ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is caring for a client who has a hemoglobin of 10.8 g/dL and a hematocrit of 30%. The nurse should expect the client is at risk for which of the following conditions?
Correct Answer: A
Rationale: Low hemoglobin reduces oxygen-carrying capacity, risking cellular hypoxia. Fluid retention, bleeding, and immunity issues are less directly related to anemia.
Question 3 of 5
A nurse is providing care for a patient who is three days postoperative following a cholecystectomy. The nurse suspects an infection due to the yellow and thick drainage from the dressing. What type of drainage should the nurse report?
Correct Answer: D
Rationale: Purulent drainage, thick and yellow, indicates infection and requires reporting. Serosanguineous is pinkish, serous is clear, and sanguineous is bloody, none suggesting infection.
Question 4 of 5
A medical surgical unit has implemented a policy change. The nurse manager has noticed that one of the nurses, who has a history of being resistant to change, is not delivering care according to the new policy. What actions should the nurse manager take?
Correct Answer: B
Rationale: Encouraging verbalization of resistance identifies concerns, fostering collaboration. Explaining rationale assumes misunderstanding, threats create hostility, and ignoring is ineffective.
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.