ATI RN
ATI Med Surg 1 Quiz Questions
Extract:
Question 1 of 5
A nurse is working in a preoperative unit. Which task is most appropriate to be delegated to unlicensed assistive personnel (UAP)?
Correct Answer: A
Rationale: Assisting the client to remove jewelry is within the UAP's scope of practice and does not require clinical judgment. Providing education about a surgical procedure requires nursing knowledge and cannot be delegated. Instructing the client on the use of an incentive spirometer is a teaching activity requiring an RN's expertise. Witnessing informed consent is a legal responsibility that must be performed by an RN.
Question 2 of 5
A client asks the nurse why they cannot consume food or liquids before surgery. Which response is most appropriate?
Correct Answer: B
Rationale: Fasting before surgery reduces stomach contents, lowering the risk of aspiration during anesthesia. Peristalsis slowing is not the primary concern. Fasting is not primarily for fluid/electrolyte balance. Fasting does not directly relate to Foley catheter use.
Question 3 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.
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 4 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 5 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.