ATI MEDICAL SURGICAL-A 2020/2021 Exam questions&answers A+ Guide

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ATI MEDICAL SURGICAL-A 2020/2021 Exam questions&answers A+ Guide>ATI MEDICAL SURGICAL-A 1. A nurse is caring for a client who is having a seizure. Which of the following interventions in the nurse’s... priority? 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? 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? 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) 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? 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? 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? 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? 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? a. 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? 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? 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) 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? 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? 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? 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? 17. A nurse is teaching a class about client rights. Which of the following instructions should the nurse include? 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? 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? 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? 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? Rationale: 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. 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? 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? 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? 25. A nurse is assessing a client who has acute cholecystitis. Which of the following findings is the nurse’s priority? 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? 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? 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? a. Demonstrate ways to deep breathe and cough 29. Nurse and assistive personnel are caring for a client who has bacterial meningitis. The nurse should give the AP which of the following instructions? 30. A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following actions should the nurse take? 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? 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? 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? 34. A nurse is caring for a client who has type 1 diabetes mellitus and has acute bronchitis for the past 3 days. Which of the following statements should the nurse include when instructing the client? 35. A nurse is caring for a client who is on bed rest and has a new prescription for enoxaparin subQ. Which of the following action should the nurse take? 36. A nurse is caring for a client who is undergoing hemodialysis to treat end-stage kidney disease. The client reports muscle cramps and a tingling sensation in their hands. Which of the following medications should the nurse plan to administer? 38. A nurse is assessing a client following the administration of magnesium sulfate 1g IV bolus. For which of the following adverse effects should the nurse monitor? 39. A nurse is caring for a client who has diabetic ketoacidosis. Which of the following lab findings should the nurse expect? [Show More]

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