ATI Med Surg Practice A 2022
A home health nurse is assigned to a client who was recently discharged from
rehabilitation center after experiencing a RIGHT-hemispheric cerebrovascular
accident (CVA). Which of the following neurological deficits should the nurse
expect to find when assess?
Visual spatial deficits (loss of depth perception occur secondary)
Left hemianopsia (blindness in the left half of the visual field, occurs secondary)
One-sided neglect (unawareness of the affected side, occurs secondary)
Expressive aphasia is incorrect. Expressive aphasia, or an inability to express what one
wants to convey, occurs secondary to a left-hemispheric stroke.
Right hemiplegia is incorrect. Right hemiplegia occurs secondary to a left-hemispheric
stroke.
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?
A. Current medications
R. The nurse should review the client's medication record and identify medications,
including ACE inhibitors, beta blockers, theophylline, nifedipine, and glucocorticoids,
such as prednisone, that can alter the allergy skin test results. These medications can
diminish the client's reaction to the allergens. The nurse should notify the provider and
instruct the client to discontinue prednisone for 2 weeks before allergy skin testing.
A nurse is caring for a client who has pancreatitis. Which of the labs should be
expected?
A. Calcium
R. A client who has pancreatitis is expected to have decreased calcium and magnesium
levels due to fat necrosis.
A nurse is caring for a client who has DKA. Which of the following lab finding
should be expected?
A. BUN 32
R. DKA results in osmotic diuresis and subsequent dehydration. The nurse should
expect a client who has DKA to have elevated BUN, creatinine, and specific gravity
levels resulting from the excess glucose present in the urine.
A nurse is providing discharge instructions to a client who has partial thickness
burn on the hand. Which of the following should the nurse include?
A. Wrap fingers with individual dressing
R. The nurse should instruct the client to wrap the fingers individually to allow for
functional use of the hand while healing occurs. The nurse should also instruct the client
,to perform range-of-motion exercises to each finger every hour while awake to promote
function of the injured hand.
A nurse is planning care for a client who has burns and is immunocompromised.
Which precautions should the nurse include in the plan of care to rpevent
pseudomonas aeruginosa?
A. Avoid placing plants in the room
R. Live plants can harbor P. aeruginosa, and this bacterium can infect burn wounds and
cause life-threatening complications. The nurse should ensure no one brings live plants
or flowers into the client's room.
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?
A. HR of 110/min
R. A client who has a 3-day history of vomiting and diarrhea is likely to have fluid
volume deficit and an elevated heart rate.
A nurse in an emergency department is reviewing the providers prescriptions for
a client who sustained a rattlesnake bite to the lower leg. Which should the nurse
expect?
A. Administer and opioid analgesic to the client
R. The nurse should expect a prescription for an opioid analgesic to promote comfort
following a rattlesnake bite.
A nurse is providing teaching to a client who has chronic kidney disease and a
new prescription for erythropoietin. Which of the following statements by the
client indicates an understanding of the teaching?
A. "I am taking this medication to increase my energy level."
R. The goal of erythropoietin therapy is to increase the level of hematocrit in clients who
have anemia. When the medication is effective, the client should have a decrease in
fatigue and an improvement in activity tolerance.
A nurse is reviewing the laboratory results of a client who has cirrhosis. Which of
the following lboratory values should the nurse expect?
A. Elevated bilirubin level
R. Bilirubin levels reflect the liver's ability to conjugate and excrete bilirubin, a byproduct
of the hemolysis of red blood cells. Bilirubin levels rise with liver disease and clinically
reflect the client's degree of jaundice.
A nurse in community clinic is caring for a client who reports an increase in
frequency of migraine headaches. To reduce the risk for headaches, which food
should he avoid?
A. Aged cheese
R. Foods that contain tyramine, such as aged cheese and sausage, can trigger
migraine headaches.
, A nurse is planning to provide discharge teaching or 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?
