ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Extract:
Question 1 of 5
A nurse is caring for a patient on a medical-surgical unit who is attempting to leave the facility. What action should the nurse take?
Correct Answer: D
Rationale: Ensuring the patient understands they are leaving against medical advice respects their autonomy while fulfilling the nurse's duty to inform them of risks. This involves documenting the decision and having the patient sign an AMA form. Notifying security escalates the situation prematurely. Calling family may breach confidentiality without consent. Insisting on a wheelchair is unnecessary unless safety is a concern.
Question 2 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 3 of 5
A nurse is preparing to administer 400 mL of 0.9% sodium chloride IV over 8 hours. The drop factor of the manual IV tubing is 60 gtt/mL. How many gtt/min should the nurse set the manual IV infusion to deliver?
Correct Answer: 50
Rationale: Calculating 400 mL over 480 minutes (8 hours) gives 0.8333 mL/min. Multiplying by 60 gtt/mL yields 50 gtt/min, the correct infusion rate.
Question 4 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 5 of 5
A nurse is attending to a patient with a bowel obstruction who has been prescribed a nasogastric tube. What steps should the nurse take during the insertion of the nasogastric tube?
Correct Answer: B
Rationale: Tucking the chin and swallowing guides the tube into the esophagus, reducing tracheal misplacement risk. Removing the tube for gagging is premature, supine positioning is less effective, and nose-to-navel measurement is inaccurate.