ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Extract:
Question 1 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 2 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 3 of 5
A nurse is attending to a patient with a bowel obstruction who has been prescribed a nasogastric tube. What steps should the nurse take during the insertion of the nasogastric tube?
Correct Answer: B
Rationale: Tucking the chin and swallowing guides the tube into the esophagus, reducing tracheal misplacement risk. Removing the tube for gagging is premature, supine positioning is less effective, and nose-to-navel measurement is inaccurate.
Question 4 of 5
A nurse is assessing a patient following the removal of the patient's endotracheal tube. Which finding should the nurse report to the provider?
Correct Answer: B
Rationale: Stridor indicates upper airway obstruction, a serious post-extubation complication requiring immediate reporting. Crackles suggest lower airway issues, while cough and deep breathing are positive signs.
Question 5 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.