A client is having a left pneumonectomy. In planning this client's postoperative care, nursing interventions for a postoperative left pneumonectomy would include:
Correct Answer: D
Rationale: Chest tubes are not usually necessary in a pneumonectomy, because there is no lung to re-expand on the operative side. The pneumonectomy client should be positioned on the back or operated side, because the sutured bronchial stump may open, which would allow fluid to drain into the unoperated side and drown the client. The client should not have a pillow under the shoulder and back, because of the subscapular incision. Rales are commonly heard over the base of the remaining lung. An increase could indicate circulatory overload. Rales should be closely monitored.