ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Extract:
Question 1 of 5
A nurse is caring for a patient experiencing pain related to a musculoskeletal disorder. Which statement about chronic pain is most accurate?
Correct Answer: A
Rationale: Chronic pain can cause behavioral signs like restlessness and grimacing due to emotional distress. It persists beyond three months, not short-term. Tissue injury may not always be present. Vital signs are less affected compared to acute pain.
Question 2 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.
Question 3 of 5
A male patient informs the nurse that he prefers not to have female assistive personnel (AP) involved in his care. Which response should the nurse provide?
Correct Answer: A
Rationale: Arranging a male AP respects patient autonomy, promotes comfort, and ensures privacy. Asking for reasons may be intrusive, emphasizing competence dismisses concerns, and deferring to the charge nurse delays action.
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
Anaphylactic shock is a subgroup of which type of shock?
Correct Answer: D
Rationale: Anaphylactic shock is a distributive shock, caused by widespread vasodilation and increased vascular permeability due to an allergic reaction. Hypovolemic shock involves fluid loss, obstructive shock involves flow obstruction, and cardiogenic shock involves heart failure.