ATI RN
ATI Med Surg 1 Quiz Questions
Extract:
Question 1 of 5
The nurse is preparing to transfer a client from the post-anesthesia care unit (PACU). Which assessment findings would delay the transfer of the client? (Select All that Apply.)
Correct Answer: B,C
Rationale: Absence of gag reflex increases aspiration risk. A respiratory rate of 6 breaths per minute indicates respiratory depression, requiring intervention. Cough is a protective reflex, and other findings are normal, not delaying transfer.
Question 2 of 5
A client is brought to post anesthesia care unit (PACU) after an invasive procedure. Based on the two sets of vital signs in the chart tab, which action is most appropriate by the nurse?
Correct Answer: A
Rationale: The changes in vital signs are within expected ranges post-procedure, so continued monitoring is appropriate. A temperature increase to 99°F is not significant and does not require immediate reporting. No signs of hypovolemia or dehydration warrant increasing IV fluids. A blood pressure decrease to 112/72 mm Hg is minimal and not concerning.
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.
Question 4 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.
Question 5 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.