ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative and requesting something to drink. The nurse reads the client's postoperative prescriptions, which include, "Clear liquids, advance diet as tolerated." What action should the nurse take first?
Correct Answer: C
Rationale: Auscultating the abdomen assesses bowel function, ensuring readiness for liquids. Elevation aids comfort, offering juice is premature, and ordering a tray advances diet too quickly.
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 patient with new third-degree burns over 60% of the body is confused and presents with a blood pressure of 79/56 mm Hg, heart rate of 132 beats/min, and respirations of 28 breaths/min with crackles on auscultation. The patient's body temperature is 76° F, and the skin is pale and clammy. Which stage of shock is this patient experiencing?
Correct Answer: C
Rationale: Early reversible shock is indicated by moderate hypotension, tachycardia, and compensatory signs like confusion and crackles. Irreversible shock involves profound organ failure, end-organ dysfunction more severe signs, and preshock normal BP.
Question 4 of 5
A nurse on the unit suspects that a colleague is extracting a small quantity of morphine from the syringe prior to administering it to the patient. What should the nurse do in this situation?
Correct Answer: A
Rationale: Informing the charge nurse follows the chain of command, ensuring a discreet investigation. Security involvement is premature, AP monitoring is inappropriate, and confrontation risks escalation.
Question 5 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.