ATI RN
ATI Med Surg 1 Quiz Questions
Extract:
Question 1 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 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Rationale: While discussing alternatives may be beneficial later, it is not the priority action when consent is withdrawn.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
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 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 caring for a client receiving Propofol for sedation during a medical procedure. Which assessment finding should the nurse prioritize when monitoring the client's response to Propofol?
Correct Answer: C
Rationale: A blood pressure of 120/84 mm Hg is within normal limits and does not require immediate intervention. Hypoactive bowel sounds are a common side effect of sedation and not an immediate concern. A respiratory rate of 9 breaths per minute indicates respiratory depression, which is a life-threatening side effect of Propofol. Immediate intervention is required to maintain oxygenation. Urine output of 90 mL over 2 hours is adequate and does not indicate acute distress.