ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Extract:
Question 1 of 5
A nurse notes a small section of bowel protruding from the abdominal incision of a client who is postoperative. After calling for assistance, which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Covering the protruding bowel with a moist, sterile dressing prevents dehydration and infection. Vital signs, informing the client, and positioning are secondary to protecting the bowel.
Question 2 of 5
With whom should a nurse share her password for access to the facility's computer system?
Correct Answer: A
Rationale: Passwords must remain confidential to protect patient data and ensure accountability. Sharing with anyone, even supervisors or IT staff, violates security protocols.
Question 3 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.
Question 4 of 5
A nurse is looking after a patient who is 12 hours postoperative following a transurethral resection of the prostate (TURP) and has a 3-way urinary catheter with continuous irrigation. The nurse observes that there has been no urinary output in the last hour. What should the nurse do first?
Correct Answer: B
Rationale: Checking tubing patency addresses the likely cause of obstruction, preventing complications like bladder distention. Analgesics, provider notification, and fluids are secondary.
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.