ATI RN
ATI RN Custom Med Surg Surgical patient Questions
Extract:
Question 1 of 5
What are the appropriate interventions for a patient experiencing anaphylactic shock from a bee sting? (Select all that apply)
Correct Answer: A,D,E
Rationale: Theophylline relieves bronchospasms, diphenhydramine blocks histamine, and surgical airway preparation addresses swelling. Culturing is irrelevant, and water risks aspiration.
Question 2 of 5
A male patient informs the nurse that he prefers not to have female assistive personnel (AP) involved in his care. Which response should the nurse provide?
Correct Answer: A
Rationale: Arranging a male AP respects patient autonomy, promotes comfort, and ensures privacy. Asking for reasons may be intrusive, emphasizing competence dismisses concerns, and deferring to the charge nurse delays action.
Question 3 of 5
A nurse is assessing a patient with a surgical wound healing by secondary intention. Which finding should the nurse report to the charge nurse?
Correct Answer: B
Rationale: A halo of erythema suggests infection, requiring prompt reporting. Tenderness and serosanguineous drainage are normal, and granular tissue indicates healing.
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 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.