ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Extract:
Question 1 of 5
A male patient informs the nurse that he prefers not to have female assistive personnel (AP) involved in his care. Which response should the nurse provide?
Correct Answer: A
Rationale: Arranging a male AP respects patient autonomy, promotes comfort, and ensures privacy. Asking for reasons may be intrusive, emphasizing competence dismisses concerns, and deferring to the charge nurse delays action.
Question 2 of 5
A nurse is reinforcing teaching with a group of newly licensed nurses about preventing needlestick injuries. Which of the following actions should the nurse recommend?
Correct Answer: C
Rationale: Placing uncapped needles in puncture-proof containers prevents needlestick injuries. Recapping, discarding in wastebaskets, or breaking needles increases injury risk.
Question 3 of 5
A nurse is caring for a patient receiving IV therapy in the left forearm and notices that the site is red, swollen, and warm. What action should the nurse take first?
Correct Answer: B
Rationale: Discontinuing the IV infusion prevents further irritation in phlebitis, characterized by redness, swelling, and warmth. Elevation and compresses are secondary, and inserting a new IV follows discontinuation.
Question 4 of 5
A male patient informs the nurse that he prefers not to have female assistive personnel (AP) involved in his care. Which response should the nurse provide?
Correct Answer: A
Rationale: Arranging a male AP respects patient autonomy, promotes comfort, and ensures privacy. Asking for reasons may be intrusive, emphasizing competence dismisses concerns, and deferring to the charge nurse delays action.
Question 5 of 5
A patient with new third-degree burns over 60% of the body is confused and presents with a blood pressure of 79/56 mm Hg, heart rate of 132 beats/min, and respirations of 28 breaths/min with crackles on auscultation. The patient's body temperature is 76° F, and the skin is pale and clammy. Which stage of shock is this patient experiencing?
Correct Answer: C
Rationale: Early reversible shock is indicated by moderate hypotension, tachycardia, and compensatory signs like confusion and crackles. Irreversible shock involves profound organ failure, end-organ dysfunction more severe signs, and preshock normal BP.