a
ATI CBC Level 2 Study Guide question
with 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
-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."
ATI CBC Level 2 Study Guide question
with 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
-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."
