ATI practical set TWO
[question & correct
choices]2025
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?
Peripheral edema
Minimal vomiting
Intermittent cramping in the lower abdomen
Visible peristaltic waves in the upper abdomen - ANSWERS-Visible peristaltic waves in the upper
abdomen
The nurse should identify that visible peristaltic waves in the upper and middle abdomen are a
manifestation of a small-bowel obstruction. The client might also have abdominal discomfort or
pain.
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?
,Circumoral tingling
Hypoactive reflexes
Fatigue
Anorexia - ANSWERS-Circumoral tingling
The nurse should identify that hypocalcemia causes paresthesias, which is circumoral numbness
and tingling of the fingers, toes, and around the mouth.
A nurse is teaching a client who has type 1 diabetes mellitus about actions to take when having
manifestations of hypoglycemia with a glucometer reading between 40 and 60 mg/dL. Which of
the following instructions should the nurse include?
Self-administer 1 mg of glucagon subcutaneously.
Self-administer 20 units of regular insulin.
Drink 120 mL (4 oz) of skim milk.
Drink 120 mL (4 oz) of fruit juice. - ANSWERS-Drink 120 mL (4 oz) of fruit juice.
The nurse should instruct the client to drink 120 mL (4 oz) of fruit juice, which will provide 10 to
15 g of carbohydrates to treat the hypoglycemia.
, A nurse is teaching a client who has asthma how to use a peak flow meter. Which of the
following statements should the nurse identify as an indication the client understands the
teaching?
"I will blow out as hard as I can before I use the peak flow meter."
"I will not take my controller medication if my peak flow meter scores in the yellow zone."
"I will base my peak flow meter score on the best of three attempts."
"I will go to the emergency room if my peak flow meter is in the green zone." - ANSWERS-"I will
base my peak flow meter score on the best of three attempts."
The client's peak flow rate should be based on the best of three trials of the peak flow meter.
The client should record this finding and share it with the provider on the next visit.
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? (Select all
that apply.)
Avoid sun exposure.
Increase dairy product intake.
Engage in weight-bearing exercises regularly.
Increase phosphate intake.
Reduce excessive caffeine intake. - ANSWERS-Increase dairy product intake is correct.
[question & correct
choices]2025
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?
Peripheral edema
Minimal vomiting
Intermittent cramping in the lower abdomen
Visible peristaltic waves in the upper abdomen - ANSWERS-Visible peristaltic waves in the upper
abdomen
The nurse should identify that visible peristaltic waves in the upper and middle abdomen are a
manifestation of a small-bowel obstruction. The client might also have abdominal discomfort or
pain.
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?
,Circumoral tingling
Hypoactive reflexes
Fatigue
Anorexia - ANSWERS-Circumoral tingling
The nurse should identify that hypocalcemia causes paresthesias, which is circumoral numbness
and tingling of the fingers, toes, and around the mouth.
A nurse is teaching a client who has type 1 diabetes mellitus about actions to take when having
manifestations of hypoglycemia with a glucometer reading between 40 and 60 mg/dL. Which of
the following instructions should the nurse include?
Self-administer 1 mg of glucagon subcutaneously.
Self-administer 20 units of regular insulin.
Drink 120 mL (4 oz) of skim milk.
Drink 120 mL (4 oz) of fruit juice. - ANSWERS-Drink 120 mL (4 oz) of fruit juice.
The nurse should instruct the client to drink 120 mL (4 oz) of fruit juice, which will provide 10 to
15 g of carbohydrates to treat the hypoglycemia.
, A nurse is teaching a client who has asthma how to use a peak flow meter. Which of the
following statements should the nurse identify as an indication the client understands the
teaching?
"I will blow out as hard as I can before I use the peak flow meter."
"I will not take my controller medication if my peak flow meter scores in the yellow zone."
"I will base my peak flow meter score on the best of three attempts."
"I will go to the emergency room if my peak flow meter is in the green zone." - ANSWERS-"I will
base my peak flow meter score on the best of three attempts."
The client's peak flow rate should be based on the best of three trials of the peak flow meter.
The client should record this finding and share it with the provider on the next visit.
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? (Select all
that apply.)
Avoid sun exposure.
Increase dairy product intake.
Engage in weight-bearing exercises regularly.
Increase phosphate intake.
Reduce excessive caffeine intake. - ANSWERS-Increase dairy product intake is correct.
