ATI TESTING LEVEL 2 PROCTORED
EXAM
Axnursexisxplanningxcarexforxaxclientxwhoxhasxrenalxcalculi.xWhichxofxthexfollowingxinterven
tionsxshouldxthexnursexincludextoxpromotexeliminationxofxthexcalculi?
Maintainxbedrestxuntilxcalculixarexexpelled.
Withholdxthiazidexdiuretics.
Encouragexintakexofxatxleastx3xLxofxfluidxeachxday.
Collectxallxurinexforx24xhrxinxaxcollectionxcontainer.x-
xEncouragexintakexofxatxleastx3xLxofxfluidxeachxday.
Thexnursexshouldxencouragexthexclientxtoxconsumexatxleastx3xLxofxfluidxeachxday.xIncreas
edxfluidxintakexincreasesxurinexproduction,xpromotesxeliminiationxofxcalculi,xandxhelpsxpre
ventxrecurrence.
Axnursexisxprovidingxpostoperativexeducationxforxaxclientxfollowingxaxlaparoscopicxcholecy
stectomyxforxcholelithiasis.xWhichxofxthexfollowingxclientxstatementsxindicatesxanxundersta
ndingxofxthexteaching?
"Thexadhesivexbandagesxonxmyxincisionxwillxfallxoffxasxthexincisionxheals."
"Ixwillxbexablextoxtakexaxshowerxinx1xweek."
"Ixwillxneedxtoxfollowxaxliquidxdietxforxthexfirstx3xdaysxafterxsurgery."
"Ixcanxbeginxtoxresumexmyxnormalxactivityxlevelxinx2xweeks."x-
x"Thexadhesivexbandagesxonxmyxincisionxwillxfallxoffxasxthexincisionxheals."
Thexnursexshouldxinstructxthexclientxthatxthexsmallxadhesivexbandagesxwillxlosextheirxadhe
sivenessxinx7xtox10xdays.xThexclientxcanxthenxremovexthexbandagesxorxallowxthexbandage
sxtoxfallxoffxoverxtimexasxthexincisionxheals.
Axnursexisxplanningxcarextoxpreventxhospital-acquiredxmethicillin-
resistantxStaphylococcusxaureusx(MRSA)xinfectionxforxaxclientxwhoxisximmunocompromis
,ed.xWhichxofxthexfollowingxinterventionsxshouldxthexnursexincludextoxpreventxthisxantibiotic
-resistantxinfection?
Initiatexcontactxprecautionsxforxthisxclient.
Bathexthexclientxwithxchlorhexidinexwipes.
Administerxceftarolinextoxthexclientxasxaxprophylacticxmeasure.
Avoidxusingxalcohol-basedxhandxsanitizersxafterxcaringxforxthexclientx-
xBathexthexclientxwithxchlorhexidinexwipes.
Thexnursexshouldxbathexaxclientxwhoxisximmunocompromisedxwithxchlorhexidinexwipesxto
xdecreasexthexriskxofxcontractingxhospital-acquiredxMRSA.
Axnursexisxassessingxaxclientxwhoxhasxdevelopedxtypex1xherpesxsimplexxvirus.xWhichxofxt
hexfollowingximagesxshouldxthexnursexidentifyxasxthisxtypexofxviralxinfection?x-
xPicturexofxlips.
Herpesxsimplexxvirusxinfectionxisxaxcommonxviralxinfectionxinxadults.xThexnursexshouldxide
ntifyxthatxthisximagexindicatesxthextypex1xherpesxsimplexxviralxinfectionxbecausexthexinfecti
onxcausesxaxrecurringxcoldxsore.
AxnursexisxassessingxaxclientxwhoxhasxGraves'xdisease.xWhichxofxthexfollowingxfindingsxsh
ouldxthexnursexexpect?
