ATI RN ADULT MEDICAL SURGICAL PROCTORED 2019 A Key

1. 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

2. 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?

- Visual spatial deficits

- Left hemianopsia

- One-sided neglect

3. A nurse is caring for a client who has viral pneumonia. The client’s pulse oximeter

readings have fluctuated between 79% and 88% for the last 30 min.

- Nonrebreather mask

4. A nurse is caring for a client who has bilateral pneumonia and an SaO2 of 85%. The client

has dyspnea with a productive cough and is using accessory muscles to breathe.

- Place the client in high- Fowler’s position

5. 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

6. 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

7. A nurse in an emergency department is reviewing the provider’s prescription for a client

who sustained a rattlesnake bite to the lower leg.

- Administer an opioid analgesic to the client

8. A nurse is assessing a client who has had a suspected stroke. The nurse should place the

priority on which of the following findings?

- Dysphagia

9. A nurse is teaching a young adult client how to perform testicular self-examination.

Which of the following instructions should the nurse include?

- Roll each testicle between the thumb and fingers

10. A nurse is providing instructions to a client who has type 2 diabetes mellitus and a new

prescription for metformin. Which of the following statements by the client indicates an

understanding of the teaching?

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Category Exam (elaborations)
Pages 10
Language English
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