ATI RN
ATI Med Surg 1 Quiz Questions
Extract:
Question 1 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 2 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Rationale: While discussing alternatives may be beneficial later, it is not the priority action when consent is withdrawn.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 3 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.
Question 4 of 5
Which is the priority intervention for the nurse to perform in the post anesthesia care unit (PACU)?
Correct Answer: D
Rationale: Checking the surgical dressing is important but not as urgent as ensuring respiratory function. Assessing urinary output is necessary but secondary to airway patency. Monitoring blood pressure and blood loss is important but less critical than respiratory status. Airway patency is the highest priority in the immediate postoperative period to prevent respiratory failure.
Question 5 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.