Med-Surg ATI Proctored practice Test A
Questions With Complete Solutions
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) - Answer-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? - Answer-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? - Answer-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? - Answer-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? - Answer-
Place a pillow between the client's leg
,A nurse is teaching a class about client rights. Which of the following instructions
should the nurse include? - Answer-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? - Answer-
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? - Answer-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? - Answer-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? - Answer-
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? - Answer-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? - Answer-"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? - Answer-Increase fluid intake
A nurse is assessing a client who has acute cholecystitis. Which of the following
findings is the nurse's priority? - Answer-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? - Answer-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? - Answer-
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? -
Answer-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? -
Answer-Wear mask
Questions With Complete Solutions
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) - Answer-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? - Answer-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? - Answer-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? - Answer-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? - Answer-
Place a pillow between the client's leg
,A nurse is teaching a class about client rights. Which of the following instructions
should the nurse include? - Answer-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? - Answer-
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? - Answer-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? - Answer-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? - Answer-
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? - Answer-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? - Answer-"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? - Answer-Increase fluid intake
A nurse is assessing a client who has acute cholecystitis. Which of the following
findings is the nurse's priority? - Answer-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? - Answer-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? - Answer-
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? -
Answer-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? -
Answer-Wear mask
