ATI RN
ATI N 1201222 Med Surg Final Exam Questions
Extract:
Question 1 of 5
The nurse is preparing to assist in the sedation of a client with propofol (Diprivan) prior to surgery. Which of the following contraindications associated with propofol (Diprivan) should the nurse assess for?
Correct Answer: B
Rationale: Allergies to egg or soy products are a significant contraindication for propofol use due to its formulation in a lipid emulsion containing soybean oil and egg lecithin, which may cause hypersensitivity reactions. Hypertension requires monitoring but is not a specific contraindication, latex allergy is unrelated to propofol, and stating propofol has no contraindications is incorrect.
Question 2 of 5
A nurse is modifying the diet of a client who is prescribed an MAOI. Which of the following foods should the nurse eliminate?
Correct Answer: B
Rationale: Smoked sausage is high in tyramine, risking hypertensive crises with MAOIs. Vegetables, chicken, and cherries are safe.
Question 3 of 5
A client presents to the healthcare setting with an episode of status epilepticus. Which of the following rescue medications would be utilized in this scenario to assist in stopping the client's seizures?
Correct Answer: A
Rationale: Diazepam is a first-line benzodiazepine for status epilepticus, rapidly stopping seizures via GABA enhancement. Ethosuximide treats absence seizures, benztropine and levodopa manage Parkinson's, not seizures.
Question 4 of 5
A nurse is caring for a client who arrived at the post anesthesia care unit (PACU) following a right knee arthroscopy. The client is not yet responding to verbal stimuli. Which of the following actions should the nurse perform first?
Correct Answer: A
Rationale: Lateral positioning prevents aspiration in unresponsive clients, prioritizing airway safety. Blankets, pulses, and dressings are secondary.
Question 5 of 5
A nurse is providing oral care for a client who is immobile. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Turning the client on their side prevents aspiration during oral care in immobile patients. Petroleum jelly is supplementary, finger use risks injury, and stiff brushes can harm gums.