ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Extract:
Question 1 of 5
A nurse is assessing a patient following the removal of the patient's endotracheal tube. Which finding should the nurse report to the provider?
Correct Answer: B
Rationale: Stridor indicates upper airway obstruction, a serious post-extubation complication requiring immediate reporting. Crackles suggest lower airway issues, while cough and deep breathing are positive signs.
Question 2 of 5
What are the appropriate interventions for a patient experiencing anaphylactic shock from a bee sting? (Select all that apply)
Correct Answer: A,D,E
Rationale: Theophylline relieves bronchospasms, diphenhydramine blocks histamine, and surgical airway preparation addresses swelling. Culturing is irrelevant, and water risks aspiration.
Question 3 of 5
A 79-year-old patient reports a pain level of 3 out of 10 and states, "Don't worry, this is just part of getting old." What is the best response?
Correct Answer: C
Rationale: Investigating further validates the patient's pain and rules out causes, countering the misconception that pain is a normal part of aging. Other responses dismiss or delay addressing the pain.
Question 4 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 5 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.