ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Extract:
Question 1 of 5
A nurse on a medical-surgical unit is caring for a patient who is also a hospital employee. Several nurses have called seeking information about the patient. What should the nurse do in response to these inquiries?
Correct Answer: C
Rationale: Acknowledging the patient's presence without disclosing specific details balances privacy with transparency. It adheres to HIPAA by limiting information to a need-to-know basis. Referring to the supervisor may delay responses and overburden them. Transferring calls breaches privacy without patient consent. Contacting the provider is inefficient for handling inquiries.
Question 2 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 3 of 5
During a shift change report, a nurse notices that a patient's IV bag of 0.9% sodium chloride has 900 mL of fluid remaining. The nurse checks again 30 minutes later and finds that the IV bag is empty. What should the nurse do in this situation?
Correct Answer: D
Rationale: Checking respiratory rate and lung sounds assesses for fluid overload from rapid infusion. NPO status, head elevation, and temperature measurement are less relevant.
Question 4 of 5
What are the appropriate interventions for a patient experiencing anaphylactic shock from a bee sting? (Select all that apply)
Correct Answer: A,D,E
Rationale: Theophylline relieves bronchospasms, diphenhydramine blocks histamine, and surgical airway preparation addresses swelling. Culturing is irrelevant, and water risks aspiration.
Question 5 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.