ATI RN
ATI Med Surg 1 Quiz Questions
Extract:
Question 1 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 2 of 5
A nurse is teaching a newly licensed nurse about anesthesia. The nurse should include that an epidural is an example of which of the following types of anesthesia?
Correct Answer: D
Rationale: General anesthesia involves the loss of consciousness and is not related to epidurals. Local anesthesia numbs a small, localized area and is not comparable to epidurals. Moderate sedation provides sedation without loss of consciousness, unrelated to epidural function. Epidural anesthesia is a form of regional anesthesia that blocks sensation in a specific region of the body.
Question 3 of 5
A client is receiving diazepam prior to a procedure. Which side effect should the nurse be most concerned about?
Correct Answer: D
Rationale: Hyperthermia is not commonly associated with diazepam. Hypertension is not a common concern with diazepam use. Tachycardia is not a significant side effect of diazepam. Respiratory depression is the most serious and potentially life-threatening side effect of diazepam, requiring close monitoring.
Question 4 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.
Question 5 of 5
A nurse is caring for a postoperative client who received Midazolam as part of the anesthesia. The client is now in the recovery room. While assessing the client, the nurse observes respiratory depression and decreased oxygen saturation. What immediate actions should the nurse take to address this situation?
Correct Answer: C
Rationale: Increasing the infusion would worsen respiratory depression. Supplemental oxygen is supportive but does not address the cause of respiratory depression. Midazolam can cause respiratory depression, and flumazenil (a benzodiazepine antagonist) is the antidote; however, if naloxone is available, it may reverse sedation quickly in emergency scenarios. While neurological assessment is vital, it does not address the immediate issue of respiratory compromise.