ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client following removal of the client's endotracheal tube. What findings should the nurse report to the provider?
Correct Answer: B
Rationale: Stridor suggests airway obstruction, requiring urgent reporting. Crackles indicate lower airway issues, while cough and breathing are positive post-extubation signs.
Question 2 of 5
A medical-surgical unit has implemented a policy change. The nurse manager notices that one of the nurses, who has a history of being resistant to change, is not delivering care according to the new policy. What action should the nurse manager take?
Correct Answer: B
Rationale: Encouraging the nurse to verbalize resistance helps identify underlying concerns, fostering collaboration and trust. Explaining rationale assumes misunderstanding, disciplinary threats create hostility, and ignoring resistance is ineffective.
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 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 5 of 5
A nurse notes a small section of bowel protruding from the abdominal incision of a client who is postoperative. After calling for assistance, which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Covering the protruding bowel with a moist, sterile dressing prevents dehydration and infection. Vital signs, informing the client, and positioning are secondary to protecting the bowel.