ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Extract:
Question 1 of 5
A nurse is developing a care plan for a patient with pneumonia who requires chest percussion, vibration, and postural drainage. What should the nurse plan to do first?
Correct Answer: D
Rationale: Auscultating lung fields first identifies areas needing drainage, guiding effective percussion and drainage. Tapping, positioning, and mouth care follow assessment.
Question 2 of 5
A nurse is caring for a client who has recurrent kidney stones and a history of diabetes mellitus. The client is scheduled for an intravenous pyelogram (IVP). What statements made by the client should the nurse collect additional data about?
Correct Answer: A
Rationale: Painful urination may indicate UTI or stone passage, requiring further assessment before IVP. NPO status, laxative use, and metformin are expected or less urgent.
Question 3 of 5
A nurse is caring for a client who is postoperative and requesting something to drink. The nurse reads the client's postoperative prescriptions, which include, "Clear liquids, advance diet as tolerated." What action should the nurse take first?
Correct Answer: C
Rationale: Auscultating the abdomen assesses bowel function, ensuring readiness for liquids. Elevation aids comfort, offering juice is premature, and ordering a tray advances diet too quickly.
Question 4 of 5
A nurse is caring for a client who has heart failure and respiratory arrest. What should be the nurse's first action?
Correct Answer: B
Rationale: Establishing an open airway is critical in respiratory arrest to restore oxygenation. Auscultation, IV access, and pulse checks are secondary to ensuring airway patency.
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.