ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who has peripheral vascular disease (PVD). Which of the following statements by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Using a thermometer is not PVD-specific, indicating a need for focused teaching. Avoiding leg crossing, going barefoot, and wearing compression stockings are correct practices.
Question 2 of 5
A nurse on the unit suspects that a colleague is extracting a small quantity of morphine from the syringe prior to administering it to the patient. What should the nurse do in this situation?
Correct Answer: A
Rationale: Informing the charge nurse follows the chain of command, ensuring a discreet investigation. Security involvement is premature, AP monitoring is inappropriate, and confrontation risks escalation.
Question 3 of 5
A 79-year-old patient reports a pain level of 3 out of 10 and states, "Don't worry, this is just part of getting old." What is the best response?
Correct Answer: C
Rationale: Investigating further validates the patient's pain and rules out causes, countering the misconception that pain is a normal part of aging. Other responses dismiss or delay addressing the pain.
Question 4 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 5 of 5
A nurse is caring for a patient who has acute kidney injury. The patient's ABGs are: pH: 7.26, PaCO2: 30 mm Hg, HCO3: 14 mEq/L. Which of the following acid-base imbalances should the nurse identify the patient is experiencing?
Correct Answer: B
Rationale: Low pH (7.26), low HCO3 (14 mEq/L), and low PaCO2 (30 mm Hg) indicate metabolic acidosis, common in kidney injury due to acid accumulation. Other imbalances do not match these values.