ATI RN CONCEPT BASED ASSESSMENT LEVEL 3
PROCTORED EXAM QUESTIONS AND CORRECT
DETAILED ANSWERWERS)
a nurse is counseling a client who has experienced intimate partner
violence. which of the following instructions is the priority for the
nurse to include in the teaching? a. develop a safety plan.
b. arrange for legal counseling.
c. open a separate bank account.
d. attend a support group. - ANSWER -develop a safety plan.
a nurse is teaching a client who has epilepsy and a prescription for
valproic acid. the nurse should instruct the client to report which of the
following as an adverse effect of the medication? a. yellow sclera.
b. elevated temperature.
c. bleeding gums.
d. respiratory depression. - ANSWER -yellow sclera
a nurse is caring for a client who is at 13 weeks of gestation and has a
positive gonorrhea culture. which of the following medications should
the nurse plan to administer? a. imiquimod.
b. acyclovir.
c. ceftriaxone.
d. metronidazole. - ANSWER -ceftriaxone
a nurse is assessing a client who is at 24 weeks of gestation during a
monthly antepartum visit. . which of the following manifestations is a
potential prenatal complication and should be reported to the provider?
a. facial swelling.
,b. leukorrhea.
c. periodic numbness of the fingers.
d. pyrosis. - ANSWER -facial swelling
heartburn - ANSWER -pyrosis
a nurse is educating a group of staff nurses about the difference between
non hodgkin's lymphoma and hodgkin's lymphoma. the nurse should
include which of the following statements in the teaching? a. non
hodgkin's involves painful lymph nodes.
b. hodgkin's is the result of a previous bacterial infection.
c. non hodgkin's progresses erratically throughout the lymphatic system.
d. hodgkin's rarely responds to treatment. - ANSWER -non hodgkin's
lymphoma progresses erratically through the lymphatic system.
a nurse is teaching a client who has melanoma about nonsurgical
treatment options. the nurse should include which of the following
options in the teaching? a. brachytherapy
b. topical chemotherapy
c. targeted therapy
d. radiation therapy - ANSWER -targeted therapy
administered for the treatment of prostate cancer, but is ineffective for
the treatment of melanoma. - ANSWER -brachytherapy
administered for the treatment of multiple actinic keratoses or for
widespread superficial basal cell carcinoma. - ANSWER -topical
chemotherapy
,targets specific molecules and interferes with cell division and the
growth and progression of melanoma - ANSWER -targeted therapy
vemurafenib - ANSWER -targeted therapy drugs
administered to treat large, deeply invasive basal cell tumors in clients
who might have a poor surgical outcome. - ANSWER -radiation therapy
a 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?
a. history of gestational diabetes.
b. migraine with aura.
c. history of asthma.
d. renal lithiasis. - ANSWER -migraine with aura because migraines
with neurologic symptoms increase the risk of stroke
a nurse is teaching a client who has a new prescription for sildenafil to
treat erectile dysfunction. which of the following information should the
nurse include in the teaching?
a. use this medication no more than twice per day.
b. expect this medication to cause drowsiness.
c. take this medication 6 hr before sexual activity.
d. monitor for dizziness while on this medication. - ANSWER -monitor
for dizziness while on this medication.
a nurse is teaching a client who has sickle cell anemia about preventing
sickle cell crisis. which of the following information should the nurse
include?
a. avoid going outside when temps are extreme.
, b. limit your intake of fluids to 2.5 liters daily.
c. engage in strenuous physical exercise several times a week.
d. contact your provider if you have a fever that lasts more than 3 days. -
ANSWER -avoid going outside when temps are extreme.
a nurse is caring for a client following a stroke. which of the following
actions should the nurse take to increase the client's cerebral perfusion?
a. elevate the head of the client's bed to 90 degrees.
b. position the client's head in a midline position.
c. place the client in the sim's position.
d. encourage the client to cough deeply. - ANSWER -position the
client's head in a midline position.
a nurse is planning care to decrease the risk of bowel perforation for a
client who is in the acute phase of diverticulitis. which of the following
interventions should the nurse include in the plan? a. avoid use of
opioid analgesics.
b. administer an enema to rest the bowel.
c. provide the client with a high fiber diet.
d. instruct the client to avoid coughing. - ANSWER -instruct the client
to avoid coughing.
a nurse is updating the meal plan for a client who has resolving
diverticulitis and is being advanced to a high fiber diet. the nurse should
recognize that which of the following foods is the best source of fiber?
a. 1 cup green grapes.
b. 1 cup lettuce.
c. one medium banana.
d. one medium cucumber. - ANSWER -one medium banana.
