ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Extract:
Question 1 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 2 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 3 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 4 of 5
A male patient informs the nurse that he prefers not to have female assistive personnel (AP) involved in his care. Which response should the nurse provide?
Correct Answer: A
Rationale: Arranging a male AP respects patient autonomy, promotes comfort, and ensures privacy. Asking for reasons may be intrusive, emphasizing competence dismisses concerns, and deferring to the charge nurse delays action.
Question 5 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.