A. Remind the client to scan their complete range of vision during ambulation.
R. The nurse should instruct the family to remind a client who has hemianopsia, or
blindness in half of the visual field, to use visual scanning to look over their complete
range of vision during ambulation. This practice can accommodate for the loss of vision
and help to reduce the risk for falls.
A nurse is providing a teaching to a client who has esophageal cancer and is to
undergo radiation therapy. Which statements should the nurse identify as an
indication that the client understands the teacing?
A. "I will use my hands rather than a washcloth toD clean the radiation area."
R. The client should gently wash the radiation area with their hands using warm water
and mild soap to protect the skin from further irritation.
A nurse is preparing a client who has supraventricular tachycardia for elective
cardioversion. Which of the prescribed meds should the nurse instruct the client
to withhold for 48 hr prior to cardioversion?
A. Digoxin
R. Cardiac glycosides, such as digoxin, are withheld prior to cardioversion. These
medications can increase ventricular irritability and put the client at risk for ventricular
fibrillation after the synchronized countershock of cardioversion.
A nurse is in an acute care facility is caring for a client who is at risk for seizures.
Which of the following precautions should the nurse implement?
A. Ensure that the client has a patent IV.
R. The nurse should ensure the client has IV access in the event that the client requires
medication to stop seizure activity.
A nurse in an emergency department is assessing a client who has a detached
retina. Which of the following should the nurse expect the client to report?
A. It's like a curtain closed over my eye
R. A retinal detachment is the separation of the retina from the epithelium. It can occur
because of trauma, cataract surgery, retinopathy, or uveitis. Clients who have retinal
detachment typically report the sensation of a curtain being pulled over part of the visual
field.
A nurse is providing teaching to a client who has gastric ulcer and a new
prescription for omeprazole. The nurse should instruct the client that the
medication provides relief by which of the following actions?
A. Suppressing gastric acid production
R. Omeprazole is a proton pump inhibitor. It relieves manifestations of gastric ulcers by
suppressing gastric acid production.
A home health nurse is assigned to a client who was recently discharged from
rehabilitation center after experiencing a RIGHT-hemispheric cerebrovascular
accident (CVA). Which of the following neurological deficits should the nurse
expect to find when assess?
Visual spatial deficits (loss of depth perception occur secondary)
Left hemianopsia (blindness in the left half of the visual field, occurs secondary)
One-sided neglect (unawareness of the affected side, occurs secondary)
Expressive aphasia is incorrect. Expressive aphasia, or an inability to express what one
wants to convey, occurs secondary to a left-hemispheric stroke.
Right hemiplegia is incorrect. Right hemiplegia occurs secondary to a left-hemispheric
stroke.
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?
A. Current medications
R. The nurse should review the client's medication record and identify medications,
including ACE inhibitors, beta blockers, theophylline, nifedipine, and glucocorticoids,
such as prednisone, that can alter the allergy skin test results. These medications can
diminish the client's reaction to the allergens. The nurse should notify the provider and
instruct the client to discontinue prednisone for 2 weeks before allergy skin testing.
A nurse is caring for a client who has pancreatitis. Which of the labs should be
expected?
A. Calcium
R. A client who has pancreatitis is expected to have decreased calcium and magnesium
levels due to fat necrosis.
A nurse is caring for a client who has DKA. Which of the following lab finding
should be expected?
A. BUN 32
R. DKA results in osmotic diuresis and subsequent dehydration. The nurse should
expect a client who has DKA to have elevated BUN, creatinine, and specific gravity
levels resulting from the excess glucose present in the urine.
A nurse is providing discharge instructions to a client who has partial thickness
burn on the hand. Which of the following should the nurse include?
A. Wrap fingers with individual dressing
R. The nurse should instruct the client to wrap the fingers individually to allow for
functional use of the hand while healing occurs. The nurse should also instruct the client
,to perform range-of-motion exercises to each finger every hour while awake to promote
function of the injured hand.
