ATI RN Adult Medical Surgical Proctored 2019 A Exam Q&A
A home health nurse is assigned to a client who was recently discharged from a
rehabilitation center after experiencing a right-hemispheric stroke. Which of the following
neurologic deficits should the nurse expect to find when assessing the client? ( select all
that apply) Correct Ans - Visual spatial deficits, Left hemianopsia ( blindness in the
left half of the visual field), One-sided neglect
A nurse is reviewing the health record of a client who is scheduled for allergy skin testing.
The nurse should postpone the testing and report to the provider which of the following
findings? Correct Ans - Current medications
A nurse is caring for a group of clients. The nurse should plan to make a referral to physical
therapy for which of the following clients? Correct Ans - A client who is receiving
preoperative teaching for a right knee arthroplasty
A nurse is caring for a client who is having a seizure. Which of the following interventions is
the nurse's priority? Correct Ans - Turn the client to the side
nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty.
Which of the following actions should the nurse take? Correct Ans - Place a pillow
between the client's leg
A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place
which of the following items at the client's bedside? Correct Ans - Suction machine
A nurse is planning teaching for a client who has bladder cancer and is to undergo a
cutaneous diversion procedure to establish a ureterostomy. Which of the following
statements should the nurse include in the teaching? Correct Ans - "You should cut
the opening of the skin barrier one-eight inch wider than the stoma"
A nurse in an emergency department is caring for a client who reports vomiting and
diarrhea for the past 3 days. Which of the following findings should indicate to the nurse
that the client is experiencing fluid volume deficit? Correct Ans - Heart rate
110/min
A nurse is planning care for a client who is undergoing brachytherapy via a sealed vaginal
implant to treat endometrial cancer.Which of the following actions should the nurse
include in the client's plan of care? Correct Ans - Wear a lead apron while providing
care to the client
A nurse is planning to provide discharge teaching for the family of an older adult client who
has hemianopsia and is at risk for falls. Which of the following instructions should the
, nurse include? Correct Ans - Remind the client to scan their complete range of
vision during ambulation
A nurse is planning care to decrease psychosocial health issues for a client who is starting
dialysis treatments for chronic kidney disease. Which of the following interventions should
the nurse include in the plan? Correct Ans - Tell the client that it is possible to
return to similar previous levels of activity
A nurse is caring for a client who has a closed head injury and has an intraventricular
catheter placed. Which of the following findings indicates that the client is experiencing
increased intracranial pressure (ICP) Correct Ans - Sleepiness exhibited by the
client, Widening pulse pressure, Decerebrated posturing
An older adult client is brought to an emergency department by a family member. Which of
the following assessment findings should cause the nurse to suspect that the client has
hypertonic dehydration? Correct Ans - Urine specific gravity 1.045
A nurse is caring for a client who has a prescription for enalapril. The nurse should identify
which of the following findings as an adverse effect of the medication? Correct Ans -
hypotension
A nurse in a provider's office is caring for a client who requests sildenafil to treat erectile
dysfunction. Which of the following statements should the nurse make? Correct Ans -
"You will not be able to use sildenafil if you are taking nitroglycerin
A nurse is planning care for a client who has extensive burn injuries and is
immunocompromised. Which of the following precautions should the nurse include in the
plan of care to prevent a pseudomonas aeruginosa infection? Correct Ans - Avoid
placing plants or flowers in the client's room
A nurse is teaching a class about client rights. Which of the following instructions should
the nurse include? Correct Ans - A client should sign an informed consent receiving
a placebo during a research trial.
A nurse is caring for a client who is receiving morphine for daily dressing changes. The
client tells the nurse, "I don't want any more morphine because I don't want to get
addicted." Which of the following actions should the nurse take? Correct Ans -
Instruct the client on alternative therapies for pain reduction
A nurse is preparing a client who has supraventricular tachycardia for elective
cardioversion. Which of the following prescribed medications should the nurse instruct the
client to withhold for 48 hr prior to cardioversion? Correct Ans - Digoxin
A nurse is caring for a client 1 hr following a cardiac catheterization. The nurse notes the
formation of a hematoma at the insertion site and a decreased pulse rate in the affected
A home health nurse is assigned to a client who was recently discharged from a
rehabilitation center after experiencing a right-hemispheric stroke. Which of the following
neurologic deficits should the nurse expect to find when assessing the client? ( select all
that apply) Correct Ans - Visual spatial deficits, Left hemianopsia ( blindness in the
left half of the visual field), One-sided neglect
A nurse is reviewing the health record of a client who is scheduled for allergy skin testing.
