Questions 53

ATI RN

ATI RN Test Bank

ATI RN Custom Med Surg Surgical patient Questions

Extract:


Question 1 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 2 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 3 of 5

A medical surgical unit has implemented a policy change. The nurse manager has noticed that one of the nurses, who has a history of being resistant to change, is not delivering care according to the new policy. What actions should the nurse manager take?

Correct Answer: B

Rationale: Encouraging verbalization of resistance identifies concerns, fostering collaboration. Explaining rationale assumes misunderstanding, threats create hostility, and ignoring is ineffective.

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 enters a client's room to answer the call light and finds the client on the bathroom floor. What should be the nurse's initial action?

Correct Answer: D

Rationale: Obtaining vital signs first assesses the client's condition to identify immediate medical needs. Moving the client risks harm without assessment. Notifying the provider or family is secondary to ensuring client safety through assessment.

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