ATI RN
ATI Med Surg 1 Quiz Questions
Extract:
Question 1 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 2 of 5
A preoperative nurse is assessing a client prior to surgery. Which information would be most important for the nurse to relay to the surgical team?
Correct Answer: A
Rationale: Herbs and supplements can interact with anesthesia or affect coagulation, increasing perioperative risks. Lactose intolerance is unlikely to impact surgery unless dietary considerations postoperatively involve lactose-containing foods. A lack of prior surgical experience is relevant but not critical compared to medication or supplement interactions. Bee/wasp allergies are important but less urgent unless directly related to medications or procedures used.
Question 3 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 4 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 5 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.