ATI CBC Level 2 Study Guide Complete
Questions with 100% Correct Answers
A community health nurse is teaching a group of older adult clients about interventions to prevent
pneumonia. Which of the following instructions should the nurse include in the teaching?
Wash your hands when you return home from running errands
A nurse is reviewing the medical record of a client who has a family history of gallstones. Which of the
following findings should the nurse identify as a risk factor for developing cholecystitis?
Client is taking atorvastatin
A nurse is assessing a client who is receiving morphine via a PCA pump to manage postoperative pain.
The client has a heart rate of 66/min and a respiratory rate of 9/min. Which of the following
medications should the nurse anticipate the provider will prescribe for the client?
Naloxone
A nurse is teaching a client who has gastroesophageal reflux disease about ways to prevent reflux.
Which of the following information should the nurse include in the teaching?
Plan to finish eating at least 3 hr before bedtime
A nurse is assessing a client who has a calcium level of 6.3 mg/dL. Which of the following findings
should the nurse expect?
Circumoral tingling
A nurse is leading a small group discussion in an acute care mental health facility when one client
suddenly begins to experience a panic attack. Which of the following actions should the nurse take?
Remain with the client until manifestations subside
A nurse in an emergency department is assessing a client who reports severe constipation. The nurse
should identify which of the following findings as an indication that the client might have a small-
bowel obstruction?
Visible peristaltic waves in the upper abdomen
A nurse is reviewing the urinalysis results of a client who has completed a 14-day course of
ciprofloxacin to treat pyelonephritis. Which of the following values should indicate to the nurse that
the client has a continuing infection?
Positive leukocyte esterase
A nurse is providing discharge teaching for a client who had lithotripsy to break up calculi in the right
kidney. Which of the following findings should the nurse instruct the client to report to the provider?
Painful urination
A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following
findings is a priority to report to the provider?
Hemoglobin 7.6 mg/dL
, A nurse in an emergency department is caring for a client whose ABG results are pH 7.31, PaCO2
50mm Hg, and HCO3- 25 mEq/L after experiencing an airway obstruction. Which of the following
interventions is the nurse's priority for this client?
Apply oxygen therapy to the client
A nurse is assessing a client who has Graves' disease. Which of the following findings should the nurse
expect?
Exophthalmos
A nurse is providing teaching to a client who has a hearing impairment and has a new prescription for
a hearing aid. Which of the following client statements indicates an understanding of the teaching?
"I will make sure the hearing aid is off before inserting it in my ear"
A nurse is assessing a client who has an ulcer due to peripheral vascular disease. Which of the
following findings should the nurse identify as an indication that the client has a venous ulcer rather
than an arterial ulcer?
Discoloration and edema of the right ankle
A nurse is providing home care instructions to a client who had a short-arm plaster cast applied for a
wrist fracture. Which of the following instructions should the nurse include?
Elevate the wrist above heart level
A nurse is providing discharge planning for a client who has gestational diabetes. Which of the
following interventions should the nurse identify as the priority?
Determine the client's knowledge regarding gestational diabetes
A school nurse is assessing a school-age child who has erythema infectiosum (fifth disease). Which of
the following manifestations should the nurse expect?
Facial eruption
A nurse is teaching about foot care with a group of older adults who have type 1 diabetes mellitus.
Which of the following information should the nurse include in the teaching?
Trim toenails straight across to prevent ingrown toenails
A nurse is teaching a client who has hypertension and a new prescription for atenolol. Which of the
following information should the nurse include in the teaching?
"You should contact your provider if your pulse rate drops below 60 per minute."
A nurse is providing discharge teaching to a client who is postoperative following a transurethral
resection of the prostate (TURP) for treatment of benign prostatic hyperplasia. Which of the following
instructions should the nurse include in the teaching?
"Perform Kegel exercises several times throughout the day."
A nurse is teaching a client who has a new prescription for finasteride to treat benign prostatic
hyperplasia. Which of the following instructions should the nurse include in the teaching?
"You might need to take the medication for several months before seeing any relief."
