ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Extract:
Question 1 of 5
A nurse is assessing a patient with a surgical wound healing by secondary intention. Which finding should the nurse report to the charge nurse?
Correct Answer: B
Rationale: A halo of erythema suggests infection, requiring prompt reporting. Tenderness and serosanguineous drainage are normal, and granular tissue indicates healing.
Question 2 of 5
A nurse is caring for a patient who is postoperative and receiving fentanyl via patient-controlled analgesia. The patient has a prescription for naloxone. What is the purpose of naloxone?
Correct Answer: B
Rationale: Naloxone blocks opioid effects on the CNS, reversing respiratory depression. It does not affect secretions, nausea, or urinary retention.
Question 3 of 5
A nurse on a medical-surgical unit is caring for a patient who requests to review his medical record. How should the nurse respond?
Correct Answer: B
Rationale: Requiring a written request ensures HIPAA compliance while respecting patient rights. Denying access violates rights, delaying until discharge is incorrect, and demanding a reason is intrusive.
Question 4 of 5
A nurse is observing the IV catheter insertion site of a client who is receiving continuous IV therapy. Which of the following manifestations should the nurse identify as an indication that the client has developed phlebitis?
Correct Answer: C
Rationale: Erythema indicates phlebitis due to vein inflammation. Pallor suggests reduced flow, coolness infiltration, and drainage infection, not primarily phlebitis.
Question 5 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.