ATI RN
ATI Med Surg 1 Quiz Questions
Extract:
Question 1 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 2 of 5
During a pre-surgical admission assessment, a client states. 'I've told my surgeon that I am Jehovah's Witness and I won't accept a blood transfusion.' Which statement by the nurse would be most appropriate?
Correct Answer: B
Rationale: This response respects the client's beliefs and clarifies the consent process. Assuming fear may be dismissive of the client's religious convictions. Questioning the client's decision may seem coercive and disrespectful. Minimizing the concern dismisses the client's stance and may provide false reassurance.
Question 3 of 5
A nurse is caring for a client receiving fentanyl. On assessment, the client's respiratory rate is 8 breaths per minute. Which medication is appropriate at this time?
Correct Answer: B
Rationale: Propofol is a sedative and would worsen respiratory depression. Naloxone is the antidote for opioid-induced respiratory depression and should be administered immediately. Flumazenil reverses benzodiazepine effects and is not appropriate for opioid overdose. Protamine sulfate is used to reverse the effects of heparin and is unrelated to fentanyl toxicity.
Question 4 of 5
The nurse is providing preoperative teaching. The client states, 'I'm so nervous about my surgery'. What is the best response by the nurse?
Correct Answer: D
Rationale: While calming, this response does not acknowledge the client's concerns. This statement may discourage the client and increase anxiety. This response is dismissive and assumes that discussing concerns will eliminate nervousness. Encouraging the client to verbalize concerns fosters trust and allows the nurse to address specific fears.
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.