ATI RN CONCEPT BASED ASSESSMENT LEVEL 3
PROCTORED EXAM COMPLETE QUESTIONS WITH 100%
VERIFIED ANSWERS
1. A nurse is teaching a client who has sickle cell anemia about
preventing sickle cell crisis. Which of the following information should
the nurse include?
A. Limit your intake of fluids to 2.5 liters daily.
B. Engage in strenuous physical exercise several times a week.
C. Contact your provider if you have a fever that lasts more than 3 days.
D. Avoid going outside when temperatures are extreme.
Correct Answer: D. Avoid going outside when temperatures are
extreme.
Explanation: Extreme temperatures (hot or cold) can trigger vaso-
occlusive crises in clients with sickle cell anemia. Clients should avoid
temperature extremes, maintain adequate hydration (not limit fluids),
avoid strenuous exercise, and seek immediate care for fever (not wait 3
days) as infections can precipitate crises.
2. A nurse is caring for a client following a stroke. Which of the
following actions should the nurse take to increase the client's
cerebral perfusion?
,A. Elevate the head of the client's bed to 90 degrees.
B. Place the client in the Sims' position.
C. Encourage the client to cough deeply.
D. Position the client's head in a midline position.
Correct Answer: D. Position the client's head in a midline position.
Explanation: Maintaining the head in a midline position promotes
venous drainage and optimizes cerebral perfusion pressure. Elevating
the head to 90 degrees is too high and may decrease perfusion. Sims'
position and coughing increase intracranial pressure, which can
decrease cerebral perfusion.
3. A nurse is planning care to decrease the risk of bowel perforation
for a client who is in the acute phase of diverticulitis. Which of the
following interventions should the nurse include in the plan?
A. Administer an enema to rest the bowel.
B. Provide the client with a high fiber diet.
C. Instruct the client to avoid coughing.
D. Avoid use of opioid analgesics.
Correct Answer: C. Instruct the client to avoid coughing.
Explanation: Coughing increases intra-abdominal pressure, which can
increase the risk of bowel perforation in clients with acute diverticulitis.
During the acute phase, the bowel should be rested with NPO status or
clear liquids, not high fiber. Enemas are contraindicated. Opioid
analgesics may be used for pain management but can cause
constipation.
,4. A nurse is updating the meal plan for a client who has resolving
diverticulitis and is being advanced to a high fiber diet. The nurse
should recognize that which of the following foods is the best source
of fiber?
A. 1 cup lettuce.
B. 1 medium cucumber.
C. 1 cup green grapes.
D. One medium banana.
Correct Answer: D. One medium banana.
Explanation: One medium banana contains approximately 3 grams of
fiber, making it a better fiber source than lettuce (1 gram), cucumber
(0.5 grams), or green grapes (1.5 grams per cup). Bananas are also
easily digestible and provide potassium.
5. A nurse is providing dietary management to a client who is at 10
weeks of gestation and has hyperemesis gravidarum. Which of the
following statements should the nurse make?
A. You should eat foods at warm temperatures.
B. You should avoid dairy products.
C. You should eat protein before sweets.
D. You should eat at least every 2 hours.
Correct Answer: D. You should eat at least every 2 hours.
Explanation: Small, frequent meals (every 1-2 hours) help prevent
gastric distension and reduce nausea in clients with hyperemesis
, gravidarum. Cold or room-temperature foods are better tolerated than
warm foods. Protein and carbohydrates should be eaten together, and
dairy products may be tolerated if tolerated.
6. A nurse is teaching a client about acute glomerulonephritis. Which
of the following information should the nurse include?
A. Expect urine to remain clear or straw colored.
B. Include foods high in sodium in the diet.
C. Measure weight twice per week.
D. Restrict fluid intake based on previous day's urine output.
Correct Answer: D. Restrict fluid intake based on previous day's urine
output.
Explanation: Fluid restriction is based on the previous day's urine output
plus insensible losses (typically 500-600 mL). Urine is typically dark,
cola-colored (hematuria), not clear. Sodium restriction is necessary.
Daily (not twice weekly) weight monitoring is essential to assess fluid
status.
7. A nurse is teaching about disease management with a client who
has Parkinson's disease. Which of the following statements should the
nurse include in the teaching?
