ATI LEVEL 2 PROCTORED LATEST EVALUATION
EXAMS QUESTIONS AND ANSWERS SURE A+
✔✔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."
The nurse should instruct a client who has BPH on measures to prevent distension of
the bladder and urinary retention. Encouraging the client to void as soon as the urge
develops decreases the risk of bladder distension.
✔✔A nurse is assessing a client who reports vision impairment and is diagnosed with
primary open-angle glaucoma (POAG). Which of the following findings should the nurse
expect?
Progressive loss of peripheral vision
Opacity of the lens of the client's eye
Impaired central vision
Report of seeing floating dark spots - ✔✔Progressive loss of peripheral vision
The nurse should expect a client who has POAG to report a progressive loss of
peripheral vision. The nurse should perform visual field testing to determine the severity
of the peripheral vision loss. The nurse should also expect diagnostic assessment to
indicate increased intraocular pressure.
✔✔A nurse is assessing a client who has left-sided heart failure. Which of the following
findings should the nurse expect? (Select all that apply.)
Nocturia
Dependent edema
Dyspnea
Hacking cough
Anorexia - ✔✔Nocturia
Dyspnea
Hacking cough is correct
, ✔✔A nurse in an emergency department was caring for an adolescent who died
following a motor vehicle crash. Which of the following reactions should the nurse
expect the client's 10-year-old sibling to exhibit?
The sibling believes the client will wake up in a few hours.
The sibling is curious about what will happen to the client's body.
The sibling will continue to treat the client as though he were still
alive.
The sibling will alienate themselves from her family and friends. - ✔✔The sibling is
curious about what will happen to the client's body.
The nurse should expect a 10-year-old child to be inquisitive about what happens to the
body and what will occur during funeral or memorial services.
✔✔A nurse is assessing a client who reports gastrointestinal distress. Which of the
following findings should indicate to the nurse that the client has cholecystitis?
Abdominal pain triggered by spicy food
Abdominal pain that radiates to the right shoulder
Abdominal pain in the right lower quadrant
Abdominal pain that is continuous over several days - ✔✔Abdominal pain that radiates
to the right shoulder
The nurse should expect a client who has cholecystitis to have abdominal pain that is
episodic, typically occurring after fatty or large meals, and can radiate from the client's
right upper quadrant to the right shoulder or scapula.
✔✔A nurse is assessing a client who has social phobia and reports feelings of fear and
panic when at social gatherings. Which of the following medications should the nurse
expect the provider to prescribe?
Carbamazepine
Risperidone
Paroxetine
Quetiapine - ✔✔Paroxetine
EXAMS QUESTIONS AND ANSWERS SURE A+
✔✔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."
The nurse should instruct a client who has BPH on measures to prevent distension of
the bladder and urinary retention. Encouraging the client to void as soon as the urge
develops decreases the risk of bladder distension.
✔✔A nurse is assessing a client who reports vision impairment and is diagnosed with
primary open-angle glaucoma (POAG). Which of the following findings should the nurse
expect?
Progressive loss of peripheral vision
Opacity of the lens of the client's eye
Impaired central vision
Report of seeing floating dark spots - ✔✔Progressive loss of peripheral vision
The nurse should expect a client who has POAG to report a progressive loss of
peripheral vision. The nurse should perform visual field testing to determine the severity
of the peripheral vision loss. The nurse should also expect diagnostic assessment to
indicate increased intraocular pressure.
✔✔A nurse is assessing a client who has left-sided heart failure. Which of the following
findings should the nurse expect? (Select all that apply.)
Nocturia
Dependent edema
Dyspnea
Hacking cough
Anorexia - ✔✔Nocturia
Dyspnea
Hacking cough is correct
, ✔✔A nurse in an emergency department was caring for an adolescent who died
following a motor vehicle crash. Which of the following reactions should the nurse
expect the client's 10-year-old sibling to exhibit?
The sibling believes the client will wake up in a few hours.
The sibling is curious about what will happen to the client's body.
The sibling will continue to treat the client as though he were still
alive.
The sibling will alienate themselves from her family and friends. - ✔✔The sibling is
curious about what will happen to the client's body.
The nurse should expect a 10-year-old child to be inquisitive about what happens to the
body and what will occur during funeral or memorial services.
✔✔A nurse is assessing a client who reports gastrointestinal distress. Which of the
following findings should indicate to the nurse that the client has cholecystitis?
Abdominal pain triggered by spicy food
Abdominal pain that radiates to the right shoulder
Abdominal pain in the right lower quadrant
Abdominal pain that is continuous over several days - ✔✔Abdominal pain that radiates
to the right shoulder
The nurse should expect a client who has cholecystitis to have abdominal pain that is
episodic, typically occurring after fatty or large meals, and can radiate from the client's
right upper quadrant to the right shoulder or scapula.
✔✔A nurse is assessing a client who has social phobia and reports feelings of fear and
panic when at social gatherings. Which of the following medications should the nurse
expect the provider to prescribe?
Carbamazepine
Risperidone
Paroxetine
Quetiapine - ✔✔Paroxetine
