ATI Proctored Exam Medical Surgical Form A & B

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 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 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 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 hemianopsia One-sided neglect 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 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 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 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 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 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 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 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 client Widening pulse pressure Decerebrate posturing 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 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 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 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 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 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 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 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 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?