Med surg proctored ati Questions and
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1.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)
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?
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?
Ans: A client who is receiving preoperative teaching for a right
knee arthroplasty
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A nurse is caring for a client who is having a seizure. Which of the
following interventions is the nurse's priority?
Ans: Turn the client to the side
A 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?
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?
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?
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
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findings should indicate to the nurse that the client is experiencing fluid
volume deficit?
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?
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?
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
Ans: Tell the client that it is possible to return to similar
previous levels of activity
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