ATI RN
ATI Med Surg 1 Quiz Questions
Extract:
Question 1 of 5
A nurse is caring for a client receiving fentanyl. On assessment, the client's respiratory rate is 8 breaths per minute. Which medication is appropriate at this time?
Correct Answer: B
Rationale: Propofol is a sedative and would worsen respiratory depression. Naloxone is the antidote for opioid-induced respiratory depression and should be administered immediately. Flumazenil reverses benzodiazepine effects and is not appropriate for opioid overdose. Protamine sulfate is used to reverse the effects of heparin and is unrelated to fentanyl toxicity.
Question 2 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 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
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
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.