ATI RN
ATI Med Surg 1 Quiz Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has provided informed consent in preparation for a procedure. The client states, 'I have decided not to have the procedure.' Which action should the nurse take?
Correct Answer: B
Rationale: While discussing alternatives may be beneficial later, it is not the priority action when consent is withdrawn. Informing the provider ensures the client's right to withdraw consent is respected and initiates appropriate communication. Explaining why the procedure is necessary may feel coercive and does not prioritize the client's autonomy. Reminding the client about the signed consent form undermines their right to change their decision.
Question 2 of 5
A nurse is caring for a client who has provided informed consent in preparation for a procedure. The client states, 'I have decided not to have the procedure.' Which action should the nurse take?
Correct Answer: B
Rationale: While discussing alternatives may be beneficial later, it is not the priority action when consent is withdrawn. Informing the provider ensures the client's right to withdraw consent is respected and initiates appropriate communication. Explaining why the procedure is necessary may feel coercive and does not prioritize the client's autonomy. Reminding the client about the signed consent form undermines their right to change their decision.
Question 3 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 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 nurse is educating a client on patient-controlled analgesia (PCA) pump. Which statement made by the client is correct?
Correct Answer: A
Rationale: PCA pumps allow clients to self-administer pain medication within prescribed limits when experiencing pain. Doses are controlled by a lockout mechanism to prevent overdosing. PCA pumps deliver medication as needed, not a continuous infusion unless programmed otherwise. The client independently determines when to use the PCA within prescribed parameters.