ATI RN
ATI Med Surg 1 Quiz Questions
Extract:
History and Physical
Type 2 diabetes mellitus
Hypertension
Smokes 2 pack cigarettes/day for 20 years
Laboratory
Medication Administrative Record
Aspirin 81 mg by mouth daily. Last dose 2 weeks ago.
Question 1 of 5
A nurse is caring for a client who is scheduled for a surgical procedure. The nurse is reviewing the client's electronic medical record. Which of the following findings places the client at risk for a surgical complication? Select all that apply.
Correct Answer: B,D,E
Rationale: Aspirin has antiplatelet effects and increases the risk of bleeding during and after surgery. Smoking history increases the risk of poor oxygenation, impaired wound healing, and respiratory complications. Type 2 diabetes mellitus increases the risk of delayed wound healing and postoperative infections. WBC results are not mentioned as abnormal, and glucose level is not specified as uncontrolled.
Extract:
Question 2 of 5
During a pre-surgical admission assessment, a client states. 'I've told my surgeon that I am Jehovah's Witness and I won't accept a blood transfusion.' Which statement by the nurse would be most appropriate?
Correct Answer: B
Rationale: This response respects the client's beliefs and clarifies the consent process. Assuming fear may be dismissive of the client's religious convictions. Questioning the client's decision may seem coercive and disrespectful. Minimizing the concern dismisses the client's stance and may provide false reassurance.
Question 3 of 5
A nurse is caring for several clients in the post-operative unit. Which client should the nurse see first?
Correct Answer: A
Rationale: An oxygen saturation of 89% indicates hypoxemia, which poses an immediate threat to oxygenation and requires urgent intervention. Hypotension is concerning but less critical than hypoxemia in this scenario. A fever of 102°F requires monitoring and management but is not an immediate life threat. A respiratory rate of 12 breaths/min is normal for an adult and does not require immediate action.
Question 4 of 5
The nurse is providing preoperative teaching. The client states, 'I'm so nervous about my surgery'. What is the best response by the nurse?
Correct Answer: D
Rationale: While calming, this response does not acknowledge the client's concerns. This statement may discourage the client and increase anxiety. This response is dismissive and assumes that discussing concerns will eliminate nervousness. Encouraging the client to verbalize concerns fosters trust and allows the nurse to address specific fears.
Question 5 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.