Somnolence
Coldxintolerance
Exophthalmos
Dry,xscalyxskinx-xExophthalmos
ThexnursexshouldxexpectxaxclientxwhoxhasxGraves'xdisease,xanxautoimmunexformxofxhype
rthyroidism,xtoxexperiencexexophthalmos,xwhichxisxprotrusionxofxthexeyeballs.
Axnursexisxteachingxanxolderxadultxclientxwhoxhasxperipheralxneuropathyxaboutxaxnewxpre
scriptionxforxduloxetine.xWhichxofxthexfollowingxclientxstatementsxindicatesxanxunderstandi
ngxofxthexteaching?
"Itxmightxtakexseveralxweeksxtoxnoticexanximprovementxinxmyxsymptoms."
"Ixwillxneedxtoxtakexthisxmedicationxonxanxemptyxstomach."
"Ixshouldxtakexaxdailyxibuprofenxforxgeneralizedxaches."
,"Ixwillxneedxtoxdecreasexmyxdietaryxsodiumxintakexwhilextakingxthisxmedication."x-
xItxmightxtakexseveralxweeksxtoxnoticexanximprovementxinxmyxsymptoms."
Thexnursexshouldxinstructxthexclientxthatxduloxetinexcanxtakexseveralxweeksxtoxbexeffectiv
e.xThisxmedicationxisxanxantidepressantxthatxreducesxthexdiscomfortxofxperipheralxneurop
athy.
Axnursexisxteachingxaxclientxwhoxhasxscabiesxaboutxaxnewxprescriptionxforxlindanexlotion.x
Whichxofxthexfollowingxclientxstatementsxindicatesxanxunderstandingxofxthextreatmentxforxt
hisxparasiticxinfection?
"Ixwillxapplyxthexlotionxoncexaxdayxforx1xweek."
"Ixwillxrubxinxthexlotionxthoroughlyxfromxmyxfacextoxmyxtoes."
"Ixwillxwashxthexlotionxoffx12xhoursxafterxIxapplyxit."
"Ixshouldxavoidxbathingxforx6xhoursxpriorxtoxapplyingxthexlotion."x-
x"Ixwillxwashxthexlotionxoffx12xhoursxafterxIxapplyxit."
Thexnursexshouldxinstructxthexclientxtoxapplyxthexlotionxandxleavexitxinxplacexforx8xtox12xhrxa
ndxthenxremovexitxbyxwashingxitxoff.
Axnursexisxassessingxaxclientxwhoxhasxappendicitis.xWhichxofxthexfollowingxfindingsxshoul
dxthexnursexreportxtoxthexproviderximmediately?
WBCx16,000/mm³
Board-likexabdomen
Nauseaxandxvomiting
Temperaturexofx38°xCx(100.4°xF)x-xBoard-likexabdomen
Whenxusingxthexurgentxvs.xnonurgentxapproachxtoxclientxcare,xthexnursexshouldxidentifyxth
atxaxboard-
likexabdomenxisxthexpriorityxfindingxindicatingxperitonitis.xThexnursexshouldxnotifyxthexprovi
derximmediately.
Axnursexisxteachingxaxclientxwhoxhasxgastroesophagealxrefluxxdiseasexaboutxwaysxtoxprev
entxreflux.xWhichxofxthexfollowingxinformationxshouldxthexnursexincludexinxthexteaching?
Drinkxtomatoxjuicexwithxthexbreakfastxmeal.
Suckxonxpeppermintxwhenxhavingxindigestion.
, Elevatexthexheadxofxthexbedx10xcmx(4xin)xusingxwoodenxblocks.
Planxtoxfinishxeatingxatxleastx3xhrxbeforexbedtime.x-
xPlanxtoxfinishxeatingxatxleastx3xhrxbeforexbedtime.
Thexnursexshouldxencouragexthexclientxnotxtoxeatxanythingxatxleastx3xhrxbeforexbedtimextox
preventxreflux.
Axnursexisxteachingxaxclientxwhoxhasxaxdeep-
veinxthrombosisxaboutxaxnewxprescriptionxforxwarfarin.xWhichxofxthexfollowingxclientxstate
mentsxindicatesxanxunderstandingxofxthexteaching?
