ATI CBC Level 2 Study Guide Exam
Questions With Correct Answers
A community health nurse is teaching a group of older adult clients
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about interventions to prevent pneumonia. Which of the following
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instructions should the nurse include in the teaching? - ANSWER✔✔✔-
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Wash your hands when you return home from running errands
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A nurse is reviewing the medical record of a client who has a family
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history of gallstones. Which of the following findings should the nurse
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identify as a risk factor for developing cholecystitis? - ANSWER✔✔✔-
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Client is taking atorvastatin
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A nurse is assessing a client who is receiving morphine via a PCA pump
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to manage postoperative pain. The client has a heart rate of 66/min and
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a respiratory rate of 9/min. Which of the following medications should
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the nurse anticipate the provider will prescribe for the client? -
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ANSWER✔✔✔-Naloxone
A nurse is teaching a client who has gastroesophageal reflux disease
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about ways to prevent reflux. Which of the following information should
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the nurse include in the teaching? - ANSWER✔✔✔-Plan to finish eating
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at least 3 hr before bedtime
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,A nurse is assessing a client who has a calcium level of 6.3 mg/dL. Which
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of the following findings should the nurse expect? - ANSWER✔✔✔-
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Circumoral tingling |
A nurse is leading a small group discussion in an acute care mental
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health facility when one client suddenly begins to experience a panic
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attack. Which of the following actions should the nurse take? -
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ANSWER✔✔✔-Remain with the client until manifestations subside | | | | | |
A nurse in an emergency department is assessing a client who reports
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severe constipation. The nurse should identify which of the following
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findings as an indication that the client might have a small-bowel
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obstruction? - ANSWER✔✔✔-Visible peristaltic waves in the upper
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abdomen
A nurse is reviewing the urinalysis results of a client who has completed
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a 14-day course of ciprofloxacin to treat pyelonephritis. Which of the
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following values should indicate to the nurse that the client has a
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continuing infection? - ANSWER✔✔✔-Positive leukocyte esterase
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A nurse is providing discharge teaching for a client who had lithotripsy
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to break up calculi in the right kidney. Which of the following findings
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should the nurse instruct the client to report to the provider? -
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ANSWER✔✔✔-Painful urination |
, A nurse is reviewing the medical record of a client who has a peptic
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ulcer. Which of the following findings is a priority to report to the
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provider? - ANSWER✔✔✔-Hemoglobin 7.6 mg/dL
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A nurse in an emergency department is caring for a client whose ABG
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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? - ANSWER✔✔✔-
| | | | | | | | |
Apply oxygen therapy to the client
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A nurse is assessing a client who has Graves' disease. Which of the
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following findings should the nurse expect? - ANSWER✔✔✔-
| | | | | | |
Exophthalmos
A nurse is providing teaching to a client who has a hearing impairment
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and has a new prescription for a hearing aid. Which of the following
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client statements indicates an understanding of the teaching? -
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ANSWER✔✔✔-"I will make sure the hearing aid is off before inserting it | | | | | | | | | | | |
in my ear"
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A nurse is assessing a client who has an ulcer due to peripheral vascular
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disease. Which of the following findings should the nurse identify as an
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indication that the client has a venous ulcer rather than an arterial
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ulcer? - ANSWER✔✔✔-Discoloration and edema of the right ankle
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Questions With Correct Answers
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? - 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? - 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? -
| | | | | | | | | | |
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? - 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? - 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? -
| | | | | | | | | | |
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? - 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? - 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? -
| | | | | | | | | | | |
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? - 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? - 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? - 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? -
| | | | | | | | |
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? - ANSWER✔✔✔-Discoloration and edema of the right ankle
| | | | | | | |
