ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Extract:
Question 1 of 5
During a shift change report, a nurse notices that a patient's IV bag of 0.9% sodium chloride has 900 mL of fluid remaining. The nurse checks again 30 minutes later and finds that the IV bag is empty. What should the nurse do in this situation?
Correct Answer: D
Rationale: Checking respiratory rate and lung sounds assesses for fluid overload from rapid infusion. NPO status, head elevation, and temperature measurement are less relevant.
Question 2 of 5
A nurse is providing care to a group of patients in an adult medical-surgical unit. Which patient should the nurse identify as having the highest risk for aspiration?
Correct Answer: C
Rationale: Enteral feedings via NG tube increase aspiration risk due to impaired swallowing and potential tube misplacement. Colostomies and ileostomies affect lower digestive tracts, and chest tubes address pleural issues, not aspiration.
Question 3 of 5
A nurse is assessing a patient following the removal of the patient's endotracheal tube. Which finding should the nurse report to the provider?
Correct Answer: B
Rationale: Stridor indicates upper airway obstruction, a serious post-extubation complication requiring immediate reporting. Crackles suggest lower airway issues, while cough and deep breathing are positive signs.
Question 4 of 5
A nurse is reinforcing teaching with a client who has peripheral vascular disease (PVD). Which of the following statements by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Using a thermometer is not PVD-specific, indicating a need for focused teaching. Avoiding leg crossing, going barefoot, and wearing compression stockings are correct practices.
Question 5 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.