ATI RN
ATI Med Surg 1 Quiz Questions
Extract:
Question 1 of 5
A client is brought to post anesthesia care unit (PACU) after an invasive procedure. Based on the two sets of vital signs in the chart tab, which action is most appropriate by the nurse?
Correct Answer: A
Rationale: The changes in vital signs are within expected ranges post-procedure, so continued monitoring is appropriate. A temperature increase to 99°F is not significant and does not require immediate reporting. No signs of hypovolemia or dehydration warrant increasing IV fluids. A blood pressure decrease to 112/72 mm Hg is minimal and not concerning.
Question 2 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 3 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 4 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 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.