Questions 47

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ATI RN Test Bank

ATI Med Surg Nur214 Questions

Extract:


Question 1 of 5

Which statement accurately describes the relationship between subjective and objective data in documentation?

Correct Answer: D

Rationale: A 2-centimeter red wound with exudate is an example of objective data. Objective data is measurable, observable, and can be verified by more than one person.

Question 2 of 5

The nurse is observing a new nurse set up a sterile field. Which of the following actions made by the new nurse requires immediate intervention?

Correct Answer: B

Rationale: A sterile item with slightly opened packaging should not be placed on the sterile field. Any sign of damage or moisture indicates the package contents are no longer sterile.

Question 3 of 5

A physician expresses anger towards a nurse assisting him in the operating room in front of the patient and other team members because the nurse did not hand him instruments quickly enough. The nurse later addresses the physician privately using the DESC tool. Which statement represents the "E" component of this tool?

Correct Answer: B

Rationale: This statement accurately represents the "E" component of the DESC tool, which stands for 'Express your concerns'. In this scenario, the nurse is expressing their feelings about the physician's behavior and its impact on them.

Extract:

A 57-year-old female patient was admitted to the hospital with a left upper wound infection (methicillin-resistant Staphylococcus aureus [MRSA] and several gram-negative bacteria) and cellulitis 5 days ago. Her wound is packed and requires a dressing change twice a day. She is scheduled for discharge to home with her daughter to continue antibiotic therapy for another week.


Question 4 of 5

What health teaching should the nurse include as part of the discharge instructions for the patient and her daughter? Select all that apply.

Correct Answer: A,C,D

Rationale: Sterile technique prevents infection, notifying about worsening diarrhea addresses potential antibiotic side effects, and rest aids recovery. Stopping antibiotics early risks resistance.

Extract:


Question 5 of 5

A patient with chronic obstructive pulmonary disease (COPD) is experiencing shortness of breath while breathing room air. The patient's pulse oximetry reading is 89% and their respiratory rate is 22. What should be the nurse's priority action?

Correct Answer: B

Rationale: Administering oxygen is the most appropriate action for a COPD patient with an oxygen saturation of 89%. This will help increase the patient's oxygen saturation and alleviate their shortness of breath.

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