ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Extract:
Question 1 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 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 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 4 of 5
A nurse is preparing an in-service presentation about preventing health care-associated infections (HAIs). Which of the following should the nurse include as a common cause of these infections?
Correct Answer: B
Rationale: Urinary catheterization introduces bacteria, causing UTIs, the most common HAI. Malnutrition is a risk factor, multiple caregivers spread pathogens indirectly, and chlorhexidine prevents HAIs.
Question 5 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.