ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Extract:
Question 1 of 5
A patient with new third-degree burns over 60% of the body is confused and presents with a blood pressure of 79/56 mm Hg, heart rate of 132 beats/min, and respirations of 28 breaths/min with crackles on auscultation. The patient's body temperature is 76° F, and the skin is pale and clammy. Which stage of shock is this patient experiencing?
Correct Answer: C
Rationale: Early reversible shock is indicated by moderate hypotension, tachycardia, and compensatory signs like confusion and crackles. Irreversible shock involves profound organ failure, end-organ dysfunction more severe signs, and preshock normal BP.
Question 2 of 5
A nurse is providing care for a patient who is three days postoperative following a cholecystectomy. The nurse suspects an infection due to the yellow and thick drainage from the dressing. What type of drainage should the nurse report?
Correct Answer: D
Rationale: Purulent drainage, thick and yellow, indicates infection and requires reporting. Serosanguineous is pinkish, serous is clear, and sanguineous is bloody, none suggesting infection.
Question 3 of 5
A patient with new third-degree burns over 60% of the body is confused and presents with a blood pressure of 79/56 mm Hg, heart rate of 132 beats/min, and respirations of 28 breaths/min with crackles on auscultation. The patient's body temperature is 76° F, and the skin is pale and clammy. Which stage of shock is this patient experiencing?
Correct Answer: C
Rationale: Early reversible shock is indicated by moderate hypotension, tachycardia, and compensatory signs like confusion and crackles. Irreversible shock involves profound organ failure, end-organ dysfunction more severe signs, and preshock normal BP.
Question 4 of 5
A nurse is caring for a client who has recurrent kidney stones and a history of diabetes mellitus. The client is scheduled for an intravenous pyelogram (IVP). What statements made by the client should the nurse collect additional data about?
Correct Answer: A
Rationale: Painful urination may indicate UTI or stone passage, requiring further assessment before IVP. NPO status, laxative use, and metformin are expected or less urgent.
Question 5 of 5
With whom should a nurse share her password for access to the facility's computer system?
Correct Answer: A
Rationale: Passwords must remain confidential to protect patient data and ensure accountability. Sharing with anyone, even supervisors or IT staff, violates security protocols.