ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Extract:
Question 1 of 5
Anaphylactic shock is a subgroup of which type of shock?
Correct Answer: D
Rationale: Anaphylactic shock is a distributive shock, caused by widespread vasodilation and increased vascular permeability due to an allergic reaction. Hypovolemic shock involves fluid loss, obstructive shock involves flow obstruction, and cardiogenic shock involves heart failure.
Question 2 of 5
A nurse is collecting data about the fluid status of four patients. Which patient should the nurse identify as being at risk for fluid volume deficit?
Correct Answer: D
Rationale: NPO status since midnight restricts fluid intake, risking dehydration. Diuretic therapy is managed, oral fluids replenish losses, and dialysis corrects fluid imbalances.
Question 3 of 5
A nurse is caring for a client who has heart failure and respiratory arrest. What should be the nurse's first action?
Correct Answer: B
Rationale: Establishing an open airway is critical in respiratory arrest to restore oxygenation. Auscultation, IV access, and pulse checks are secondary to ensuring airway patency.
Question 4 of 5
In a post-surgical unit, the nurse cares for many patients experiencing pain. Which situation is likely to lower a patient's pain threshold?
Correct Answer: B
Rationale: Anxiety activates the sympathetic nervous system, amplifying pain signals and lowering the pain threshold. Awaiting biopsy results may cause stress but not directly affect pain physiology. Sleep difficulty impacts pain tolerance but less directly. Pain thresholds vary individually.
Question 5 of 5
A nurse is preparing to administer 400 mL of 0.9% sodium chloride IV over 8 hours. The drop factor of the manual IV tubing is 60 gtt/mL. How many gtt/min should the nurse set the manual IV infusion to deliver?
Correct Answer: 50
Rationale: Calculating 400 mL over 480 minutes (8 hours) gives 0.8333 mL/min. Multiplying by 60 gtt/mL yields 50 gtt/min, the correct infusion rate.