ACCURATE ATI ADULT MED SURG COMPREHENSIVE QUESTIONS
AND VERIFIED SOLUTIONS 100% CORRECT
A nurse is caring for a client who arrived in the PACU following a total hip
arthroplasty. The client is not responding to verbal stimuli. Which of the following
actions should the nurse perform first?
A. Compare and contrast the peripheral pulses
B. Apply a warm blanket
C. Assess dressings
D. Place the client in a lateral position - ANS... -D
A nurse is planning care for a client to prevent postoperative atelectasis. Which of
the following interventions should the nurse include in the care? (Select all that
apply)
A. Encourage the use of an incentive spirometer every 2 hours
B. Instruct the client to splint the incision when coughing or deep breathing
C. Reposition the client every 2 hours
D. Administer antibiotic therapy
E. Assist with early ambulation - ANS... -A, B, C, E
A nurse is caring for a client who reports nausea and vomiting 2 days postoperative
after a hysterectomy. Which of the following actions should the nurse perform
first?
A. Assess bowel sounds
B. Administer antiemetic medication
C. Restart prescribed IV fluids
D. Insert prescribed nasogastric tube - ANS... -A
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
AND VERIFIED SOLUTIONS 100% CORRECT
A nurse is caring for a client who arrived in the PACU following a total hip
arthroplasty. The client is not responding to verbal stimuli. Which of the following
actions should the nurse perform first?
A. Compare and contrast the peripheral pulses
B. Apply a warm blanket
C. Assess dressings
D. Place the client in a lateral position - ANS... -D
A nurse is planning care for a client to prevent postoperative atelectasis. Which of
the following interventions should the nurse include in the care? (Select all that
apply)
A. Encourage the use of an incentive spirometer every 2 hours
B. Instruct the client to splint the incision when coughing or deep breathing
C. Reposition the client every 2 hours
D. Administer antibiotic therapy
E. Assist with early ambulation - ANS... -A, B, C, E
A nurse is caring for a client who reports nausea and vomiting 2 days postoperative
after a hysterectomy. Which of the following actions should the nurse perform
first?
A. Assess bowel sounds
B. Administer antiemetic medication
C. Restart prescribed IV fluids
D. Insert prescribed nasogastric tube - ANS... -A
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
