ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Extract:
Question 1 of 5
A nurse is caring for a patient receiving IV therapy in the left forearm and notices that the site is red, swollen, and warm. What action should the nurse take first?
Correct Answer: B
Rationale: Discontinuing the IV infusion prevents further irritation in phlebitis, characterized by redness, swelling, and warmth. Elevation and compresses are secondary, and inserting a new IV follows discontinuation.
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 on a medical-surgical unit is caring for a patient who is a hospital employee. Several nurses have called seeking information about the patient. What action should the nurse take in response to inquiries from the nurses?
Correct Answer: A
Rationale: Referring inquiries to the supervisor ensures HIPAA compliance and protects patient confidentiality. Transferring calls breaches privacy, acknowledging presence risks confidentiality, and contacting the provider is inefficient.
Question 4 of 5
A nurse is caring for a patient who has acute kidney injury. The patient's ABGs are: pH: 7.26, PaCO2: 30 mm Hg, HCO3: 14 mEq/L. Which of the following acid-base imbalances should the nurse identify the patient is experiencing?
Correct Answer: B
Rationale: Low pH (7.26), low HCO3 (14 mEq/L), and low PaCO2 (30 mm Hg) indicate metabolic acidosis, common in kidney injury due to acid accumulation. Other imbalances do not match these values.
Question 5 of 5
A patient is admitted for pain in the arm and jaw. The patient is later diagnosed with angina. What type of pain does the arm and jaw pain most likely represent?
Correct Answer: C
Rationale: Referred pain is felt in areas distant from the pain source due to shared nerve pathways, as with angina, where heart pain is felt in the arm and jaw. Intractable pain is persistent and unresponsive to treatment. Phantom pain occurs in amputated limbs. Cramping pain involves muscle tightening, not typical of angina.