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 a hospital employee. Several nurses have called seeking information about the patient. What action should the nurse take in response to inquiries from the nurses?
Correct Answer: A
Rationale: Referring inquiries to the supervisor ensures HIPAA compliance and protects patient confidentiality. Transferring calls breaches privacy, acknowledging presence risks confidentiality, and contacting the provider is inefficient.
Question 2 of 5
A nurse is caring for a patient receiving IV therapy in the left forearm and notices that the site is red, swollen, and warm. What action should the nurse take first?
Correct Answer: B
Rationale: Discontinuing the IV infusion prevents further irritation in phlebitis, characterized by redness, swelling, and warmth. Elevation and compresses are secondary, and inserting a new IV follows discontinuation.
Question 3 of 5
A nurse is collecting data about the fluid status of four patients. Which patient should the nurse identify as being at risk for fluid volume deficit?
Correct Answer: D
Rationale: NPO status since midnight restricts fluid intake, risking dehydration. Diuretic therapy is managed, oral fluids replenish losses, and dialysis corrects fluid imbalances.
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
What triggers the afferent pathways, resulting in the sensation of pain?
Correct Answer: B
Rationale: Nociceptors detect harmful stimuli, initiating pain signals along afferent pathways. The spinal cord relays signals, endorphins modulate pain, and the cortex processes pain perception.