ATI RN
ATI Med Surg 1 Quiz Questions
Extract:
Question 1 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 2 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.
Question 3 of 5
A nurse is caring for a client receiving Propofol for sedation during a medical procedure. Which assessment finding should the nurse prioritize when monitoring the client's response to Propofol?
Correct Answer: C
Rationale: A blood pressure of 120/84 mm Hg is within normal limits and does not require immediate intervention. Hypoactive bowel sounds are a common side effect of sedation and not an immediate concern. A respiratory rate of 9 breaths per minute indicates respiratory depression, which is a life-threatening side effect of Propofol. Immediate intervention is required to maintain oxygenation. Urine output of 90 mL over 2 hours is adequate and does not indicate acute distress.
Question 4 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 5 of 5
What type of procedural information should be given to a client in preparation for ambulatory surgery? (Select All that Apply)
Correct Answer: B,E,F
Rationale: Preoperative fasting reduces aspiration risk. Postoperative care information aids recovery preparation. Surgical procedure details ensure informed consent. Nail polish and jewelry must be removed to avoid monitoring interference and equipment risks. Operating vital signs machines is not relevant for clients.