"IxwillxstopxtakingxthexmedicationximmediatelyxifxIxexperiencexnausea."
"IxshouldxcontactxmyxproviderxifxIxnoticexaxpink-tingedxcolorxtoxmyxurine."
"Ixwillxincreasexmyxdietaryxintakexofxspinach."
"IxwillxnotxbexablextoxusexanxelectricxrazorxwhilexIxamxtakingxthisxmedication."x-
x"IxshouldxcontactxmyxproviderxifxIxnoticexaxpink-tingedxcolorxtoxmyxurine."
Thexnursexshouldxinstructxthexclientxtoxmonitorxforxbloodxinxthexurine.xThexclientxshouldxre
portxaxpink-tingedxurinexcolorxtoxthexprovider.
Axnursexisxreviewingxthexurinalysisxresultsxofxaxclientxwhoxhasxcompletedxax14-
dayxcoursexofxciprofloxacinxtoxtreatxpyelonephritis.xWhichxofxthexfollowingxvaluesxshouldxi
ndicatextoxthexnursexthatxthexclientxhasxaxcontinuingxinfection?
Negativexnitrites
RBCsx<x2
Positivexleukocytexesterase
Amber-coloredxurinex-xPositivexleukocytexesterase
Thexnursexshouldxidentifyxthatxaxpositivexleukocytexesterasextestxisxanxindicationxofxthexpr
esencexofxWBCsxinxthexurinexandxthexpresencexofxcontinuedxinfection.
Axnursexisxassessingxaxclientxforxmanifestationsxofxgriefxafterxhavingxaxcolostomyxforxremo
valxofxcolonxcancer.xWhichxofxthexfollowingxfindingsxindicatesxtoxthexnursexthatxthexclientxh
asxacceptedxthexloss?
Becomesxangryxwhenxitxisxtimextoxperformxcolostomyxcare
Touchesxthexcolostomyxstomaxwhenxthexbagxisxchanged
EXAM
Axnursexisxplanningxcarexforxaxclientxwhoxhasxrenalxcalculi.xWhichxofxthexfollowingxinterven
tionsxshouldxthexnursexincludextoxpromotexeliminationxofxthexcalculi?
Maintainxbedrestxuntilxcalculixarexexpelled.
Withholdxthiazidexdiuretics.
Encouragexintakexofxatxleastx3xLxofxfluidxeachxday.
Collectxallxurinexforx24xhrxinxaxcollectionxcontainer.x-
xEncouragexintakexofxatxleastx3xLxofxfluidxeachxday.
Thexnursexshouldxencouragexthexclientxtoxconsumexatxleastx3xLxofxfluidxeachxday.xIncreas
edxfluidxintakexincreasesxurinexproduction,xpromotesxeliminiationxofxcalculi,xandxhelpsxpre
ventxrecurrence.
Axnursexisxprovidingxpostoperativexeducationxforxaxclientxfollowingxaxlaparoscopicxcholecy
stectomyxforxcholelithiasis.xWhichxofxthexfollowingxclientxstatementsxindicatesxanxundersta
ndingxofxthexteaching?
"Thexadhesivexbandagesxonxmyxincisionxwillxfallxoffxasxthexincisionxheals."
"Ixwillxbexablextoxtakexaxshowerxinx1xweek."
"Ixwillxneedxtoxfollowxaxliquidxdietxforxthexfirstx3xdaysxafterxsurgery."
"Ixcanxbeginxtoxresumexmyxnormalxactivityxlevelxinx2xweeks."x-
x"Thexadhesivexbandagesxonxmyxincisionxwillxfallxoffxasxthexincisionxheals."
Thexnursexshouldxinstructxthexclientxthatxthexsmallxadhesivexbandagesxwillxlosextheirxadhe
sivenessxinx7xtox10xdays.xThexclientxcanxthenxremovexthexbandagesxorxallowxthexbandage
sxtoxfallxoffxoverxtimexasxthexincisionxheals.
