ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Extract:
Question 1 of 5
A patient is admitted for pain in the arm and jaw. The patient is later diagnosed with angina. What type of pain does the arm and jaw pain most likely represent?
Correct Answer: C
Rationale: Referred pain is felt in areas distant from the pain source due to shared nerve pathways, as with angina, where heart pain is felt in the arm and jaw. Intractable pain is persistent and unresponsive to treatment. Phantom pain occurs in amputated limbs. Cramping pain involves muscle tightening, not typical of angina.
Question 2 of 5
A nurse is caring for a patient who is postoperative following a total knee replacement. What action should the nurse take to prevent deep vein thrombophlebitis?
Correct Answer: A
Rationale: Encouraging fluid intake reduces blood viscosity, promotes circulation, and enhances fibrinolysis, preventing DVT. Flexing the knee can impede blood flow. Prolonged bed rest increases DVT risk. Massaging the calf can dislodge clots, causing embolism.
Question 3 of 5
A 79-year-old patient reports a pain level of 3 out of 10 and states, "Don't worry, this is just part of getting old." What is the best response?
Correct Answer: C
Rationale: Investigating further validates the patient's pain and rules out causes, countering the misconception that pain is a normal part of aging. Other responses dismiss or delay addressing the pain.
Question 4 of 5
A nurse is observing the IV catheter insertion site of a client who is receiving continuous IV therapy. Which of the following manifestations should the nurse identify as an indication that the client has developed phlebitis?
Correct Answer: C
Rationale: Erythema indicates phlebitis due to vein inflammation. Pallor suggests reduced flow, coolness infiltration, and drainage infection, not primarily phlebitis.
Question 5 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.