PROCTORED EXAM QUESTIONS AND CORRECT
DETAILED ANSWERWERS)
a nurse is counseling a client who has experienced intimate partner
violence. which of the following instructions is the priority for the
nurse to include in the teaching? a. develop a safety plan.
b. arrange for legal counseling.
c. open a separate bank account.
d. attend a support group. - ANSWER -develop a safety plan.
a nurse is teaching a client who has epilepsy and a prescription for
valproic acid. the nurse should instruct the client to report which of the
following as an adverse effect of the medication? a. yellow sclera.
b. elevated temperature.
c. bleeding gums.
d. respiratory depression. - ANSWER -yellow sclera
a nurse is caring for a client who is at 13 weeks of gestation and has a
positive gonorrhea culture. which of the following medications should
the nurse plan to administer? a. imiquimod.
b. acyclovir.
c. ceftriaxone.
d. metronidazole. - ANSWER -ceftriaxone
a nurse is assessing a client who is at 24 weeks of gestation during a
monthly antepartum visit. . which of the following manifestations is a
potential prenatal complication and should be reported to the provider?
a. facial swelling.
,b. leukorrhea.
c. periodic numbness of the fingers.
d. pyrosis. - ANSWER -facial swelling
heartburn - ANSWER -pyrosis
a nurse is educating a group of staff nurses about the difference between
non hodgkin's lymphoma and hodgkin's lymphoma. the nurse should
include which of the following statements in the teaching? a. non
hodgkin's involves painful lymph nodes.
b. hodgkin's is the result of a previous bacterial infection.
c. non hodgkin's progresses erratically throughout the lymphatic system.
d. hodgkin's rarely responds to treatment. - ANSWER -non hodgkin's
lymphoma progresses erratically through the lymphatic system.
a nurse is teaching a client who has melanoma about nonsurgical
treatment options. the nurse should include which of the following
options in the teaching? a. brachytherapy
b. topical chemotherapy
c. targeted therapy
d. radiation therapy - ANSWER -targeted therapy
administered for the treatment of prostate cancer, but is ineffective for
the treatment of melanoma. - ANSWER -brachytherapy
administered for the treatment of multiple actinic keratoses or for
widespread superficial basal cell carcinoma. - ANSWER -topical
chemotherapy
,targets specific molecules and interferes with cell division and the
growth and progression of melanoma - ANSWER -targeted therapy
vemurafenib - ANSWER -targeted therapy drugs
administered to treat large, deeply invasive basal cell tumors in clients
who might have a poor surgical outcome. - ANSWER -radiation therapy
a 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?
a. history of gestational diabetes.
b. migraine with aura.
c. history of asthma.
d. renal lithiasis. - ANSWER -migraine with aura because migraines
with neurologic symptoms increase the risk of stroke
a nurse is teaching a client who has a new prescription for sildenafil to
treat erectile dysfunction. which of the following information should the
nurse include in the teaching?
a. use this medication no more than twice per day.
b. expect this medication to cause drowsiness.
c. take this medication 6 hr before sexual activity.
d. monitor for dizziness while on this medication. - ANSWER -monitor
for dizziness while on this medication.
a nurse is teaching a client who has sickle cell anemia about preventing
sickle cell crisis. which of the following information should the nurse
include?
a. avoid going outside when temps are extreme.
, b. limit your intake of fluids to 2.5 liters daily.
c. engage in strenuous physical exercise several times a week.
d. contact your provider if you have a fever that lasts more than 3 days. -
ANSWER -avoid going outside when temps are extreme.
a nurse is caring for a client following a stroke. which of the following
actions should the nurse take to increase the client's cerebral perfusion?
a. elevate the head of the client's bed to 90 degrees.
b. position the client's head in a midline position.
c. place the client in the sim's position.
d. encourage the client to cough deeply. - ANSWER -position the
client's head in a midline position.
a nurse is planning care to decrease the risk of bowel perforation for a
client who is in the acute phase of diverticulitis. which of the following
interventions should the nurse include in the plan? a. avoid use of
opioid analgesics.
b. administer an enema to rest the bowel.
c. provide the client with a high fiber diet.
d. instruct the client to avoid coughing. - ANSWER -instruct the client
to avoid coughing.
a nurse is updating the meal plan for a client who has resolving
diverticulitis and is being advanced to a high fiber diet. the nurse should
recognize that which of the following foods is the best source of fiber?
a. 1 cup green grapes.
b. 1 cup lettuce.
c. one medium banana.
d. one medium cucumber. - ANSWER -one medium banana.
