ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Extract:
Question 1 of 5
A medical-surgical unit has implemented a policy change. The nurse manager notices that one of the nurses, who has a history of being resistant to change, is not delivering care according to the new policy. What action should the nurse manager take?
Correct Answer: B
Rationale: Encouraging the nurse to verbalize resistance helps identify underlying concerns, fostering collaboration and trust. Explaining rationale assumes misunderstanding, disciplinary threats create hostility, and ignoring resistance is ineffective.
Question 2 of 5
A nurse is analyzing the arterial blood gas (ABG) results of a patient. The patient's ABGs are: pH:7.6, PaCO2:40 mm Hg, HCO3:32 mEq/L. Which of the following acid-base conditions should the nurse identify the patient is experiencing?
Correct Answer: D
Rationale: High pH (7.6) and elevated HCO3 (32 mEq/L) with normal PaCO2 indicate metabolic alkalosis. Respiratory acidosis has low pH, respiratory alkalosis low PaCO2, and metabolic acidosis low HCO3.
Question 3 of 5
With whom should a nurse share her password for access to the facility's computer system?
Correct Answer: A
Rationale: Passwords must remain confidential to protect patient data and ensure accountability. Sharing with anyone, even supervisors or IT staff, violates security protocols.
Question 4 of 5
A nurse is caring for a patient experiencing pain related to a musculoskeletal disorder. Which statement about chronic pain is most accurate?
Correct Answer: A
Rationale: Chronic pain can cause behavioral signs like restlessness and grimacing due to emotional distress. It persists beyond three months, not short-term. Tissue injury may not always be present. Vital signs are less affected compared to acute pain.
Question 5 of 5
An athlete has been practicing twice a day in the heat and reports being dizzy. The patient's vital signs are blood pressure of 100/2 mm Hg, pulse rate of 100 beats/min, and respiratory rate of 26 breaths/min; the patient does not remember the last voiding time. The skin is cool to touch and pale in color. Which type of shock is the patient experiencing?
Correct Answer: A
Rationale: Hypovolemic shock from fluid loss due to heat and exercise matches the symptoms of low BP, tachycardia, tachypnea, and pale skin. Neurogenic involves spinal injury, cardiogenic heart failure, and anaphylactic allergic reaction.