ACCURATE ATI ADULT MED SURG
COMPREHENSIVE QUESTIONS WITH
VERIFIED SOLUTIONS
A nurse administered midazolam IV bolus to a client before a procedure. The client's
blood pressure is 86/40 mmHg, and the heart rate is 134/min. Which of the following IV
medications should the nurse administer?
A. Naloxone
B. Morphine
C. Flumazenil
D. Atropine - ANS >> C
A nurse is assisting an anesthesiologist who is administering nitrous oxide by face mask
to a client during the induction of anesthesia. Which of the following is the priority
nursing action?
A. Assess oxygen saturation
B. Measure blood pressure
C. Palpate pulse rate
D. Check temperature - ANS >> A
A nurse is caring for a client who develops malignant hyperthermia. Which of the
following actions should the nurse take? (Select all that apply)
A. Infuse iced IV fluids
B. Provide 100% oxygen
C. Place a cooling blanket on the client
D. Treat the complication while the surgeon finishes the surgery
E. Administer Iv dantrolene - ANS >> A, B, C, E
A nurse is caring for a client who develops a systemic toxic reaction following a regional
block. Which of the following actions should the nurse take?
A. Monitor blood creatinine levels
B. Provide airway support
C. Turn the client to the right side
D. Administer a diuretic - ANS >> B
A nurse is caring for a client who reports a headache following an epidural regional
nerve block. Which of the following actions should the nurse take?
A. Decrease the client's fluid intake
, B. Apply pressure to the puncture site
C. Place the head of the bed flat
D. Instruct the client to lie prone - ANS >> C
A nurse is assessing a client's lab values before surgery. Which results should the
nurse report to the provider? (Select all that apply)
A. Potassium 3.9 mEq/L
B. Sodium 145 mEq/L
C. Creatinine 2.8 mg/dL
D. Blood glucose 235 mg/dL
E. WBC 17,850/mm3 - ANS >> C, D, E
A nurse is providing preoperative teaching to a client who is having abdominal surgery.
Which of the following statements should the nurse make? (Select all that apply)
A. Take your heart medication with a sip of water before surgery
B. Splint the abdominal incision with a pillow while coughing and deep breathing
C. Bed rest is recommended for the first 48 hours
D. Anti-embolism stockings are applied before surgery
E. You can eat solid foods up to 4 hours before surgery - ANS >> A, B, D
A nurse is verifying informed consent with a client who is having a paracentesis. Which
of the following actions should the nurse take?(Select all that apply)
A. Explain to the client the purpose of having the procedure
B. Inform the client of the risks of the procedure
C. Ensure the client understands information about the procedure
D. Witness the client sign the informed consent
E. Determine if the client is capable of understanding the reason for the procedure -
ANS >> C, D, E
A nurse is caring for a client who is undergoing an exploratory laparotomy. The client's
temperature is 102.2 degrees Fahrenheit orally. Which of the following actions should
the nurse take?
A. Inform the surgeon of the elevated temp
B. Transfer the client to the preoperative unit
C. Apply ice packs to the groin
D. Encourage the client to increase their intake of clear fluids - ANS >> A
A preoperative nurse is caring for a client who is having a colon resection. Which of the
following actions should the nurse take?
A. Encourage the client to void after the preoperative medication administration
B. Administer antibiotics 2 hours prior to surgery
COMPREHENSIVE QUESTIONS WITH
VERIFIED SOLUTIONS
A nurse administered midazolam IV bolus to a client before a procedure. The client's
blood pressure is 86/40 mmHg, and the heart rate is 134/min. Which of the following IV
medications should the nurse administer?
A. Naloxone
B. Morphine
C. Flumazenil
D. Atropine - ANS >> C
A nurse is assisting an anesthesiologist who is administering nitrous oxide by face mask
to a client during the induction of anesthesia. Which of the following is the priority
nursing action?
A. Assess oxygen saturation
B. Measure blood pressure
C. Palpate pulse rate
D. Check temperature - ANS >> A
A nurse is caring for a client who develops malignant hyperthermia. Which of the
following actions should the nurse take? (Select all that apply)
A. Infuse iced IV fluids
B. Provide 100% oxygen
C. Place a cooling blanket on the client
D. Treat the complication while the surgeon finishes the surgery
E. Administer Iv dantrolene - ANS >> A, B, C, E
A nurse is caring for a client who develops a systemic toxic reaction following a regional
block. Which of the following actions should the nurse take?
A. Monitor blood creatinine levels
B. Provide airway support
C. Turn the client to the right side
D. Administer a diuretic - ANS >> B
A nurse is caring for a client who reports a headache following an epidural regional
nerve block. Which of the following actions should the nurse take?
A. Decrease the client's fluid intake
, B. Apply pressure to the puncture site
C. Place the head of the bed flat
D. Instruct the client to lie prone - ANS >> C
A nurse is assessing a client's lab values before surgery. Which results should the
nurse report to the provider? (Select all that apply)
A. Potassium 3.9 mEq/L
B. Sodium 145 mEq/L
C. Creatinine 2.8 mg/dL
D. Blood glucose 235 mg/dL
E. WBC 17,850/mm3 - ANS >> C, D, E
A nurse is providing preoperative teaching to a client who is having abdominal surgery.
Which of the following statements should the nurse make? (Select all that apply)
A. Take your heart medication with a sip of water before surgery
B. Splint the abdominal incision with a pillow while coughing and deep breathing
C. Bed rest is recommended for the first 48 hours
D. Anti-embolism stockings are applied before surgery
E. You can eat solid foods up to 4 hours before surgery - ANS >> A, B, D
A nurse is verifying informed consent with a client who is having a paracentesis. Which
of the following actions should the nurse take?(Select all that apply)
A. Explain to the client the purpose of having the procedure
B. Inform the client of the risks of the procedure
C. Ensure the client understands information about the procedure
D. Witness the client sign the informed consent
E. Determine if the client is capable of understanding the reason for the procedure -
ANS >> C, D, E
A nurse is caring for a client who is undergoing an exploratory laparotomy. The client's
temperature is 102.2 degrees Fahrenheit orally. Which of the following actions should
the nurse take?
A. Inform the surgeon of the elevated temp
B. Transfer the client to the preoperative unit
C. Apply ice packs to the groin
D. Encourage the client to increase their intake of clear fluids - ANS >> A
A preoperative nurse is caring for a client who is having a colon resection. Which of the
following actions should the nurse take?
A. Encourage the client to void after the preoperative medication administration
B. Administer antibiotics 2 hours prior to surgery
