Questions 53

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ATI RN Test Bank

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.

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