ATI Medical Surgical Assessment B
1. The nurse requests the client to sign a surgical informed consent form for an emergency appendectomy. Which statement by the client indicates further teaching is needed?
1. "I will be glad when this is over so I can go home today."
2. "I will not be able to...
1. The nurse requests the client to sign a surgical informed consent form
for an emergency appendectomy. Which statement by the client
indicates further teaching is needed?
1. "I will be glad when this is over so I can go home today."
2. "I will not be able to eat or drink anything prior to my surgery."
3. "I can practice relaxing by listening to my favorite music."
4. "I will need to get up and walk as soon as possible."
Answer: 1. "I will be glad when this is over so I can go home today."
2. The nurse in the holding area of the surgery department is interviewing
a client who requests to keep his religious medal on during surgery.
Which intervention should the nurse implement?
1. Notify the surgeon about the client's request to wear the medal
2. Tape the medal to the client and allow the client to wear the medal
3. Request the family member take the medal prior to surgery
4. Explain taking the medal to surgery is against the policy
Answer: 2. Tape the medal to the client and allow the client to wear
the medal.
3. The nurse must obtain surgical consent forms for the scheduled
surgery. Which client would not be able to consent legally to surgery?
1. The 65-year-old client who cannot read or write
2. The 30-year-old who does not understand English
3. The 16-year-old who has a fractured ankle
, 4. The 8-year-old who is not oriented to the day
Answer: 3. The 16-year-old who has a fractured ankle.
4. The nurse is preparing a client for surgery. Which intervention should
the nurse implement first?
1. Check the permit for the spouse's signature
2. Take and document intake and output
3. Administer the on-call sedative
4. Complete the preoperative checklist
Answer: 4. Complete the preoperative checklist.
5. The nurse is interviewing a surgical client in the holding area. Which
information should the nurse report to the anesthesiologist? Select all
that apply.
1. The client has loose, decayed teeth
2. The client is experiencing anxiety
3. The client smokes two packs of cigarettes a day
4. The client has had a chest X-ray which does not show infiltrates
5. The client reports using herbs
Answer: 1, 3, 5. The client has loose, decayed teeth, smokes two
packs of cigarettes a day, and reports using herbs.
6. Which task would be most appropriate for the nurse to delegate to the
UAP (unlicensed assistive personnel)?
1. Complete the preop checklist
2. Assess the client's preop vital signs
3. Teach the client about coughing and deep breathing
4. Assist the client to remove clothing and jewelry
Answer: 4. Assist the client to remove clothing and jewelry.
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