ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Extract:
Question 1 of 5
A nurse is looking after a patient who is 12 hours postoperative following a transurethral resection of the prostate (TURP) and has a 3-way urinary catheter with continuous irrigation. The nurse observes that there has been no urinary output in the last hour. What should the nurse do first?
Correct Answer: B
Rationale: Checking tubing patency addresses the likely cause of obstruction, preventing complications like bladder distention. Analgesics, provider notification, and fluids are secondary.
Question 2 of 5
A nurse is caring for a patient immediately following a cardiac catheterization with a femoral artery approach. Which action should the nurse take?
Correct Answer: D
Rationale: Checking pedal pulses monitors circulation, detecting complications like thrombosis. Restricting movement or prolonged high-Fowler's is unnecessary, and range-of-motion risks bleeding.
Question 3 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 4 of 5
A nurse is planning to monitor a client for dehydrated following several episodes of vomiting and an increase in the client's temperature. Which of the following findings should the nurse identify as an indication that the client is dehydrated?
Correct Answer: D
Rationale: High urine specific gravity (1.034) indicates concentrated urine, a dehydration sign. Distended veins suggest fluid overload, bounding pulse is nonspecific, and elevated BP is not typical.
Question 5 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.