ATI RN CONCEPT-BASED Assessment
Level 2 Exam Questions with Correct
Detailed Answers Rated A+
A nurse in a provider's office is assessing a preschooler who has developed
contact dermatitis following exposure to poison ivy. Which of the following
statements should the nurse make to the child's parent regarding disease
management?
-"Wash your child's exposed clothing in cold water using powder detergent."
-"Keep your child away from other children for 10 days after lesions appear."
-"Scrub your child's affected areas with an antibacterial soap every other day."
-"Place your child in an oatmeal bath using tepid water for 15 minutes."
"Place your child in an oatmeal bath using tepid water for 15 minutes."
The nurse should instruct the parent that tepid baths containing oatmeal or
mineral oil can decrease itching and evenly disperse the antipruritic solution.
The parent should not place the child in a hot bath as this can aggravate the
child's condition and increase itching.
A nurse is assessing a client who has COPD and is receiving nebulized
acetylcysteine. Which of the following findings should the nurse expect if the
medication has been effective?
Cough has been suppressed.
WBC count is within expected reference range.
,Blood glucose levels are increased.
Mucus is thin and white in color. Mucus is thin and white in color.
The client who has COPD can experience manifestations of thick, tenacious
secretions. White or clear mucus is an expected finding, which indicates the
client is free of respiratory infection. Acetylcysteine is a mucolytic used to thin
secretions and enable the client to expectorate them more easily.
A nurse is assessing a 3-month-old infant who has gastroenteritis with severe
dehydration. Which of the following findings should the nurse expect?
-Flat anterior fontanel
-Capillary refill 2 seconds
-5% weight loss
-Absence of tears Absence of tears
he nurse should expect an infant who has severe dehydration to have an absence
of tears when crying. Other manifestations include tachycardia, hypotension,
intense thirst, and oliguria or anuria.
A nurse is assessing the eyes and ears of a 2-year-old toddler at a well-child visit.
Which of the following findings should the nurse report to the provider?
-Presence of a transparent cornea
-Presence of strabismus
-Pinna moderately extends outward from the skull
-Walls of peripheral aspect of auditory canal are pink Presence of strabismus
,The nurse should recognize that the presence of strabismus, or crossing of the
eyes, should disappear by 4 months of age. If this is not corrected by 4 to 6 years
of age, it can lead to amblyopia; therefore, the nurse should report this finding to
the provider.
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 an adult male.
-Client is taking atorvastatin.
-Client is of Asian descent.
-Client has a history of asthma. Client is taking atorvastatin.
The nurse should identify that increased serum cholesterol and taking cholesterol-
lowering medications, such as atorvastatin, increases the client's risk of
developing cholecystitis.
A nurse on a pediatric unit is admitting a school-age child who has pertussis.
Which of the following actions should the nurse take?
-Place the child in a room equipped with a positive-pressure airflow system.
-Place the child in a room equipped with a negative-pressure airflow system.
-Initiate droplet precautions for the child.
-Initiate contact precautions for the child. Initiate droplet precautions for the
child.
, The nurse should initiate droplet precautions for a child who has pertussis, which
is spread by large droplets in the air; therefore, the nurse should wear a surgical
mask within 1 m (3.3 feet) of the child.
A nurse is caring for a client who is receiving heparin therapy and has an aPTT of
92 seconds. Which of the following medications should the nurse anticipate the
provider might prescribe for the client?
-Leucovorin
-Vitamin K
-Deferoxamine
-Protamine Protamine
When there are manifestations of a heparin overdose, the nurse should anticipate
that the provider might prescribe protamine to inactivate the heparin. In addition,
the nurse should decrease or stop the heparin therapy for a period of time and
recheck the aPTT level prior to restarting the heparin. The effects of protamine
will last up to 2 hr.
A nurse is providing teaching for a client who has a new diagnosis of benign
prostatic hyperplasia (BPH). Which of the following instructions should the nurse
include to promote elimination?
-"Drink at least 24 ounces of water each hour."
-"Void as soon as you feel the urge."
-"Expect a prescription for a diuretic."
-"Take an antihistamine each night at bedtime." "Void as soon as you feel the
urge."
