ATI LEVEL 2 PROCTORED FINAL EXAMS ACTUAL
QUESTIONS AND ANSWERS SURE A+
✔✔A nurse is providing teaching to a client who has diabetes mellitus and a new
prescription for extended-release metformin. Which of the following client statements
indicates an understanding of the teaching?
"I will avoid drinking grapefruit juice."
"I will chew the medication if I can't swallow it whole."
"I will call the doctor if I have muscle pain in my back."
"I will take this medication on an empty stomach." - ✔✔"I will call the doctor if I have
muscle pain in my back."
Metformin, a biguanide, can cause lactic acidosis, which is a life-threatening
complication manifesting as muscle aches, sleepiness, malaise, and hyperventilation. If
these manifestations develop, the client should stop taking the medication and notify the
provider immediately.
✔✔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?
,"If you miss a dose, you should take two doses the next morning."
"You should stop taking this medication immediately if you experience depression."
"You might experience an increased sensitivity to heat while taking this medication."
"You should contact your provider if your pulse rate drops below 60 per minute." -
✔✔"You should contact your provider if your pulse rate drops below 60 per minute."
The nurse should teach the client how to monitor his pulse rate and further instruct the
client to withhold the medication and notify his provider if his pulse rate drops below
60/min.
✔✔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?
"Obtain a pneumococcal vaccination every 2 years."
"Contact your provider if you have a fever that lasts 18 hours."
"Wash your hands when you return home from running errands."
"Avoid exposure to cold air by shopping inside enclosed malls." - ✔✔"Wash your hands
when you return home from running errands."
The nurse should instruct clients that handwashing is one way to avoid organisms that
can cause pneumonia. Handwashing after using the restroom or being in public areas
can minimize the risk of developing pneumonia.
✔✔A nurse is discussing lactose-free foods with a client who is experiencing
malabsorption due to lactose intolerance. Which of the following foods should the nurse
recommend?
Sour cream
Soy milk
Ice cream
Plain yogurt - ✔✔Soy milk
The nurse should instruct the client to consume foods that are lactose-free and are
nondairy products. Acceptable foods include soy milk, almond milk, and soy cheeses.
,✔✔A nurse is providing dietary teaching for a client who has hyperlipidemia due to
nephrotic syndrome. Which of the following instructions should the nurse include in the
teaching?
Less than 30% of daily calories should come from fat.
Decrease caloric intake to less than 25 cal/kg/day.
Increase sodium intake.
Limit daily intake of foods high in carbohydrates. - ✔✔Less than 30% of daily calories
should come from fat.
The nurse should instruct the client to choose foods low in fat and ensure that less than
30% of her daily total caloric intake is from fat. Limiting daily fat intake will improve lipid
levels.
✔✔A nurse is assessing a client whose ABG results are pH 7.51, PaCO2 29 mm Hg,
and HCO3- 24 mEq/L. Which of the following findings should the nurse expect?
Paresthesias
Bradycardia
Muscle flaccidity
Respiratory depression - ✔✔Paresthesias
One of the manifestations of respiratory alkalosis is numbness and tingling, or
paresthesia, due to a decrease in calcium ionization. Other manifestations include
lightheadedness, tachycardia, and cardiac dysrhythmias.
✔✔A nurse is teaching the parent of a school-age child who has pediculosis capitis
about treating this parasitic infestation. Which of the following instructions should the
nurse include?
Wash bedding, clothes, and towels in hot water in a washing machine.
Rinse the child's hair with vinegar three times a day.
Seal items that are not machine washable in plastic bags for 1 week.
Boil the child's combs, brushes, and hair clips for 5 min. - ✔✔Wash bedding, clothes,
and towels in hot water in a washing machine.
, The nurse should instruct the parent to wash all cloth items the child has been in
contact with in hot water and dry them on a hot setting in a clothes dryer for 20 min.
This helps kill any lice or nits in these items.
✔✔A nurse is providing teaching to an adolescent client who has methicillin-resistant
Staphylococcus aureus. Which of the following instructions should the nurse provide to
prevent the spread of this infection?
"Expose the infected areas of skin to open air and sunlight as much
as possible."
"Bathe in a tub of warm water using mild soap twice daily."
"Place soiled dressing bandages in a red biohazard bag for disposal."
"Do not return to football practice until the infection has healed." - ✔✔"Do not return to
football practice until the infection has healed."
The nurse should instruct the client to avoid close contact with others to prevent the
spread of infections. The client should not participate in contact sports until the areas of
infection are healed.
✔✔A nurse in an emergency department is caring for a client who reports abdominal
pain, vomiting, and appears dehydrated. The client's ABG results are pH 7.28, PaCO2
36 mm Hg, and HCO3-14 mEq/L. Based on these findings, the nurse should identify
that the client has which of the following acid-base imbalances?
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis - ✔✔Metabolic acidosis
With this acid-base imbalance, the client's pH is below the expected reference range,
the PaCO2 is within or below the expected reference range, and the HCO3- is below
the expected reference range. Diabetic ketoacidosis is a common cause of metabolic
acidosis.
✔✔A nurse is teaching about herbal supplements with a group of newly licensed
nurses. Which of the following herbal supplements should the nurse include in the
teaching for treating hyperlipidemia?
