ATI CBC LEVEL 3 HEALTH ASSESSMENT
AND CLINICAL DECISION MAKING TEST
SCRIPT FULL QUESTION BANK COMPLETE
GUIDE
●● 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?
Answer: 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?
Answer: 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?
Answer: 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?
Answer: 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?
Answer: 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?
Answer: 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?
Answer: 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?
Answer: Painful urination
, ●● 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?
Answer: 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?
Answer: 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?
Answer: 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?
Answer: "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?
AND CLINICAL DECISION MAKING TEST
SCRIPT FULL QUESTION BANK COMPLETE
GUIDE
●● 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?
Answer: 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?
Answer: 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?
Answer: 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?
Answer: 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?
Answer: 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?
Answer: 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?
Answer: 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?
Answer: Painful urination
, ●● 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?
Answer: 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?
Answer: 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?
Answer: 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?
Answer: "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?
