ATI RN
ATI Med Surg 1 Quiz Questions
Question 1 of 5
A nurse is working in a preoperative unit. Which task is most appropriate to be delegated to unlicensed assistive personnel (UAP)?
Correct Answer: A
Rationale: Assisting the client to remove jewelry is within the UAP's scope of practice and does not require clinical judgment. Providing education about a surgical procedure requires nursing knowledge and cannot be delegated. Instructing the client on the use of an incentive spirometer is a teaching activity requiring an RN's expertise. Witnessing informed consent is a legal responsibility that must be performed by an RN.
Question 2 of 5
A nurse is teaching a newly licensed nurse about anesthesia. The nurse should include that an epidural is an example of which of the following types of anesthesia?
Correct Answer: D
Rationale: General anesthesia involves the loss of consciousness and is not related to epidurals. Local anesthesia numbs a small, localized area and is not comparable to epidurals. Moderate sedation provides sedation without loss of consciousness, unrelated to epidural function. Epidural anesthesia is a form of regional anesthesia that blocks sensation in a specific region of the body.
Question 3 of 5
A nurse is caring for a postoperative client who received Midazolam as part of the anesthesia. The client is now in the recovery room. While assessing the client, the nurse observes respiratory depression and decreased oxygen saturation. What immediate actions should the nurse take to address this situation?
Correct Answer: C
Rationale: Increasing the infusion would worsen respiratory depression. Supplemental oxygen is supportive but does not address the cause of respiratory depression. Midazolam can cause respiratory depression, and flumazenil (a benzodiazepine antagonist) is the antidote; however, if naloxone is available, it may reverse sedation quickly in emergency scenarios. While neurological assessment is vital, it does not address the immediate issue of respiratory compromise.
Question 4 of 5
A preoperative nurse is assessing a client prior to surgery. Which information would be most important for the nurse to relay to the surgical team?
Correct Answer: A
Rationale: Herbs and supplements can interact with anesthesia or affect coagulation, increasing perioperative risks. Lactose intolerance is unlikely to impact surgery unless dietary considerations postoperatively involve lactose-containing foods. A lack of prior surgical experience is relevant but not critical compared to medication or supplement interactions. Bee/wasp allergies are important but less urgent unless directly related to medications or procedures used.
Question 5 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.