ATI RN
ATI Med Surg 1 Quiz Questions
Question 1 of 5
A client is receiving diazepam prior to a procedure. Which side effect should the nurse be most concerned about?
Correct Answer: D
Rationale: Hyperthermia is not commonly associated with diazepam. Hypertension is not a common concern with diazepam use. Tachycardia is not a significant side effect of diazepam. Respiratory depression is the most serious and potentially life-threatening side effect of diazepam, requiring close monitoring.
Question 2 of 5
Which is the priority intervention for the nurse to perform in the post anesthesia care unit (PACU)?
Correct Answer: D
Rationale: Checking the surgical dressing is important but not as urgent as ensuring respiratory function. Assessing urinary output is necessary but secondary to airway patency. Monitoring blood pressure and blood loss is important but less critical than respiratory status. Airway patency is the highest priority in the immediate postoperative period to prevent respiratory failure.
Question 3 of 5
A nurse is preparing to administer lidocaine 50 mg IV bolus. Available is lidocaine 200 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: C
Rationale: Volume = dose/concentration = 50/200 = 0.25 mL = 0.3 mL (rounded to the nearest tenth).
Question 4 of 5
A nurse is caring for a client receiving fentanyl. On assessment, the client's respiratory rate is 8 breaths per minute. Which medication is appropriate at this time?
Correct Answer: B
Rationale: Propofol is a sedative and would worsen respiratory depression. Naloxone is the antidote for opioid-induced respiratory depression and should be administered immediately. Flumazenil reverses benzodiazepine effects and is not appropriate for opioid overdose. Protamine sulfate is used to reverse the effects of heparin and is unrelated to fentanyl toxicity.
Question 5 of 5
A nurse is educating a client on patient-controlled analgesia (PCA) pump. Which statement made by the client is correct?
Correct Answer: A
Rationale: PCA pumps allow clients to self-administer pain medication within prescribed limits when experiencing pain. Doses are controlled by a lockout mechanism to prevent overdosing. PCA pumps deliver medication as needed, not a continuous infusion unless programmed otherwise. The client independently determines when to use the PCA within prescribed parameters.