ATI RN
ATI Med Surg 1 Quiz Questions
Extract:
Question 1 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 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 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.
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
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.