The nurse should postpone the testing and report to the provider which of the following
findings? Correct Ans - Current medications
A nurse is caring for a group of clients. The nurse should plan to make a referral to physical
therapy for which of the following clients? Correct Ans - A client who is receiving
preoperative teaching for a right knee arthroplasty
A nurse is caring for a client who is having a seizure. Which of the following interventions is
the nurse's priority? Correct Ans - Turn the client to the side
nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty.
Which of the following actions should the nurse take? Correct Ans - Place a pillow
between the client's leg
A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place
which of the following items at the client's bedside? Correct Ans - Suction machine
A nurse is planning teaching for a client who has bladder cancer and is to undergo a
cutaneous diversion procedure to establish a ureterostomy. Which of the following
statements should the nurse include in the teaching? Correct Ans - "You should cut
the opening of the skin barrier one-eight inch wider than the stoma"
A nurse in an emergency department is caring for a client who reports vomiting and
diarrhea for the past 3 days. Which of the following findings should indicate to the nurse
that the client is experiencing fluid volume deficit? Correct Ans - Heart rate
110/min
A nurse is planning care for a client who is undergoing brachytherapy via a sealed vaginal
implant to treat endometrial cancer.Which of the following actions should the nurse
include in the client's plan of care? Correct Ans - Wear a lead apron while providing
care to the client
A nurse is planning to provide discharge teaching for the family of an older adult client who
has hemianopsia and is at risk for falls. Which of the following instructions should the
, nurse include? Correct Ans - Remind the client to scan their complete range of
vision during ambulation
A nurse is planning care to decrease psychosocial health issues for a client who is starting
dialysis treatments for chronic kidney disease. Which of the following interventions should
the nurse include in the plan? Correct Ans - Tell the client that it is possible to
return to similar previous levels of activity
A nurse is caring for a client who has a closed head injury and has an intraventricular
catheter placed. Which of the following findings indicates that the client is experiencing
increased intracranial pressure (ICP) Correct Ans - Sleepiness exhibited by the
client, Widening pulse pressure, Decerebrated posturing
An older adult client is brought to an emergency department by a family member. Which of
the following assessment findings should cause the nurse to suspect that the client has
hypertonic dehydration? Correct Ans - Urine specific gravity 1.045
A nurse is caring for a client who has a prescription for enalapril. The nurse should identify
which of the following findings as an adverse effect of the medication? Correct Ans -
hypotension
A nurse in a provider's office is caring for a client who requests sildenafil to treat erectile
dysfunction. Which of the following statements should the nurse make? Correct Ans -
"You will not be able to use sildenafil if you are taking nitroglycerin
A nurse is planning care for a client who has extensive burn injuries and is
immunocompromised. Which of the following precautions should the nurse include in the
plan of care to prevent a pseudomonas aeruginosa infection? Correct Ans - Avoid
placing plants or flowers in the client's room
A nurse is teaching a class about client rights. Which of the following instructions should
the nurse include? Correct Ans - A client should sign an informed consent receiving
a placebo during a research trial.
A nurse is caring for a client who is receiving morphine for daily dressing changes. The
client tells the nurse, "I don't want any more morphine because I don't want to get
addicted." Which of the following actions should the nurse take? Correct Ans -
Instruct the client on alternative therapies for pain reduction
A nurse is preparing a client who has supraventricular tachycardia for elective
cardioversion. Which of the following prescribed medications should the nurse instruct the
client to withhold for 48 hr prior to cardioversion? Correct Ans - Digoxin
A nurse is caring for a client 1 hr following a cardiac catheterization. The nurse notes the
formation of a hematoma at the insertion site and a decreased pulse rate in the affected
