ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Extract:
Question 1 of 5
A nurse is caring for a patient who is postoperative and receiving fentanyl via patient-controlled analgesia. The patient has a prescription for naloxone. What is the purpose of naloxone?
Correct Answer: B
Rationale: Naloxone blocks opioid effects on the CNS, reversing respiratory depression. It does not affect secretions, nausea, or urinary retention.
Question 2 of 5
A nurse on a medical-surgical unit is caring for a patient who is also a hospital employee. Several nurses have called seeking information about the patient. What should the nurse do in response to these inquiries?
Correct Answer: C
Rationale: Acknowledging the patient's presence without disclosing specific details balances privacy with transparency. It adheres to HIPAA by limiting information to a need-to-know basis. Referring to the supervisor may delay responses and overburden them. Transferring calls breaches privacy without patient consent. Contacting the provider is inefficient for handling inquiries.
Question 3 of 5
A nurse is monitoring a patient who is receiving a blood transfusion. Which of the following symptoms should the nurse report to the charge nurse as a sign of an allergic blood transfusion reaction?
Correct Answer: C
Rationale: Generalized urticaria indicates an allergic reaction to transfused blood components. Flank pain, distended veins, and high BP suggest other issues, not allergic reactions.
Question 4 of 5
A nurse on a medical-surgical unit is caring for a patient who requests to review his medical record. How should the nurse respond?
Correct Answer: B
Rationale: Requiring a written request ensures HIPAA compliance while respecting patient rights. Denying access violates rights, delaying until discharge is incorrect, and demanding a reason is intrusive.
Question 5 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.