ATI LEVEL 3 PRACTICE B QUESTIONS
WITH COMPLETE SOLUTION
y Nurse assessing opioid withdrawal should expect what manifestation? - - rhinorrhea (YES)
- pinpoint pupils (no, they would have enlarged pupils, hyperreflexia and diaphoresis)
- bradypnea (no, they would have tachypnea)
- increased appetite (no, they would have N, V, and abdominal cramping)
Nurse is caring for a client who is experiencing infertility. which of the following meds should the nurse
expect the provider to prescribe? - -methylergonovine (nothis is a uterine oxytocic medication given to
pt w/ uterine atony)
- clomiphene (YES)
- misoprostol (no, this is a prostaglandin given to ripen cervix and given to pt's for induction of labor)
- labetalol (no, this is a beta blocker given to lower BP, used as tx for gestational HTN)
Risk factors of Alzheimer's disease - 1. age, gender (more common in women), & fam hx
2. herpes zoster and herpes simplex, exposure to toxic metals (zinc & copper)
Nurse is counseling a client who has been undergoing treatment for OCD. which of the following
statements should the nurse identify as an indication that the client's therapy has been effective? - I say
stop out loud whenever i have a compulsion to wash my hands.
A nurse is caring for a client who has Alzheimer's. The client's daughter asks the nurse if she will have AD
as well. which of the responses should the nurse make regarding the genetic predisposition of this
disease. - you can be tested for the presence of apolipoprotein, an indication of an increased risk of
developing AD.
A nurse is teaching a client who has chronic pain about biofeedback. which of the following information
should the nurse include about this complementary therapy. - - biofeedback provides audio and visual
signals to induce a physiological change (YES)
- biofeedback involves manipulating soft tissue to increase circulation (no, this is massage therapy)
- biofeedback uses a variety of body movements to strengthen muscles (no, this is yoga & pilates)
,- biofeedback uses digital pressure to reduce pain and improve function (no, this is acupuncture)
A nurse is planning care for a client who has alcohol use disorder. which of the following medications
should the nurse expect the provider to prescribe? - - bupropion (no, this is for withdrawal from
nicotine)
- naltrexone (YES) this is used for alcohol use disorder and can also be used in tx of opioid use disorder
- buprenorphrine (no, this is for withdrawal from opioids)
- methadone (no, this is for pt w/ opioid use disorder and requires detoxification)
Nurse is reviewing the medical history of a client. the nurse should identify that which of the following
findings indicates the client is at risk for a stroke? - - hx of hypopituitarism (no, hx of this puts pt at risk
for developing osteoporosis)
- takes combination of oral contraceptive (YES)- drinks 150 mL (5 oz)(1 glass) of wine each day (no, 3
more more drinks per day places pt at risk for stroke)
- avoids saturated fats in cooking (no, pt who eats saturated fats are at risk, avoiding them decreases the
risk)
nurse is reviewing the medical record of a client who requests a prescription for an oral contraceptive.
which of the following findings should the nurse identify as a contraindication to an oral contraceptive? -
- hx of gestational diabetes (no a history of diabetes of more than 20 years with vascular disease is
contraindicated)
- migraine w. aura (YES) he nurse should identify that migraine with neurologic symptoms is a
contraindication to the use of oral contraceptives because this increases a client's risk for stroke.
- hx of asthma (no)
- renal lithiasis (no)
Nurse is teaching about acute glomerulonephritis. which of the following info should the nurse include?
- -expect urine to remain clear or straw colored (no, it will be smoky/reddish brown/rust colored)
-restrict fluid intake based on previous day's UOP (YES, restrict to 500-600 mL above the 24 hr UOP to
prevent fluid volume overload, increased BP, and edema)
- include foods high in sodium in the diet (NO, pt should DECREASE sodium to prevent fluid volume
overload, increased BP, and edema)
- measure wt twice/wk (no, measure wt and BP DAILY, increase indicates fluid retention)
, Nurse is assessing a 2 year old toddler at a well visit. for which of the following findings shuld the nurse
refer the toddler for an evaluation for autism spectrum disorder - reluctance to make eye contact
Nurse is teaching a client who has a new diagnosis of pelvic inflammatory disease and is starting oral
antibiotic therapy. which of the following information should the nurse include in the teaching? - avoid
sexual activity until antibiotic therapy is complete. - by both the client and her partner & once
manifestations of PID have resolved.
Also teach pt to:- check temp BID to monitor for effectiveness of abx tx- use heat therapy to lower
abdomen and back to relieve discomforts- restrict ambulation and to recline in a semi-fowlers position
Nurse is providing discharge teaching to the parent of a school-age child who has a severe bee allergy
and a new prescription for an epinephrine auto-injector. which of the following instructions should the
nurse include in the teaching? - give a second injection if the first fails to entirely reverse your child's
reaction
also teach parent:
- to admin intramuscularly into outer thigh at perpendicular angle and hold for 10 seconds, then
massage for 10 seconds
- a/e = nervousness, palpitations, increased pulse, sweating, dizziness, and HA
- to avoid refrigerating bc it can compromise the injection mechanism
- store at room temp in a dark place
nurse is planning care for a newborn who was born at 33 weeks gestation and is 2 days old. which of the
following interventions should the nurse include? - position the newborn side-lying or prone while in the
nursery.also:
- only bathe newborn with plain water
- dim lights in nursery during night & at intervals during day (this helps to establish diurnal/noctural
rhythms & promotes sleep/wake cycles
- promote skin to skin (there is no wt requirement, helps to reduce stress, regulate temp and O2 sats in
newborn, and promotes bonding b/w parent & newborn)
WITH COMPLETE SOLUTION
y Nurse assessing opioid withdrawal should expect what manifestation? - - rhinorrhea (YES)
- pinpoint pupils (no, they would have enlarged pupils, hyperreflexia and diaphoresis)
- bradypnea (no, they would have tachypnea)
- increased appetite (no, they would have N, V, and abdominal cramping)
Nurse is caring for a client who is experiencing infertility. which of the following meds should the nurse
expect the provider to prescribe? - -methylergonovine (nothis is a uterine oxytocic medication given to
pt w/ uterine atony)
- clomiphene (YES)
- misoprostol (no, this is a prostaglandin given to ripen cervix and given to pt's for induction of labor)
- labetalol (no, this is a beta blocker given to lower BP, used as tx for gestational HTN)
Risk factors of Alzheimer's disease - 1. age, gender (more common in women), & fam hx
2. herpes zoster and herpes simplex, exposure to toxic metals (zinc & copper)
Nurse is counseling a client who has been undergoing treatment for OCD. which of the following
statements should the nurse identify as an indication that the client's therapy has been effective? - I say
stop out loud whenever i have a compulsion to wash my hands.
