ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Extract:
Question 1 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 2 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 3 of 5
A nurse enters a client's room to answer the call light and finds the client on the bathroom floor. What should be the nurse's initial action?
Correct Answer: D
Rationale: Obtaining vital signs first assesses the client's condition to identify immediate medical needs. Moving the client risks harm without assessment. Notifying the provider or family is secondary to ensuring client safety through assessment.
Question 4 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 5 of 5
An athlete has been practicing twice a day in the heat and reports being dizzy. The patient's vital signs are blood pressure of 100/2 mm Hg, pulse rate of 100 beats/min, and respiratory rate of 26 breaths/min; the patient does not remember the last voiding time. The skin is cool to touch and pale in color. Which type of shock is the patient experiencing?
Correct Answer: A
Rationale: Hypovolemic shock from fluid loss due to heat and exercise matches the symptoms of low BP, tachycardia, tachypnea, and pale skin. Neurogenic involves spinal injury, cardiogenic heart failure, and anaphylactic allergic reaction.