ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A PACU nurse is monitoring the drainage from a client's NG tube following abdominal surgery. Which of the following findings in the first postoperative hour should the nurse report to the provider?
Correct Answer: C
Rationale: Red drainage suggests active bleeding, requiring immediate reporting post-abdominal surgery. Serosanguineous, brown, or greenish drainage is expected initially, but bright red indicates a potential complication.
Question 2 of 5
A nurse in the PACU is caring for a client. Which of the following assessments is the nurse's priority?
Correct Answer: D
Rationale: Respiratory status is the priority in the PACU, as airway obstruction or depression can be life-threatening post-anesthesia. Consciousness, surgical site, and pain are assessed after ensuring airway and breathing stability.
Question 3 of 5
A nurse is assessing a client who is 4 hr postoperative following arterial revascularization of the left femoral artery. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: D
Rationale: Pallor suggests compromised blood flow post-revascularization, indicating possible graft occlusion, requiring immediate reporting. Mild fever, bruising, and adequate urine output are less urgent.
Question 4 of 5
A nurse is caring for a client who has skeletal traction applied to the left leg. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A trapeze bar aids mobility and repositioning, reducing complications in traction. Pressure points need more frequent checks, elbow repositioning risks misalignment, and removing weights disrupts traction.
Question 5 of 5
A nurse is caring for a client who has oral achalasia. The nurse should ask the client which of the following questions to assess their ability to swallow?
Correct Answer: D
Rationale: Achalasia involves esophageal motility issues, often causing a sensation of food stuck at the throat base due to lower esophageal sphincter dysfunction. Burning, fullness, or pain are less specific to achalasia's swallowing difficulties.