ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving a transfusion of packed red blood cells and develops itching and hives. What should be the nurse's first response?
Correct Answer: D
Rationale: Stopping the transfusion immediately prevents further exposure to allergens causing the reaction. Obtaining vital signs, notifying the RN, or administering diphenhydramine are secondary to halting the transfusion to avoid worsening the reaction.
Question 2 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.
Question 3 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 4 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 5 of 5
A nurse is caring for a patient on the third day following abdominal surgery. The nurse notes the absence of bowel sounds, abdominal distention, and the patient has not passed any flatus. Which postoperative complication is the patient likely experiencing?
Correct Answer: A
Rationale: Paralytic ileus is a common postoperative complication characterized by slowed or stopped intestinal peristalsis, leading to gas and fluid buildup, causing abdominal distention, nausea, and constipation. The absence of bowel sounds, distention, and lack of flatus are hallmark signs. Incisional infection presents with localized symptoms like redness and pain at the incision site. Fecal impaction involves a hard stool mass in the rectum, not typically linked to absent bowel sounds. Clostridium difficile infection causes diarrhea, not the symptoms described.