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ATI MED SURG PROCTORED EXAM A & B GUIDE 2020/2021 - Correct Questions & Answers
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ATI MED SURG PROCTORED EXAM A & B GUIDE 2020/2021 / ATI MED SURG PROCTORED EXAM A & B GUIDE 2020/2021
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ATI MED SURG PROCTORED EXAM A & B GUIDE 2020/20211. A nurse is caring for a client who is having a seizure. Which of the following interventions in the nurse’s priority?
Turn the client to the side
2. 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?
A client who is receiving preoperative teaching for a right knew arthroplasty
3. 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?
Current medications
4. 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? (SATA) Visual spatial deficits
Left
hemianop
sia One-
sided
neglect
5. 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?
Place a pillow between the client’s legs
6. 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 table?
Suction machine
7. 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?
You should cut the opening of the skin barrier one-eighth inch wider than the stoma
8. 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?
Heart rate 110
9. 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?
Wear a lead apron while providing care to the client
10. 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?
Remind the client to scan their complete range of vision during ambulation
11. 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?
Tell the client that it is possible to return to similar previous levels of activity
12. A nurse is caring for a client who has a closed head injury and has an intraventricular catheter placed. Which of the following
findings indicate that the client is experiencing increased intracranial pressure? (SATA)
Sleepiness exhibited by
the clientWidening pulse
pressure Decerebrate
posturing
13. An older adult client is brought to an emergency department by a family member. Which od the following assessment
findings should cause the nurse to suspect that the client has hypertonic dehydration?
, Urine specific gravity 1.045
14. A nurse is caring for client who has a prescription for enalapril. The nurse should identify which of the following findings as
an
adverse effect of the
medication?Orthostatic
hypotension
15. 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?
You will not be able to use sildenafil if you are taking nitro
16. 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?
Avoid placing plants or flowers in the clients room
17. A nurse is teaching a class about client rights. Which of the following instructions should the nurse include?
A client should sign an informed consent before receiving a placebo during a research trial
18. 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?
Instruct the client on alternative therapies for pain reduction
19. 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 48hr prior to cardioversion?
Dig
20. A nurse is caring for a client 1 hr following a cardiac cath. 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?
Apply firm pressure to the insertion site
21. 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?
22. A nurse is caring for a client who has a stage III pressure injury. Which of the following findings contributes to
delayed wound healing?
Urine output 25ml/hr
, 23. A nurse is providing teaching to a client who is receiving chemo and has a new prescription for epoetin alfa. Which of the
following statements indicated an understanding of the teaching?
I will monitor my blood pressure while taking this medication
24. 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?
Increase fluid intake
25. A nurse is assessing a client who has acute cholecystitis. Which of the following findings is the nurses priority?
Tachycardia
26. A nurse is teaching a client who has a family history of colorectal cancer. To help mitigate this risk, which of the following
dietary alterations should the nurse recommend?
Add cabbage to the diet
27. 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?
Instruct the client to allow the machine to breathe for them
28. 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?
Demonstrate ways to deep breathe and cough
29. A nurse and an assistive personnel are caring for a client who has bacterial meningitis. The nurse should give the AP which of
the following instructions?
Wear a mask
30. A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following actions should the nurse take?
Remain with the client for the first 15 min of the infusion
31. 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?
I am taking this medication to increase my energy level
32. A nurse is caring for a client who has hepatic encephalopathy that is being treating with lactulose. The client is experiencing
excessive stools. Which of the following findings is an adverse effect of this medication?
Hypokalemia
33. 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 an understanding of the teaching?
I am dieting to lose weight
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