ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Extract:
Question 1 of 5
A nurse is caring for a group of patients on an adult medical-surgical unit. Which patient should the nurse identify as having the highest risk for aspiration?
Correct Answer: C
Rationale: Patients receiving enteral feedings via an NG tube are at high risk for aspiration due to impaired swallowing mechanisms and potential misplacement of the tube, which can allow formula to enter the lungs. Colostomies and ileostomies affect lower digestive tracts, not airway protection. Chest tubes address pleural space issues, not aspiration risk.
Question 2 of 5
A nurse is caring for a group of patients on an adult medical-surgical unit. Which patient should the nurse identify as having the highest risk for aspiration?
Correct Answer: C
Rationale: Patients receiving enteral feedings via an NG tube are at high risk for aspiration due to impaired swallowing mechanisms and potential misplacement of the tube, which can allow formula to enter the lungs. Colostomies and ileostomies affect lower digestive tracts, not airway protection. Chest tubes address pleural space issues, not aspiration risk.
Question 3 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 4 of 5
A nurse is reinforcing teaching with a client who has peripheral vascular disease (PVD). Which of the following statements by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Using a thermometer is not PVD-specific, indicating a need for focused teaching. Avoiding leg crossing, going barefoot, and wearing compression stockings are correct practices.
Question 5 of 5
What triggers the afferent pathways, resulting in the sensation of pain?
Correct Answer: B
Rationale: Nociceptors detect harmful stimuli, initiating pain signals along afferent pathways. The spinal cord relays signals, endorphins modulate pain, and the cortex processes pain perception.