ATI RN MEDSURG 2021-DETAILED SOLUTIONS

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 grou p of clients. The nurse should plan to make a referral to physical ...

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 grou p 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? 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? CONTINUED..................DOWNLOAD FOR BEST SCORES