ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Extract:
Question 1 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 2 of 5
A nurse is providing postoperative care for a patient who has a closed-wound drainage system. Which of the following actions should the nurse perform?
Correct Answer: C
Rationale: Fully re-collapsing the reservoir maintains the vacuum for drainage. Irrigation is not routine, plug replacement timing is incorrect, and daily emptying may be insufficient.
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 patient has been diagnosed with septic shock. What collaborative interventions would be expected? (Select all that apply)
Correct Answer: A,B,E,F
Rationale: Temperature control, cardiotonic agents, blood cultures, and fluid resuscitation address septic shock's effects and causes. Thrombolytics and epinephrine are not standard interventions.
Question 5 of 5
A patient with new third-degree burns over 60% of the body is confused and presents with a blood pressure of 79/56 mm Hg, heart rate of 132 beats/min, and respirations of 28 breaths/min with crackles on auscultation. The patient's body temperature is 76° F, and the skin is pale and clammy. Which stage of shock is this patient experiencing?
Correct Answer: C
Rationale: Early reversible shock is indicated by moderate hypotension, tachycardia, and compensatory signs like confusion and crackles. Irreversible shock involves profound organ failure, end-organ dysfunction more severe signs, and preshock normal BP.