ATI RN
ATI Med Surg 1 Quiz Questions
Extract:
Question 1 of 5
A client asks the nurse why they cannot consume food or liquids before surgery. Which response is most appropriate?
Correct Answer: B
Rationale: Fasting before surgery reduces stomach contents, lowering the risk of aspiration during anesthesia. Peristalsis slowing is not the primary concern. Fasting is not primarily for fluid/electrolyte balance. Fasting does not directly relate to Foley catheter use.
Question 2 of 5
A nurse is caring for a client experiencing malignant hyperthermia. Which intervention(s) is/are appropriate for this client? [Select All That Apply]
Correct Answer: B,C,F
Rationale: Oxygen addresses hypoxemia from increased metabolic activity. Dantrolene reduces muscle rigidity and hypermetabolism. Cold IV saline helps reduce hyperthermia. Insulin is not indicated unless hyperkalemia develops. Warm blankets worsen hyperthermia. Flumazenil is unrelated to malignant hyperthermia.
Question 3 of 5
The nurse is caring for a client who reports experiencing oral itching and swelling after consuming bananas and kiwis. Which allergy should the nurse suspect the client is at risk for?
Correct Answer: B
Rationale: A latex allergy is associated with cross-reactivity to certain foods, including bananas and kiwis, due to similar proteins. Shellfish, contrast dye, and iodine allergies are not commonly linked to these fruits.
Question 4 of 5
A nurse is caring for a client who has returned to the unit on a stretcher following a surgical procedure. The client's oxygen saturation is 85%. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Administering analgesics is not a priority in managing low oxygen saturation. Administering oxygen is important but should follow positioning to improve oxygenation. Raising the head of the bed improves lung expansion and is the priority intervention. Coughing and deep breathing can follow after oxygenation is stabilized.
Question 5 of 5
A nurse is caring for a client receiving Propofol for sedation during a medical procedure. Which assessment finding should the nurse prioritize when monitoring the client's response to Propofol?
Correct Answer: C
Rationale: A blood pressure of 120/84 mm Hg is within normal limits and does not require immediate intervention. Hypoactive bowel sounds are a common side effect of sedation and not an immediate concern. A respiratory rate of 9 breaths per minute indicates respiratory depression, which is a life-threatening side effect of Propofol. Immediate intervention is required to maintain oxygenation. Urine output of 90 mL over 2 hours is adequate and does not indicate acute distress.