ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Extract:
Question 1 of 5
A nurse is providing care to a group of patients in an adult medical-surgical unit. Which patient should the nurse identify as having the highest risk for aspiration?
Correct Answer: C
Rationale: Enteral feedings via NG tube increase aspiration risk due to impaired swallowing and potential tube misplacement. Colostomies and ileostomies affect lower digestive tracts, and chest tubes address pleural issues, not aspiration.
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 nurse is caring for a patient who is postoperative and receiving fentanyl via patient-controlled analgesia. The patient has a prescription for naloxone. What is the purpose of naloxone?
Correct Answer: B
Rationale: Naloxone blocks opioid effects on the CNS, reversing respiratory depression. It does not affect secretions, nausea, or urinary retention.
Question 5 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.