A nurse is caring for a client who has Alzheimer's. The client's daughter asks the nurse if she will have AD
as well. which of the responses should the nurse make regarding the genetic predisposition of this
disease. - you can be tested for the presence of apolipoprotein, an indication of an increased risk of
developing AD.
A nurse is teaching a client who has chronic pain about biofeedback. which of the following information
should the nurse include about this complementary therapy. - - biofeedback provides audio and visual
signals to induce a physiological change (YES)
- biofeedback involves manipulating soft tissue to increase circulation (no, this is massage therapy)
- biofeedback uses a variety of body movements to strengthen muscles (no, this is yoga & pilates)
,- biofeedback uses digital pressure to reduce pain and improve function (no, this is acupuncture)
A nurse is planning care for a client who has alcohol use disorder. which of the following medications
should the nurse expect the provider to prescribe? - - bupropion (no, this is for withdrawal from
nicotine)
- naltrexone (YES) this is used for alcohol use disorder and can also be used in tx of opioid use disorder
- buprenorphrine (no, this is for withdrawal from opioids)
- methadone (no, this is for pt w/ opioid use disorder and requires detoxification)
Nurse is reviewing the medical history of a client. the nurse should identify that which of the following
findings indicates the client is at risk for a stroke? - - hx of hypopituitarism (no, hx of this puts pt at risk
for developing osteoporosis)
- takes combination of oral contraceptive (YES)- drinks 150 mL (5 oz)(1 glass) of wine each day (no, 3
more more drinks per day places pt at risk for stroke)
- avoids saturated fats in cooking (no, pt who eats saturated fats are at risk, avoiding them decreases the
risk)
nurse is reviewing the medical record of a client who requests a prescription for an oral contraceptive.
which of the following findings should the nurse identify as a contraindication to an oral contraceptive? -
- hx of gestational diabetes (no a history of diabetes of more than 20 years with vascular disease is
contraindicated)
- migraine w. aura (YES) he nurse should identify that migraine with neurologic symptoms is a
contraindication to the use of oral contraceptives because this increases a client's risk for stroke.
- hx of asthma (no)
- renal lithiasis (no)
Nurse is teaching about acute glomerulonephritis. which of the following info should the nurse include?
- -expect urine to remain clear or straw colored (no, it will be smoky/reddish brown/rust colored)
-restrict fluid intake based on previous day's UOP (YES, restrict to 500-600 mL above the 24 hr UOP to
prevent fluid volume overload, increased BP, and edema)
- include foods high in sodium in the diet (NO, pt should DECREASE sodium to prevent fluid volume
overload, increased BP, and edema)
- measure wt twice/wk (no, measure wt and BP DAILY, increase indicates fluid retention)
, Nurse is assessing a 2 year old toddler at a well visit. for which of the following findings shuld the nurse
refer the toddler for an evaluation for autism spectrum disorder - reluctance to make eye contact
Nurse is teaching a client who has a new diagnosis of pelvic inflammatory disease and is starting oral
antibiotic therapy. which of the following information should the nurse include in the teaching? - avoid
sexual activity until antibiotic therapy is complete. - by both the client and her partner & once
manifestations of PID have resolved.
Also teach pt to:- check temp BID to monitor for effectiveness of abx tx- use heat therapy to lower
abdomen and back to relieve discomforts- restrict ambulation and to recline in a semi-fowlers position
Nurse is providing discharge teaching to the parent of a school-age child who has a severe bee allergy
and a new prescription for an epinephrine auto-injector. which of the following instructions should the
nurse include in the teaching? - give a second injection if the first fails to entirely reverse your child's
reaction
also teach parent:
- to admin intramuscularly into outer thigh at perpendicular angle and hold for 10 seconds, then
massage for 10 seconds
- a/e = nervousness, palpitations, increased pulse, sweating, dizziness, and HA
- to avoid refrigerating bc it can compromise the injection mechanism
- store at room temp in a dark place
nurse is planning care for a newborn who was born at 33 weeks gestation and is 2 days old. which of the
following interventions should the nurse include? - position the newborn side-lying or prone while in the
nursery.also:
- only bathe newborn with plain water
- dim lights in nursery during night & at intervals during day (this helps to establish diurnal/noctural
rhythms & promotes sleep/wake cycles
- promote skin to skin (there is no wt requirement, helps to reduce stress, regulate temp and O2 sats in
newborn, and promotes bonding b/w parent & newborn)
