ATI CBC LEVEL 2 ASSESSMENT B EXAM
QUESTIONS AND ANSWERS GRADED A+
1. A nurse is caring for a client who has pneumonia. Which of the
following actions is the priority for the nurse to take? Observe the client
perform incentive spirometry
2. A nurse is assessing a client who has hyperthyroidism and has been
taking methimazole for 6 months. Which of the following findings
indicates a three- peptic response to the medication: The client reports sleeping
longer during the night
3. A nurse is planning discharge teaching for the guardian of a child who
had a cardiac catheterization. Which of the following instructions should
the nurse include? Monitor the site daily for drainage
4. A nurse is reviewing the medical record of a client who is receiving
total parenteral nutrition for a malabsorption disorder. Which of the
following findings should the nurse identify as an indication that the
client's nutritional status is improving? 1 kg (2.2 lb.) weight gain over the past 2
days
5. A nurse is performing a focused assessment on a client who has
,cholelithiasis- Asis and reports pain. Which of the following areas
should the nurse assess? -
: Right upper quadrant
6. The nurse is providing discharge teaching to a client about
managing diver- tabulates. Which of the following statements should
the nurse include in the teaching? "Consume a clear liquid diet until symptoms
resolve"
7. A nurse is providing teaching to a client who has a methicillin-
resistant Staphylococcus aureus (MRSA) skin infection. Which of the
following client statements indicates an understanding of the
management of antibiotic re- distant infections? I will wash all uninfected skin
areas with a fresh washcloth
8. A nurse is providing teaching to a client about preventing hearing
loss from trauma. Which of the following instructions should the
nurse include in the teaching? Keep your mouth open when sneezing
9. A nurse is teaching a client who recently lost his partner to a
terminal illness. The client asks how his 4-year-old son is expected to
react to the death of his partner. Which of the following information
should the nurse include in the teaching? A preschooler often believes that death
is reversible
10. A nurse is assessing a client who has gestational diabetes and
ketoacidosis. Which of the following manifestations should the nurse
expect? Increased urination
, 11. A nurse is assessing a client who has an external fixator to the
right lower arm following musculoskeletal trauma. Which of the
following findings should indicate to the nurse that the client has
developed compartment syndrome? -
: Numbness to the fingers on the right arm
12. A nurse is providing teaching about home care with an adolescent
client who has a skin infection caused by MRSA. Which of the
following client state- mints indicates an understanding of the teaching? I will
soak in a bathtub filled one-fourth full of water with one-half cup of bleach
13. A nurse is caring for a client who is experiencing an asthma
attack. Which of the following procedures should the nurse use to
assess the client's raspy- oratory status? Peak expiratory flow meter testing
14. A nurse is caring for a client who has renal calculi and is taking
oxybutynin for pain. Which of the following findings should the
nurse identify as an adverse effect of this medication? Distended
bladder
15. A nurse is planning discharge for a postpartum client. The client
tells the nurse she is having subdermal implant placed for
contraception at her 6-week follow-up examination and asks about
the adverse effects of the implant. Which of the following
manifestations should the nurse include? Irregular bleeding
16. A nurse in a community health clinic is reviewing data from the
medical records of four clients. Which of the following communicable
diseases re- quires reporting by the nurse? Gonorrhea
17. A nurse is caring for a group of clients. Which of the following clients
should the nurse identify as being at risk for developing respiratory
acidosis? A client who has abdominal ascites
18. A nurse is assessing a client who has peripheral arterial disease.
QUESTIONS AND ANSWERS GRADED A+
1. A nurse is caring for a client who has pneumonia. Which of the
following actions is the priority for the nurse to take? Observe the client
perform incentive spirometry
2. A nurse is assessing a client who has hyperthyroidism and has been
taking methimazole for 6 months. Which of the following findings
indicates a three- peptic response to the medication: The client reports sleeping
longer during the night
3. A nurse is planning discharge teaching for the guardian of a child who
had a cardiac catheterization. Which of the following instructions should
the nurse include? Monitor the site daily for drainage
4. A nurse is reviewing the medical record of a client who is receiving
total parenteral nutrition for a malabsorption disorder. Which of the
following findings should the nurse identify as an indication that the
client's nutritional status is improving? 1 kg (2.2 lb.) weight gain over the past 2
days
5. A nurse is performing a focused assessment on a client who has
,cholelithiasis- Asis and reports pain. Which of the following areas
should the nurse assess? -
: Right upper quadrant
6. The nurse is providing discharge teaching to a client about
managing diver- tabulates. Which of the following statements should
the nurse include in the teaching? "Consume a clear liquid diet until symptoms
resolve"
7. A nurse is providing teaching to a client who has a methicillin-
resistant Staphylococcus aureus (MRSA) skin infection. Which of the
following client statements indicates an understanding of the
management of antibiotic re- distant infections? I will wash all uninfected skin
areas with a fresh washcloth
8. A nurse is providing teaching to a client about preventing hearing
loss from trauma. Which of the following instructions should the
nurse include in the teaching? Keep your mouth open when sneezing
9. A nurse is teaching a client who recently lost his partner to a
terminal illness. The client asks how his 4-year-old son is expected to
react to the death of his partner. Which of the following information
should the nurse include in the teaching? A preschooler often believes that death
is reversible
10. A nurse is assessing a client who has gestational diabetes and
ketoacidosis. Which of the following manifestations should the nurse
expect? Increased urination
, 11. A nurse is assessing a client who has an external fixator to the
right lower arm following musculoskeletal trauma. Which of the
following findings should indicate to the nurse that the client has
developed compartment syndrome? -
: Numbness to the fingers on the right arm
12. A nurse is providing teaching about home care with an adolescent
client who has a skin infection caused by MRSA. Which of the
following client state- mints indicates an understanding of the teaching? I will
soak in a bathtub filled one-fourth full of water with one-half cup of bleach
13. A nurse is caring for a client who is experiencing an asthma
attack. Which of the following procedures should the nurse use to
assess the client's raspy- oratory status? Peak expiratory flow meter testing
14. A nurse is caring for a client who has renal calculi and is taking
oxybutynin for pain. Which of the following findings should the
nurse identify as an adverse effect of this medication? Distended
bladder
15. A nurse is planning discharge for a postpartum client. The client
tells the nurse she is having subdermal implant placed for
contraception at her 6-week follow-up examination and asks about
the adverse effects of the implant. Which of the following
manifestations should the nurse include? Irregular bleeding
16. A nurse in a community health clinic is reviewing data from the
medical records of four clients. Which of the following communicable
diseases re- quires reporting by the nurse? Gonorrhea
17. A nurse is caring for a group of clients. Which of the following clients
should the nurse identify as being at risk for developing respiratory
acidosis? A client who has abdominal ascites
18. A nurse is assessing a client who has peripheral arterial disease.
