ATI RN Adult Medical Surgical Proctored 2019 A Exam Guaranteed A+: Latest 2023:2024

RN Adult Medical Surgical Online

Practice 2020/2021 GUARANTEE

GRADE ‘A’

1.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)

Visual spatial deficits

Left hemianopsia ( blindness in the left half of the visual field)

One-sided neglect

2.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

3. 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 knee arthroplasty

4.A nurse is caring for a client who is having a seizure. Which of the following interventions is

the nurse’s priority?

Turn the client to the side

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 leg

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?

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-eight 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/min

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 indicates that the client is experiencing

increased intracranial pressure (ICP)

Sleepiness exhibited by the client

Widening pulse pressure

Decerebrated posturing

13.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?

Urine specific gravity 1.045

14.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?

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 nitroglycerin

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 client’s room