ATI RN
ATI Med Surg 1 Quiz Questions
Extract:
Question 1 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 2 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 3 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 4 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 5 of 5
The nurse is caring for a client in the immediate post-operative period. On assessment, the nurse notes the client's bowels are protruding from the abdominal incision. Which intervention(s) by the nurse are most appropriate at this time? [Select All That Apply]
Correct Answer: A,B,E
Rationale: Wet sterile gauze protects exposed bowel. Low-Fowler's position with knees flexed reduces abdominal strain. Calling for assistance ensures prompt surgical intervention. Side-lying position is less effective. Crash cart is unnecessary without cardiopulmonary arrest. Inspiratory volume measurement is irrelevant.