ATI Surgical Client Test| ATI Care of Surgical Patient
Test| ATI Surgical Client Test| Q-Bank| With Complete
Solutions
A nurse is developing a plan of care for a client who is scheduled for surgery. The
nurse would include which of the following activities in the nursing care plan for the
client on the day of surgery? - ANSWERHave the client void immediately before
surgery.
A nurse is caring for a client who is scheduled for surgery. The client is concerned
about the surgical procedure. To alleviate the client's fears and misconceptions
about surgery, the nurse should: - ANSWERAsk the client to discuss information
known about the planned surgery. (Explanations should begin with the information
that the client knows.)
A nurse is collecting data from a client who is scheduled for surgery in 1 week in the
ambulatory care surgical center. The nurse notes that the client has a history of
arthritis and has been taking acetylsalicylic acid (aspirin). The nurse reports the
information to the surgeon and anticipates that the surgeon will prescribe which of
the following? - ANSWERDiscontinue the aspirin 48 hours before the scheduled
surgery.
A nurse obtains the vital signs on a postoperative client who just returned to the
nursing unit. The client's blood pressure (BP) is 100/60 mm Hg, the pulse is 90 beats
per minute, and the respiration rate is 20 breaths per minute. On the basis of these
findings, which of the following nursing actions should be performed? -
ANSWERContinue to monitor the vital signs.
A client arrives to the surgical nursing unit after surgery. The initial nursing action is
to check the: - ANSWERPatency of the airway
A nurse is monitoring an adult client for postoperative complications. Which of the
following would be the most indicative of a potential postoperative complication
that requires further observation? - ANSWERA urinary output of 20 mL/hour
A nurse monitors the postoperative client frequently for the presence of secretions
in the lungs, knowing that accumulated secretions can lead to: - ANSWERPneumonia
A nurse is caring for a postoperative client who has a drain inserted into the surgical
wound. Which of the following actions would the nurse avoid in the care of the
drain? - ANSWERSecure the drain by curling or folding it and taping it firmly to the
body.
A nurse checks the client's surgical incision for signs of infection. Which of the
following would be indicative of a potential infection? - ANSWERThe presence of
purulent drainage
, A nurse is checking a client's surgical incision and notes an increase in the amount of
drainage, a separation of the incision line, and the appearance of underlying tissue.
Which of the following is the initial action? - ANSWERApply a sterile dressing soaked
with normal saline to the wound.
A nurse is caring for a postoperative client who has been NPO, and the health care
provider has prescribed a clear liquid diet. In planning to initiate this diet, which
priority item should the nurse place at the client's bedside? - ANSWERSuction
equipment
A nurse monitors a postoperative client for signs of complications. Which of the
following signs would the nurse determine to be indicative of a potential
complication? - ANSWERIncreasing restlessness (could indicate hemorrhage or
shock)
A nurse is explaining the concept of a time-out in the perioperative area. The
purpose of a time-out is: - ANSWERTo allow the surgical team a chance to verbally
verify its agreement about the client's name, the surgical procedure, and the site
(The time-out occurs in the perioperative area after the client has been prepped and
draped)
A nurse is explaining The Joint Commission's (TJC's) universal protocol for preventing
wrong-site, wrong-procedure, and wrong-person surgery to a group of nursing
students. The nurse explains that site marking involves: - ANSWERThe surgeon
marking the area of the operative procedure
A client who had abdominal surgery complains of feeling as though "something gave
way" in the incisional site. The nurse removes the dressing and notes the presence of
a loop of bowel protruding through the incision. Which nursing intervention(s) would
the nurse take? Select all that apply. - ANSWER1.
Notify the registered nurse.
2.
Document the client's complaint.
3.
Instruct the client to remain quiet.
4.
Prepare the client for wound closure.