Axnursexisxplanningxcarextoxpreventxhospital-acquiredxmethicillin-
resistantxStaphylococcusxaureusx(MRSA)xinfectionxforxaxclientxwhoxisximmunocompromis
,ed.xWhichxofxthexfollowingxinterventionsxshouldxthexnursexincludextoxpreventxthisxantibiotic
-resistantxinfection?
Initiatexcontactxprecautionsxforxthisxclient.
Bathexthexclientxwithxchlorhexidinexwipes.
Administerxceftarolinextoxthexclientxasxaxprophylacticxmeasure.
Avoidxusingxalcohol-basedxhandxsanitizersxafterxcaringxforxthexclientx-
xBathexthexclientxwithxchlorhexidinexwipes.
Thexnursexshouldxbathexaxclientxwhoxisximmunocompromisedxwithxchlorhexidinexwipesxto
xdecreasexthexriskxofxcontractingxhospital-acquiredxMRSA.
Axnursexisxassessingxaxclientxwhoxhasxdevelopedxtypex1xherpesxsimplexxvirus.xWhichxofxt
hexfollowingximagesxshouldxthexnursexidentifyxasxthisxtypexofxviralxinfection?x-
xPicturexofxlips.
Herpesxsimplexxvirusxinfectionxisxaxcommonxviralxinfectionxinxadults.xThexnursexshouldxide
ntifyxthatxthisximagexindicatesxthextypex1xherpesxsimplexxviralxinfectionxbecausexthexinfecti
onxcausesxaxrecurringxcoldxsore.
AxnursexisxassessingxaxclientxwhoxhasxGraves'xdisease.xWhichxofxthexfollowingxfindingsxsh
ouldxthexnursexexpect?
Somnolence
Coldxintolerance
Exophthalmos
Dry,xscalyxskinx-xExophthalmos
ThexnursexshouldxexpectxaxclientxwhoxhasxGraves'xdisease,xanxautoimmunexformxofxhype
rthyroidism,xtoxexperiencexexophthalmos,xwhichxisxprotrusionxofxthexeyeballs.
Axnursexisxteachingxanxolderxadultxclientxwhoxhasxperipheralxneuropathyxaboutxaxnewxpre
scriptionxforxduloxetine.xWhichxofxthexfollowingxclientxstatementsxindicatesxanxunderstandi
ngxofxthexteaching?
"Itxmightxtakexseveralxweeksxtoxnoticexanximprovementxinxmyxsymptoms."
"Ixwillxneedxtoxtakexthisxmedicationxonxanxemptyxstomach."
"Ixshouldxtakexaxdailyxibuprofenxforxgeneralizedxaches."
,"Ixwillxneedxtoxdecreasexmyxdietaryxsodiumxintakexwhilextakingxthisxmedication."x-
xItxmightxtakexseveralxweeksxtoxnoticexanximprovementxinxmyxsymptoms."
Thexnursexshouldxinstructxthexclientxthatxduloxetinexcanxtakexseveralxweeksxtoxbexeffectiv
e.xThisxmedicationxisxanxantidepressantxthatxreducesxthexdiscomfortxofxperipheralxneurop
athy.
Axnursexisxteachingxaxclientxwhoxhasxscabiesxaboutxaxnewxprescriptionxforxlindanexlotion.x
Whichxofxthexfollowingxclientxstatementsxindicatesxanxunderstandingxofxthextreatmentxforxt
hisxparasiticxinfection?
"Ixwillxapplyxthexlotionxoncexaxdayxforx1xweek."
"Ixwillxrubxinxthexlotionxthoroughlyxfromxmyxfacextoxmyxtoes."
"Ixwillxwashxthexlotionxoffx12xhoursxafterxIxapplyxit."
"Ixshouldxavoidxbathingxforx6xhoursxpriorxtoxapplyingxthexlotion."x-
x"Ixwillxwashxthexlotionxoffx12xhoursxafterxIxapplyxit."