Feverfew
QUESTIONS AND ANSWERS SURE A+
✔✔A nurse is providing teaching to a client who has diabetes mellitus and a new
prescription for extended-release metformin. Which of the following client statements
indicates an understanding of the teaching?
"I will avoid drinking grapefruit juice."
"I will chew the medication if I can't swallow it whole."
"I will call the doctor if I have muscle pain in my back."
"I will take this medication on an empty stomach." - ✔✔"I will call the doctor if I have
muscle pain in my back."
Metformin, a biguanide, can cause lactic acidosis, which is a life-threatening
complication manifesting as muscle aches, sleepiness, malaise, and hyperventilation. If
these manifestations develop, the client should stop taking the medication and notify the
provider immediately.
✔✔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?
,"If you miss a dose, you should take two doses the next morning."
"You should stop taking this medication immediately if you experience depression."
"You might experience an increased sensitivity to heat while taking this medication."
"You should contact your provider if your pulse rate drops below 60 per minute." -
✔✔"You should contact your provider if your pulse rate drops below 60 per minute."
The nurse should teach the client how to monitor his pulse rate and further instruct the
client to withhold the medication and notify his provider if his pulse rate drops below
60/min.
✔✔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?
"Obtain a pneumococcal vaccination every 2 years."
"Contact your provider if you have a fever that lasts 18 hours."
"Wash your hands when you return home from running errands."
"Avoid exposure to cold air by shopping inside enclosed malls." - ✔✔"Wash your hands
when you return home from running errands."
The nurse should instruct clients that handwashing is one way to avoid organisms that
can cause pneumonia. Handwashing after using the restroom or being in public areas
can minimize the risk of developing pneumonia.
✔✔A nurse is discussing lactose-free foods with a client who is experiencing
malabsorption due to lactose intolerance. Which of the following foods should the nurse
recommend?
Sour cream
Soy milk
Ice cream
Plain yogurt - ✔✔Soy milk
The nurse should instruct the client to consume foods that are lactose-free and are
nondairy products. Acceptable foods include soy milk, almond milk, and soy cheeses.
,✔✔A nurse is providing dietary teaching for a client who has hyperlipidemia due to
nephrotic syndrome. Which of the following instructions should the nurse include in the
teaching?
Less than 30% of daily calories should come from fat.
Decrease caloric intake to less than 25 cal/kg/day.
Increase sodium intake.
Limit daily intake of foods high in carbohydrates. - ✔✔Less than 30% of daily calories
should come from fat.
The nurse should instruct the client to choose foods low in fat and ensure that less than
30% of her daily total caloric intake is from fat. Limiting daily fat intake will improve lipid
levels.
✔✔A nurse is assessing a client whose ABG results are pH 7.51, PaCO2 29 mm Hg,
and HCO3- 24 mEq/L. Which of the following findings should the nurse expect?
Paresthesias
Bradycardia
Muscle flaccidity
Respiratory depression - ✔✔Paresthesias
One of the manifestations of respiratory alkalosis is numbness and tingling, or
paresthesia, due to a decrease in calcium ionization. Other manifestations include
lightheadedness, tachycardia, and cardiac dysrhythmias.
✔✔A nurse is teaching the parent of a school-age child who has pediculosis capitis
about treating this parasitic infestation. Which of the following instructions should the
nurse include?
Wash bedding, clothes, and towels in hot water in a washing machine.
Rinse the child's hair with vinegar three times a day.
Seal items that are not machine washable in plastic bags for 1 week.
Boil the child's combs, brushes, and hair clips for 5 min. - ✔✔Wash bedding, clothes,
and towels in hot water in a washing machine.
, The nurse should instruct the parent to wash all cloth items the child has been in
contact with in hot water and dry them on a hot setting in a clothes dryer for 20 min.
This helps kill any lice or nits in these items.
✔✔A nurse is providing teaching to an adolescent client who has methicillin-resistant
Staphylococcus aureus. Which of the following instructions should the nurse provide to
prevent the spread of this infection?
"Expose the infected areas of skin to open air and sunlight as much
as possible."
"Bathe in a tub of warm water using mild soap twice daily."
"Place soiled dressing bandages in a red biohazard bag for disposal."
"Do not return to football practice until the infection has healed." - ✔✔"Do not return to
football practice until the infection has healed."
The nurse should instruct the client to avoid close contact with others to prevent the
spread of infections. The client should not participate in contact sports until the areas of
infection are healed.
✔✔A nurse in an emergency department is caring for a client who reports abdominal
pain, vomiting, and appears dehydrated. The client's ABG results are pH 7.28, PaCO2
36 mm Hg, and HCO3-14 mEq/L. Based on these findings, the nurse should identify
that the client has which of the following acid-base imbalances?
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis - ✔✔Metabolic acidosis
With this acid-base imbalance, the client's pH is below the expected reference range,
the PaCO2 is within or below the expected reference range, and the HCO3- is below
the expected reference range. Diabetic ketoacidosis is a common cause of metabolic
acidosis.
✔✔A nurse is teaching about herbal supplements with a group of newly licensed
nurses. Which of the following herbal supplements should the nurse include in the
teaching for treating hyperlipidemia?
Feverfew