Questions with 100% Correct Answers
A community health nurse is teaching a group of older adult clients about interventions to prevent
pneumonia. Which of the following instructions should the nurse include in the teaching?
Wash your hands when you return home from running errands
A nurse is reviewing the medical record of a client who has a family history of gallstones. Which of the
following findings should the nurse identify as a risk factor for developing cholecystitis?
Client is taking atorvastatin
A nurse is assessing a client who is receiving morphine via a PCA pump to manage postoperative pain.
The client has a heart rate of 66/min and a respiratory rate of 9/min. Which of the following
medications should the nurse anticipate the provider will prescribe for the client?
Naloxone
A nurse is teaching a client who has gastroesophageal reflux disease about ways to prevent reflux.
Which of the following information should the nurse include in the teaching?
Plan to finish eating at least 3 hr before bedtime
A nurse is assessing a client who has a calcium level of 6.3 mg/dL. Which of the following findings
should the nurse expect?
Circumoral tingling
A nurse is leading a small group discussion in an acute care mental health facility when one client
suddenly begins to experience a panic attack. Which of the following actions should the nurse take?
Remain with the client until manifestations subside
A nurse in an emergency department is assessing a client who reports severe constipation. The nurse
should identify which of the following findings as an indication that the client might have a small-
bowel obstruction?
Visible peristaltic waves in the upper abdomen
A nurse is reviewing the urinalysis results of a client who has completed a 14-day course of
ciprofloxacin to treat pyelonephritis. Which of the following values should indicate to the nurse that
the client has a continuing infection?
Positive leukocyte esterase
A nurse is providing discharge teaching for a client who had lithotripsy to break up calculi in the right
kidney. Which of the following findings should the nurse instruct the client to report to the provider?
Painful urination
A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following
findings is a priority to report to the provider?
Hemoglobin 7.6 mg/dL
, A nurse in an emergency department is caring for a client whose ABG results are pH 7.31, PaCO2
50mm Hg, and HCO3- 25 mEq/L after experiencing an airway obstruction. Which of the following
interventions is the nurse's priority for this client?
Apply oxygen therapy to the client
A nurse is assessing a client who has Graves' disease. Which of the following findings should the nurse
expect?
Exophthalmos
A nurse is providing teaching to a client who has a hearing impairment and has a new prescription for
a hearing aid. Which of the following client statements indicates an understanding of the teaching?
"I will make sure the hearing aid is off before inserting it in my ear"
A nurse is assessing a client who has an ulcer due to peripheral vascular disease. Which of the
following findings should the nurse identify as an indication that the client has a venous ulcer rather
than an arterial ulcer?
Discoloration and edema of the right ankle
A nurse is providing home care instructions to a client who had a short-arm plaster cast applied for a
wrist fracture. Which of the following instructions should the nurse include?
Elevate the wrist above heart level
A nurse is providing discharge planning for a client who has gestational diabetes. Which of the
following interventions should the nurse identify as the priority?
Determine the client's knowledge regarding gestational diabetes
A school nurse is assessing a school-age child who has erythema infectiosum (fifth disease). Which of
the following manifestations should the nurse expect?
Facial eruption
A nurse is teaching about foot care with a group of older adults who have type 1 diabetes mellitus.
Which of the following information should the nurse include in the teaching?
Trim toenails straight across to prevent ingrown toenails
A nurse is teaching a client who has hypertension and a new prescription for atenolol. Which of the
following information should the nurse include in the teaching?
"You should contact your provider if your pulse rate drops below 60 per minute."
A nurse is providing discharge teaching to a client who is postoperative following a transurethral
resection of the prostate (TURP) for treatment of benign prostatic hyperplasia. Which of the following
instructions should the nurse include in the teaching?
"Perform Kegel exercises several times throughout the day."
A nurse is teaching a client who has a new prescription for finasteride to treat benign prostatic
hyperplasia. Which of the following instructions should the nurse include in the teaching?
"You might need to take the medication for several months before seeing any relief."