Level 2 Exam Questions with Correct
Detailed Answers Rated A+
A nurse in a provider's office is assessing a preschooler who has developed
contact dermatitis following exposure to poison ivy. Which of the following
statements should the nurse make to the child's parent regarding disease
management?
-"Wash your child's exposed clothing in cold water using powder detergent."
-"Keep your child away from other children for 10 days after lesions appear."
-"Scrub your child's affected areas with an antibacterial soap every other day."
-"Place your child in an oatmeal bath using tepid water for 15 minutes."
"Place your child in an oatmeal bath using tepid water for 15 minutes."
The nurse should instruct the parent that tepid baths containing oatmeal or
mineral oil can decrease itching and evenly disperse the antipruritic solution.
The parent should not place the child in a hot bath as this can aggravate the
child's condition and increase itching.
A nurse is assessing a client who has COPD and is receiving nebulized
acetylcysteine. Which of the following findings should the nurse expect if the
medication has been effective?
Cough has been suppressed.
WBC count is within expected reference range.
,Blood glucose levels are increased.
Mucus is thin and white in color. Mucus is thin and white in color.
The client who has COPD can experience manifestations of thick, tenacious
secretions. White or clear mucus is an expected finding, which indicates the
client is free of respiratory infection. Acetylcysteine is a mucolytic used to thin
secretions and enable the client to expectorate them more easily.
A nurse is assessing a 3-month-old infant who has gastroenteritis with severe
dehydration. Which of the following findings should the nurse expect?
-Flat anterior fontanel
-Capillary refill 2 seconds
-5% weight loss
-Absence of tears Absence of tears
he nurse should expect an infant who has severe dehydration to have an absence
of tears when crying. Other manifestations include tachycardia, hypotension,
intense thirst, and oliguria or anuria.
A nurse is assessing the eyes and ears of a 2-year-old toddler at a well-child visit.
Which of the following findings should the nurse report to the provider?
-Presence of a transparent cornea
-Presence of strabismus
-Pinna moderately extends outward from the skull
-Walls of peripheral aspect of auditory canal are pink Presence of strabismus
,The nurse should recognize that the presence of strabismus, or crossing of the
eyes, should disappear by 4 months of age. If this is not corrected by 4 to 6 years
of age, it can lead to amblyopia; therefore, the nurse should report this finding to
the provider.
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 an adult male.
-Client is taking atorvastatin.
-Client is of Asian descent.
-Client has a history of asthma. Client is taking atorvastatin.
The nurse should identify that increased serum cholesterol and taking cholesterol-
lowering medications, such as atorvastatin, increases the client's risk of
developing cholecystitis.
A nurse on a pediatric unit is admitting a school-age child who has pertussis.
Which of the following actions should the nurse take?
-Place the child in a room equipped with a positive-pressure airflow system.
-Place the child in a room equipped with a negative-pressure airflow system.
-Initiate droplet precautions for the child.
-Initiate contact precautions for the child. Initiate droplet precautions for the
child.
, The nurse should initiate droplet precautions for a child who has pertussis, which
is spread by large droplets in the air; therefore, the nurse should wear a surgical
mask within 1 m (3.3 feet) of the child.
A nurse is caring for a client who is receiving heparin therapy and has an aPTT of
92 seconds. Which of the following medications should the nurse anticipate the
provider might prescribe for the client?
-Leucovorin
-Vitamin K
-Deferoxamine
-Protamine Protamine
When there are manifestations of a heparin overdose, the nurse should anticipate
that the provider might prescribe protamine to inactivate the heparin. In addition,
the nurse should decrease or stop the heparin therapy for a period of time and
recheck the aPTT level prior to restarting the heparin. The effects of protamine
will last up to 2 hr.
A nurse is providing teaching for a client who has a new diagnosis of benign
prostatic hyperplasia (BPH). Which of the following instructions should the nurse
include to promote elimination?
-"Drink at least 24 ounces of water each hour."
-"Void as soon as you feel the urge."
-"Expect a prescription for a diuretic."
-"Take an antihistamine each night at bedtime." "Void as soon as you feel the
urge."
