ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Extract:
Question 1 of 5
A patient has been diagnosed with septic shock. What collaborative interventions would be expected? (Select all that apply)
Correct Answer: A,B,E,F
Rationale: Temperature control, cardiotonic agents, blood cultures, and fluid resuscitation address septic shock's effects and causes. Thrombolytics and epinephrine are not standard interventions.
Question 2 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.
Question 3 of 5
A nurse is caring for a client who is postoperative and requesting something to drink. The nurse reads the client's postoperative prescriptions, which include, "Clear liquids, advance diet as tolerated." What action should the nurse take first?
Correct Answer: C
Rationale: Auscultating the abdomen assesses bowel function, ensuring readiness for liquids. Elevation aids comfort, offering juice is premature, and ordering a tray advances diet too quickly.
Question 4 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 5 of 5
A nurse is analyzing the arterial blood gas (ABG) results of a patient. The patient's ABGs are: pH:7.6, PaCO2:40 mm Hg, HCO3:32 mEq/L. Which of the following acid-base conditions should the nurse identify the patient is experiencing?
Correct Answer: D
Rationale: High pH (7.6) and elevated HCO3 (32 mEq/L) with normal PaCO2 indicate metabolic alkalosis. Respiratory acidosis has low pH, respiratory alkalosis low PaCO2, and metabolic acidosis low HCO3.