ATI RN
ATI Med Surg 1 Quiz Questions
Extract:
Question 1 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 2 of 5
A nurse is educating a client on patient-controlled analgesia (PCA) pump. Which statement made by the client is correct?
Correct Answer: A
Rationale: PCA pumps allow clients to self-administer pain medication within prescribed limits when experiencing pain. Doses are controlled by a lockout mechanism to prevent overdosing. PCA pumps deliver medication as needed, not a continuous infusion unless programmed otherwise. The client independently determines when to use the PCA within prescribed parameters.
Question 3 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 4 of 5
A nurse is working in a preoperative unit. Which task is most appropriate to be delegated to unlicensed assistive personnel (UAP)?
Correct Answer: A
Rationale: Assisting the client to remove jewelry is within the UAP's scope of practice and does not require clinical judgment. Providing education about a surgical procedure requires nursing knowledge and cannot be delegated. Instructing the client on the use of an incentive spirometer is a teaching activity requiring an RN's expertise. Witnessing informed consent is a legal responsibility that must be performed by an RN.
Question 5 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.