ATI Med Surg Practice Test A 2023

ATI Med Surg Practice Test A 2023 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 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 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 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? AnsRemind 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 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) 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? 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? 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? 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? 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? 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? 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? 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 extremity. Which of the following interventions is the nurse's priority? Ans- Apply firm pressure to the insertion site A nurse is assessing a client who has graves' disease. Which of the following images should indicate to the nurse that the client has exophthalmos? Ans- The nurse should identify an outward protrusion of the eyes as exophthalmos, a common finding of graves' disease. An overproduction of the thyroid hormone causes edema of the extraocular muscle and increases fatty tissue behind the eye, which results in the eyes protruding outward. Exophthalmos can cause the client to experience problems with vision,including focusing on objects, as well as pressure on the optic nerve. A nurse is caring for a client who has a stage 111 pressure injury. Which of the following findings contributes to delayed wound healing? Ans- Urine output 25 mL/hr A nurse is providing teaching to a client who is receiving chemotherapy and has a new prescription for epoetin alfa.Which of the following client statements indicates an understanding of the teaching? Ans- "I will monitor my blood pressure while taking this medication A nurse is providing discharge instructions to a client following an upper gastrointestinal series with barium contrast. Which of the following information should the nurse provide? Ans- Increase fluid intake A nurse is assessing a client who has acute cholecystitis. Which of the following findings is the nurse's priority? Ans- Tachycardia A nurse is teaching a client who has a family history of colorectal cancer. To help migrate this risk, which of the following dietary alterations should the nurse recommend? Ans- Add Cabbage to the diet A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The client appears anxious and restless, and the high-pressure alarm is sounding. Which of the following actions should the nurse take first? Ans- Instruct the client to allow the machine to breathe for them. A nurse is providing preoperative teaching for a client who is scheduled for an open cholecystectomy. Which of the following actions should the nurse take? Ans- Demonstrate ways to deep breathe and cough A nurse and an assistive personnel(AP) are caring for a client who has bacterial meningitis. The nurse should give the AP which of the following instructions? Ans- Wear mask A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following actions should the nurse take? Ans- Remain with the client for the first 15 min of infusion 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? Ans- "I am taking this medication to increase my energy level" A nurse is caring for a client who has hepatic encephalopathy that is being treated with lactulose. The client is experiencing excessive stools. Which of the following findings is an adverse effect of this medication? Ans- Hypokalemia A nurse is providing teaching to an older adult female client who has stress incontinence and a BMI of 32. Which of the following statements by the client indicates and understanding of the teaching? Ans- "I am dieting to lose weight." A nurse is caring for a client who has type 1 diabetes mellitus and has had acute bronchitis for the past 3 days. Which of the following statements should the nurse include when instructing the client? Ans- "Take insulin even if you are unable to eat your regular diet." A nurse is caring for a client who is on bed rest and has a new prescription for enoxaparin (lovenox)subcutaneous. Which of the following actions should the nurse take? Ans- Inject the medication into the anterolateral abdominal wall. A nurse is caring for a client who is undergoing hemodialysis to treat end-stage kidney disease ( ESKD). The client reports muscle cramps and a tingling sensation in their hands. Which of the following medications should the nurse plan to administer? Ans- Calcium carbonate A nurse is assessing a client following the administration of magnesium sulfate 1 g IV bolus. For which of the following adverse effects should the nurse monitor? Ans- Respiratory paralysis A nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the following laboratory findings should the nurse expect? Ans- BUN 32 mg/dL A nurse is providing teaching to a client who has irritable bowel syndrome(IBS). Which of the following instructions should the nurse include in the teaching? Ans- Increase fiber intake to at least 30 g per day A nurse is caring for a client who has pancreatitis. The nurse should expect which of the following laboratory results to be below the expected reference range? Ans- Calcium A nurse is assessing a client who had extracorporeal shock wave lithotripsy (ESWL) 6 hr ago. Which of the following findings should the nurse expect? Ans- Stone fragments in the urine A nurse is creating a plan of care for a client who has neutropenia as a result of chemotherapy. Which of the following interventions should the nurse include in the plan? Ans- Monitor the client's temperature every 4 hr A nurse is assessing a group of clients for indications of role changes.The nurse should identify that which of the following clients is at risk for experiencing a role change? Ans- A client who has multiple sclerosis and is experiencing progressive difficulty ambulating A nurse in a provider's office is assessing a client who has migraine headaches and is taking feverfew to prevent headaches. The nurse should identify that which of the following client medications interacts with feverfew? Ans- Naproxen A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV contrast agent. The nurse should identify that which of the following findings requires further assessment? AnsHistory of asthma A nurse has received change-of-shift report for a group of clients. Which of the following clients should the nurse assess first? Ans- A client who had a myocardial infarction (MI) 4 days ago and is asking for a PRN sublingual nitroglycerin tablet A nurse is caring for a client who has anorexia, low-grade fever, night sweats, and a productive cough. Which of the following actions should the nurse take first? Ans- Initiate airborne precautions A nurse is caring for a client who has a new prescription for total