A nurse checks the sternotomy incision of a client on the second postoperative day
after cardiac surgery. The incision shows some slight "puffiness" along the edges and
is non-reddened with no apparent drainage. The client's temperature is 99° F (37.2°
C) orally. The white blood cell (WBC) count is 7500 cells/mm3. The nurse interprets
Test| ATI Surgical Client Test| Q-Bank| With Complete
Solutions
A nurse is developing a plan of care for a client who is scheduled for surgery. The
nurse would include which of the following activities in the nursing care plan for the
client on the day of surgery? - ANSWERHave the client void immediately before
surgery.
A nurse is caring for a client who is scheduled for surgery. The client is concerned
about the surgical procedure. To alleviate the client's fears and misconceptions
about surgery, the nurse should: - ANSWERAsk the client to discuss information
known about the planned surgery. (Explanations should begin with the information
that the client knows.)
A nurse is collecting data from a client who is scheduled for surgery in 1 week in the
ambulatory care surgical center. The nurse notes that the client has a history of
arthritis and has been taking acetylsalicylic acid (aspirin). The nurse reports the
information to the surgeon and anticipates that the surgeon will prescribe which of
the following? - ANSWERDiscontinue the aspirin 48 hours before the scheduled
surgery.
A nurse obtains the vital signs on a postoperative client who just returned to the
nursing unit. The client's blood pressure (BP) is 100/60 mm Hg, the pulse is 90 beats
per minute, and the respiration rate is 20 breaths per minute. On the basis of these
findings, which of the following nursing actions should be performed? -
ANSWERContinue to monitor the vital signs.
A client arrives to the surgical nursing unit after surgery. The initial nursing action is
to check the: - ANSWERPatency of the airway
A nurse is monitoring an adult client for postoperative complications. Which of the
following would be the most indicative of a potential postoperative complication
that requires further observation? - ANSWERA urinary output of 20 mL/hour
A nurse monitors the postoperative client frequently for the presence of secretions
in the lungs, knowing that accumulated secretions can lead to: - ANSWERPneumonia
A nurse is caring for a postoperative client who has a drain inserted into the surgical
wound. Which of the following actions would the nurse avoid in the care of the
drain? - ANSWERSecure the drain by curling or folding it and taping it firmly to the
body.
A nurse checks the client's surgical incision for signs of infection. Which of the
following would be indicative of a potential infection? - ANSWERThe presence of
purulent drainage
, A nurse is checking a client's surgical incision and notes an increase in the amount of
drainage, a separation of the incision line, and the appearance of underlying tissue.
Which of the following is the initial action? - ANSWERApply a sterile dressing soaked
with normal saline to the wound.
A nurse is caring for a postoperative client who has been NPO, and the health care
provider has prescribed a clear liquid diet. In planning to initiate this diet, which
priority item should the nurse place at the client's bedside? - ANSWERSuction
equipment
A nurse monitors a postoperative client for signs of complications. Which of the
following signs would the nurse determine to be indicative of a potential
complication? - ANSWERIncreasing restlessness (could indicate hemorrhage or
shock)
A nurse is explaining the concept of a time-out in the perioperative area. The
purpose of a time-out is: - ANSWERTo allow the surgical team a chance to verbally
verify its agreement about the client's name, the surgical procedure, and the site
(The time-out occurs in the perioperative area after the client has been prepped and
draped)
A nurse is explaining The Joint Commission's (TJC's) universal protocol for preventing
wrong-site, wrong-procedure, and wrong-person surgery to a group of nursing
students. The nurse explains that site marking involves: - ANSWERThe surgeon
marking the area of the operative procedure
A client who had abdominal surgery complains of feeling as though "something gave
way" in the incisional site. The nurse removes the dressing and notes the presence of
a loop of bowel protruding through the incision. Which nursing intervention(s) would
the nurse take? Select all that apply. - ANSWER1.
Notify the registered nurse.
2.
Document the client's complaint.
3.
Instruct the client to remain quiet.
4.
Prepare the client for wound closure.
A nurse checks the sternotomy incision of a client on the second postoperative day
after cardiac surgery. The incision shows some slight "puffiness" along the edges and
is non-reddened with no apparent drainage. The client's temperature is 99° F (37.2°
C) orally. The white blood cell (WBC) count is 7500 cells/mm3. The nurse interprets