A. Schedule appointments early in the morning.
B. Plan low calorie meals which are high in fiber.
C. Lean forward and watch your feet when walking.
D. Take medications at the same time each day.
PROCTORED EXAM COMPLETE QUESTIONS WITH 100%
VERIFIED ANSWERS
1. A nurse is teaching a client who has sickle cell anemia about
preventing sickle cell crisis. Which of the following information should
the nurse include?
A. Limit your intake of fluids to 2.5 liters daily.
B. Engage in strenuous physical exercise several times a week.
C. Contact your provider if you have a fever that lasts more than 3 days.
D. Avoid going outside when temperatures are extreme.
Correct Answer: D. Avoid going outside when temperatures are
extreme.
Explanation: Extreme temperatures (hot or cold) can trigger vaso-
occlusive crises in clients with sickle cell anemia. Clients should avoid
temperature extremes, maintain adequate hydration (not limit fluids),
avoid strenuous exercise, and seek immediate care for fever (not wait 3
days) as infections can precipitate crises.
2. A nurse is caring for a client following a stroke. Which of the
following actions should the nurse take to increase the client's
cerebral perfusion?
,A. Elevate the head of the client's bed to 90 degrees.
B. Place the client in the Sims' position.
C. Encourage the client to cough deeply.
D. Position the client's head in a midline position.
Correct Answer: D. Position the client's head in a midline position.
Explanation: Maintaining the head in a midline position promotes
venous drainage and optimizes cerebral perfusion pressure. Elevating
the head to 90 degrees is too high and may decrease perfusion. Sims'
position and coughing increase intracranial pressure, which can
decrease cerebral perfusion.
3. A nurse is planning care to decrease the risk of bowel perforation
for a client who is in the acute phase of diverticulitis. Which of the
following interventions should the nurse include in the plan?
A. Administer an enema to rest the bowel.
B. Provide the client with a high fiber diet.
C. Instruct the client to avoid coughing.
D. Avoid use of opioid analgesics.
Correct Answer: C. Instruct the client to avoid coughing.
Explanation: Coughing increases intra-abdominal pressure, which can
increase the risk of bowel perforation in clients with acute diverticulitis.
During the acute phase, the bowel should be rested with NPO status or
clear liquids, not high fiber. Enemas are contraindicated. Opioid
analgesics may be used for pain management but can cause
constipation.
,4. A nurse is updating the meal plan for a client who has resolving
diverticulitis and is being advanced to a high fiber diet. The nurse
should recognize that which of the following foods is the best source
of fiber?
A. 1 cup lettuce.
B. 1 medium cucumber.
C. 1 cup green grapes.
D. One medium banana.
Correct Answer: D. One medium banana.
Explanation: One medium banana contains approximately 3 grams of
fiber, making it a better fiber source than lettuce (1 gram), cucumber
(0.5 grams), or green grapes (1.5 grams per cup). Bananas are also
easily digestible and provide potassium.
5. A nurse is providing dietary management to a client who is at 10
weeks of gestation and has hyperemesis gravidarum. Which of the
following statements should the nurse make?
A. You should eat foods at warm temperatures.
B. You should avoid dairy products.
C. You should eat protein before sweets.
D. You should eat at least every 2 hours.
Correct Answer: D. You should eat at least every 2 hours.
Explanation: Small, frequent meals (every 1-2 hours) help prevent
gastric distension and reduce nausea in clients with hyperemesis
, gravidarum. Cold or room-temperature foods are better tolerated than
warm foods. Protein and carbohydrates should be eaten together, and
dairy products may be tolerated if tolerated.
6. A nurse is teaching a client about acute glomerulonephritis. Which
of the following information should the nurse include?
A. Expect urine to remain clear or straw colored.
B. Include foods high in sodium in the diet.
C. Measure weight twice per week.
D. Restrict fluid intake based on previous day's urine output.
Correct Answer: D. Restrict fluid intake based on previous day's urine
output.
Explanation: Fluid restriction is based on the previous day's urine output
plus insensible losses (typically 500-600 mL). Urine is typically dark,
cola-colored (hematuria), not clear. Sodium restriction is necessary.
Daily (not twice weekly) weight monitoring is essential to assess fluid
status.
7. A nurse is teaching about disease management with a client who
has Parkinson's disease. Which of the following statements should the
nurse include in the teaching?
A. Schedule appointments early in the morning.
B. Plan low calorie meals which are high in fiber.
C. Lean forward and watch your feet when walking.
D. Take medications at the same time each day.
