ATI Testing Level 2 Proctored Exam: Questions from
Top-Tier Universities, Certified for High Academic
Standards, Chosen from Premier Scholars
The nurse should initiate droplet precautions for a child who has pertussis, which is spread
by large droplets in the air; therefore, the nurse should wear a surgical mask within 1 m (3.3
feet) of the child.
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 - CORRECT ANSWER- -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." - CORRECT ANSWER- -"Void as soon as you
feel the urge."
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?
Client is an adult male.
Client is taking atorvastatin.
Client is of Asian descent.
Client has a history of asthma. - CORRECT ANSWER- -Client is taking atorvastatin.
The nurse should identify that increased serum cholesterol and taking cholesterol-lowering
medications, such as atorvastatin, increases the client's risk of developing cholecystitis.
A nurse on a pediatric unit is admitting a school-age child who has pertussis. Which of the
following actions should the nurse take?
, Place the child in a room equipped with a positive-pressure airflow system.
Place the child in a room equipped with a negative-pressure
airflow system.
Initiate droplet precautions for the child.
Initiate contact precautions for the child. - CORRECT ANSWER- -Initiate droplet
precautions for the child.
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 - CORRECT ANSWER- -Progressive loss of peripheral
vision
Top-Tier Universities, Certified for High Academic
Standards, Chosen from Premier Scholars
The nurse should initiate droplet precautions for a child who has pertussis, which is spread
by large droplets in the air; therefore, the nurse should wear a surgical mask within 1 m (3.3
feet) of the child.
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 - CORRECT ANSWER- -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." - CORRECT ANSWER- -"Void as soon as you
feel the urge."
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?
Client is an adult male.
Client is taking atorvastatin.
Client is of Asian descent.
Client has a history of asthma. - CORRECT ANSWER- -Client is taking atorvastatin.
The nurse should identify that increased serum cholesterol and taking cholesterol-lowering
medications, such as atorvastatin, increases the client's risk of developing cholecystitis.
A nurse on a pediatric unit is admitting a school-age child who has pertussis. Which of the
following actions should the nurse take?
, Place the child in a room equipped with a positive-pressure airflow system.
Place the child in a room equipped with a negative-pressure
airflow system.
Initiate droplet precautions for the child.
Initiate contact precautions for the child. - CORRECT ANSWER- -Initiate droplet
precautions for the child.
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 - CORRECT ANSWER- -Progressive loss of peripheral
vision