A nurse is planning care for a client who has burns and is immunocompromised.
Which precautions should the nurse include in the plan of care to rpevent
pseudomonas aeruginosa?
A. Avoid placing plants in the room
R. Live plants can harbor P. aeruginosa, and this bacterium can infect burn wounds and
cause life-threatening complications. The nurse should ensure no one brings live plants
or flowers into the client's room.
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?
A. HR of 110/min
R. A client who has a 3-day history of vomiting and diarrhea is likely to have fluid
volume deficit and an elevated heart rate.
A nurse in an emergency department is reviewing the providers prescriptions for
a client who sustained a rattlesnake bite to the lower leg. Which should the nurse
expect?
A. Administer and opioid analgesic to the client
R. The nurse should expect a prescription for an opioid analgesic to promote comfort
following a rattlesnake bite.
A nurse is providing teaching to a client who has chronic kidney disease and a
new prescription for erythropoietin. Which of the following statements by the
client indicates an understanding of the teaching?
A. "I am taking this medication to increase my energy level."
R. The goal of erythropoietin therapy is to increase the level of hematocrit in clients who
have anemia. When the medication is effective, the client should have a decrease in
fatigue and an improvement in activity tolerance.
A nurse is reviewing the laboratory results of a client who has cirrhosis. Which of
the following lboratory values should the nurse expect?
A. Elevated bilirubin level
R. Bilirubin levels reflect the liver's ability to conjugate and excrete bilirubin, a byproduct
of the hemolysis of red blood cells. Bilirubin levels rise with liver disease and clinically
reflect the client's degree of jaundice.
A nurse in community clinic is caring for a client who reports an increase in
frequency of migraine headaches. To reduce the risk for headaches, which food
should he avoid?
A. Aged cheese
R. Foods that contain tyramine, such as aged cheese and sausage, can trigger
migraine headaches.
, A nurse is planning to provide discharge teaching or 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?
A. Remind the client to scan their complete range of vision during ambulation.
R. The nurse should instruct the family to remind a client who has hemianopsia, or
blindness in half of the visual field, to use visual scanning to look over their complete
range of vision during ambulation. This practice can accommodate for the loss of vision
and help to reduce the risk for falls.
A nurse is providing a teaching to a client who has esophageal cancer and is to
undergo radiation therapy. Which statements should the nurse identify as an
indication that the client understands the teacing?
A. "I will use my hands rather than a washcloth toD clean the radiation area."
R. The client should gently wash the radiation area with their hands using warm water
and mild soap to protect the skin from further irritation.
A nurse is preparing a client who has supraventricular tachycardia for elective
cardioversion. Which of the prescribed meds should the nurse instruct the client
to withhold for 48 hr prior to cardioversion?
A. Digoxin
R. Cardiac glycosides, such as digoxin, are withheld prior to cardioversion. These
medications can increase ventricular irritability and put the client at risk for ventricular
fibrillation after the synchronized countershock of cardioversion.
A nurse is in an acute care facility is caring for a client who is at risk for seizures.
Which of the following precautions should the nurse implement?
A. Ensure that the client has a patent IV.
R. The nurse should ensure the client has IV access in the event that the client requires
medication to stop seizure activity.
A nurse in an emergency department is assessing a client who has a detached
retina. Which of the following should the nurse expect the client to report?
A. It's like a curtain closed over my eye
R. A retinal detachment is the separation of the retina from the epithelium. It can occur
because of trauma, cataract surgery, retinopathy, or uveitis. Clients who have retinal
detachment typically report the sensation of a curtain being pulled over part of the visual
field.
A nurse is providing teaching to a client who has gastric ulcer and a new
prescription for omeprazole. The nurse should instruct the client that the
medication provides relief by which of the following actions?
A. Suppressing gastric acid production
R. Omeprazole is a proton pump inhibitor. It relieves manifestations of gastric ulcers by
suppressing gastric acid production.
