ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a hemoglobin of 10.8 g/dL and a hematocrit of 30%. The nurse should expect the client is at risk for which of the following conditions?
Correct Answer: A
Rationale: Low hemoglobin reduces oxygen-carrying capacity, risking cellular hypoxia. Fluid retention, bleeding, and immunity issues are less directly related to anemia.
Question 2 of 5
A nurse is caring for a patient after a radical neck dissection. What should be the nurse's priority in the immediate postoperative period?
Correct Answer: A
Rationale: Ineffective airway clearance is critical due to altered anatomy and secretions, risking obstruction. Communication, infection, and nutrition are secondary to airway patency.
Question 3 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 4 of 5
A nurse is providing care to a group of patients in an adult medical-surgical unit. Which patient should the nurse identify as having the highest risk for aspiration?
Correct Answer: C
Rationale: Enteral feedings via NG tube increase aspiration risk due to impaired swallowing and potential tube misplacement. Colostomies and ileostomies affect lower digestive tracts, and chest tubes address pleural issues, not aspiration.
Question 5 of 5
A nurse is monitoring a patient who is receiving a blood transfusion. Which of the following symptoms should the nurse report to the charge nurse as a sign of an allergic blood transfusion reaction?
Correct Answer: C
Rationale: Generalized urticaria indicates an allergic reaction to transfused blood components. Flank pain, distended veins, and high BP suggest other issues, not allergic reactions.