Thexnursexshouldxinstructxthexclientxtoxapplyxthexlotionxandxleavexitxinxplacexforx8xtox12xhrxa
ndxthenxremovexitxbyxwashingxitxoff.
Axnursexisxassessingxaxclientxwhoxhasxappendicitis.xWhichxofxthexfollowingxfindingsxshoul
dxthexnursexreportxtoxthexproviderximmediately?
WBCx16,000/mm³
Board-likexabdomen
Nauseaxandxvomiting
Temperaturexofx38°xCx(100.4°xF)x-xBoard-likexabdomen
Whenxusingxthexurgentxvs.xnonurgentxapproachxtoxclientxcare,xthexnursexshouldxidentifyxth
atxaxboard-
likexabdomenxisxthexpriorityxfindingxindicatingxperitonitis.xThexnursexshouldxnotifyxthexprovi
derximmediately.
Axnursexisxteachingxaxclientxwhoxhasxgastroesophagealxrefluxxdiseasexaboutxwaysxtoxprev
entxreflux.xWhichxofxthexfollowingxinformationxshouldxthexnursexincludexinxthexteaching?
Drinkxtomatoxjuicexwithxthexbreakfastxmeal.
Suckxonxpeppermintxwhenxhavingxindigestion.
, Elevatexthexheadxofxthexbedx10xcmx(4xin)xusingxwoodenxblocks.
Planxtoxfinishxeatingxatxleastx3xhrxbeforexbedtime.x-
xPlanxtoxfinishxeatingxatxleastx3xhrxbeforexbedtime.
Thexnursexshouldxencouragexthexclientxnotxtoxeatxanythingxatxleastx3xhrxbeforexbedtimextox
preventxreflux.
Axnursexisxteachingxaxclientxwhoxhasxaxdeep-
veinxthrombosisxaboutxaxnewxprescriptionxforxwarfarin.xWhichxofxthexfollowingxclientxstate
mentsxindicatesxanxunderstandingxofxthexteaching?
"IxwillxstopxtakingxthexmedicationximmediatelyxifxIxexperiencexnausea."
"IxshouldxcontactxmyxproviderxifxIxnoticexaxpink-tingedxcolorxtoxmyxurine."
"Ixwillxincreasexmyxdietaryxintakexofxspinach."
"IxwillxnotxbexablextoxusexanxelectricxrazorxwhilexIxamxtakingxthisxmedication."x-
x"IxshouldxcontactxmyxproviderxifxIxnoticexaxpink-tingedxcolorxtoxmyxurine."
Thexnursexshouldxinstructxthexclientxtoxmonitorxforxbloodxinxthexurine.xThexclientxshouldxre
portxaxpink-tingedxurinexcolorxtoxthexprovider.
Axnursexisxreviewingxthexurinalysisxresultsxofxaxclientxwhoxhasxcompletedxax14-
dayxcoursexofxciprofloxacinxtoxtreatxpyelonephritis.xWhichxofxthexfollowingxvaluesxshouldxi
ndicatextoxthexnursexthatxthexclientxhasxaxcontinuingxinfection?
Negativexnitrites
RBCsx<x2
Positivexleukocytexesterase
Amber-coloredxurinex-xPositivexleukocytexesterase
Thexnursexshouldxidentifyxthatxaxpositivexleukocytexesterasextestxisxanxindicationxofxthexpr
esencexofxWBCsxinxthexurinexandxthexpresencexofxcontinuedxinfection.
Axnursexisxassessingxaxclientxforxmanifestationsxofxgriefxafterxhavingxaxcolostomyxforxremo
valxofxcolonxcancer.xWhichxofxthexfollowingxfindingsxindicatesxtoxthexnursexthatxthexclientxh
asxacceptedxthexloss?
Becomesxangryxwhenxitxisxtimextoxperformxcolostomyxcare
Touchesxthexcolostomyxstomaxwhenxthexbagxisxchanged
