ATI CBC LEVEL 2 STUDY GUIDE WITH ALL CORRECT &
100% VERIFIED ANSWERS (UPDATED TO PASS)
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? Correct
answer-Wash your hands when you return home from running errands
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? Correct
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? Correct 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? Correct 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? Correct 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?
Correct 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? Correct 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? Correct 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?
Correct 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? Correct 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? Correct 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? Correct 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? Correct 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? Correct answer-Discoloration and edema of the right ankle
A nurse is providing home care instructions to a client who had a short-arm plaster cast applied for a
wrist fracture. Which of the following instructions should the nurse include? Correct answer-
Elevate the wrist above heart level
A nurse is providing discharge planning for a client who has gestational diabetes. Which of the
following interventions should the nurse identify as the priority? Correct answer-Determine the
client's knowledge regarding gestational diabetes
A school nurse is assessing a school-age child who has erythema infectiosum (fifth disease). Which of
the following manifestations should the nurse expect? Correct answer-Facial eruption
A nurse is teaching about foot care with a group of older adults who have type 1 diabetes mellitus.
Which of the following information should the nurse include in the teaching? Correct answer-Trim
toenails straight across to prevent ingrown toenails
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? Correct answer-"You should
contact your provider if your pulse rate drops below 60 per minute."
A nurse is providing discharge teaching to a client who is postoperative following a transurethral
resection of the prostate (TURP) for treatment of benign prostatic hyperplasia. Which of the
following instructions should the nurse include in the teaching? Correct answer-"Perform Kegel
exercises several times throughout the day."
A nurse is teaching a client who has a new prescription for finasteride to treat benign prostatic
hyperplasia. Which of the following instructions should the nurse include in the teaching? Correct
answer-"You might need to take the medication for several months before seeing any relief."
A nurse on a mental health unit is developing a plan of care for a client who is experiencing a panic
level of anxiety. Which of the following actions should the nurse identify as the priority? Correct
answer-Protect the client from harm
A nurse is teaching a client who is at moderate risk for osteoporosis about ways to help prevent this
chronic disease. Which of the following instructions should the nurse include? Correct answer--
Increase dairy product intake
-Engage in weight-bearing exercises regularly
-Reduce excessive caffeine intake
A nurse is caring for a client who has cellulitis of the lower extremity. Which of the following actions
should the nurse take? Correct answer--Elevate the affected area 15.24 cm (6 in) above the heart
-Administer cefazolin intermittent IV bolus
100% VERIFIED ANSWERS (UPDATED TO PASS)
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? Correct
answer-Wash your hands when you return home from running errands
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? Correct
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? Correct 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? Correct 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? Correct 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?
Correct 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? Correct 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? Correct 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?
Correct 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? Correct 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? Correct 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? Correct 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? Correct 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? Correct answer-Discoloration and edema of the right ankle
A nurse is providing home care instructions to a client who had a short-arm plaster cast applied for a
wrist fracture. Which of the following instructions should the nurse include? Correct answer-
Elevate the wrist above heart level
A nurse is providing discharge planning for a client who has gestational diabetes. Which of the
following interventions should the nurse identify as the priority? Correct answer-Determine the
client's knowledge regarding gestational diabetes
A school nurse is assessing a school-age child who has erythema infectiosum (fifth disease). Which of
the following manifestations should the nurse expect? Correct answer-Facial eruption
A nurse is teaching about foot care with a group of older adults who have type 1 diabetes mellitus.
Which of the following information should the nurse include in the teaching? Correct answer-Trim
toenails straight across to prevent ingrown toenails
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? Correct answer-"You should
contact your provider if your pulse rate drops below 60 per minute."
A nurse is providing discharge teaching to a client who is postoperative following a transurethral
resection of the prostate (TURP) for treatment of benign prostatic hyperplasia. Which of the
following instructions should the nurse include in the teaching? Correct answer-"Perform Kegel
exercises several times throughout the day."
A nurse is teaching a client who has a new prescription for finasteride to treat benign prostatic
hyperplasia. Which of the following instructions should the nurse include in the teaching? Correct
answer-"You might need to take the medication for several months before seeing any relief."
A nurse on a mental health unit is developing a plan of care for a client who is experiencing a panic
level of anxiety. Which of the following actions should the nurse identify as the priority? Correct
answer-Protect the client from harm
A nurse is teaching a client who is at moderate risk for osteoporosis about ways to help prevent this
chronic disease. Which of the following instructions should the nurse include? Correct answer--
Increase dairy product intake
-Engage in weight-bearing exercises regularly
-Reduce excessive caffeine intake
A nurse is caring for a client who has cellulitis of the lower extremity. Which of the following actions
should the nurse take? Correct answer--Elevate the affected area 15.24 cm (6 in) above the heart
-Administer cefazolin intermittent IV bolus
