ATI RN
ATI Med Surg 1 Quiz Questions
Extract:
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
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 3 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.
Question 4 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 5 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.