ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a group of newly licensed nurses about preventing needlestick injuries. Which of the following actions should the nurse recommend?
Correct Answer: C
Rationale: Placing uncapped needles in puncture-proof containers prevents needlestick injuries. Recapping, discarding in wastebaskets, or breaking needles increases injury risk.
Question 2 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.
Question 3 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 4 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 5 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.