ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Extract:
Question 1 of 5
A nurse is attending to a patient with a bowel obstruction who has been prescribed a nasogastric tube. What steps should the nurse take during the insertion of the nasogastric tube?
Correct Answer: B
Rationale: Tucking the chin and swallowing guides the tube into the esophagus, reducing tracheal misplacement risk. Removing the tube for gagging is premature, supine positioning is less effective, and nose-to-navel measurement is inaccurate.
Question 2 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 3 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 4 of 5
A nurse notes a small section of bowel protruding from the abdominal incision of a client who is postoperative. After calling for assistance, which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Covering the protruding bowel with a moist, sterile dressing prevents dehydration and infection. Vital signs, informing the client, and positioning are secondary to protecting the bowel.
Question 5 of 5
A nurse is caring for a client who has recurrent kidney stones and a history of diabetes mellitus. The client is scheduled for an intravenous pyelogram (IVP). What statements made by the client should the nurse collect additional data about?
Correct Answer: A
Rationale: Painful urination may indicate UTI or stone passage, requiring further assessment before IVP. NPO status, laxative use, and metformin are expected or less urgent.