ATI RN
ATI Med Surg 1 Quiz Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has returned to the unit on a stretcher following a surgical procedure. The client's oxygen saturation is 85%. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Administering analgesics is not a priority in managing low oxygen saturation. Administering oxygen is important but should follow positioning to improve oxygenation. Raising the head of the bed improves lung expansion and is the priority intervention. Coughing and deep breathing can follow after oxygenation is stabilized.
Question 2 of 5
A nurse is caring for several clients in the post-operative unit. Which client should the nurse see first?
Correct Answer: A
Rationale: An oxygen saturation of 89% indicates hypoxemia, which poses an immediate threat to oxygenation and requires urgent intervention. Hypotension is concerning but less critical than hypoxemia in this scenario. A fever of 102°F requires monitoring and management but is not an immediate life threat. A respiratory rate of 12 breaths/min is normal for an adult and does not require immediate action.
Question 3 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 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 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.