ATI RN
ATI Med Surg 1 Quiz Questions
Extract:
History and Physical
Type 2 diabetes mellitus
Hypertension
Smokes 2 pack cigarettes/day for 20 years
Laboratory
Medication Administrative Record
Aspirin 81 mg by mouth daily. Last dose 2 weeks ago.
Question 1 of 5
A nurse is caring for a client who is scheduled for a surgical procedure. The nurse is reviewing the client's electronic medical record. Which of the following findings places the client at risk for a surgical complication? Select all that apply.
Correct Answer: B,D,E
Rationale: Aspirin has antiplatelet effects and increases the risk of bleeding during and after surgery. Smoking history increases the risk of poor oxygenation, impaired wound healing, and respiratory complications. Type 2 diabetes mellitus increases the risk of delayed wound healing and postoperative infections. WBC results are not mentioned as abnormal, and glucose level is not specified as uncontrolled.
Extract:
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 preparing to administer lidocaine 50 mg IV bolus. Available is lidocaine 200 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: C
Rationale: Volume = dose/concentration = 50/200 = 0.25 mL = 0.3 mL (rounded to the nearest tenth).
Question 4 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 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.