ATI testing level 2 proctored exam
(Latest Update ) Questions
with 100% Correct Verified Answers
[Grade A]- Chamberlain
A nurse is assessing a client who has appendicitis. Which of the following findings
should the nurse report to the provider immediately?
WBC 16,000/mm³
Board-like abdomen
Nausea and vomiting
Temperature of 38° C (100.4° F) - correct answer Board-like abdomen
When using the urgent vs. nonurgent approach to client care, the nurse should
identify that a board-like abdomen is the priority finding indicating peritonitis. The
nurse should notify the provider immediately.
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?
Drink tomato juice with the breakfast meal.
Suck on peppermint when having indigestion.
,Elevate the head of the bed 10 cm (4 in) using wooden blocks.
Plan to finish eating at least 3 hr before bedtime. - correct answer Plan to finish
eating at least 3 hr before bedtime.
The nurse should encourage the client not to eat anything at least 3 hr before
bedtime to prevent reflux.
A nurse is teaching a client who has a deep-vein thrombosis about a new prescription
for warfarin. Which of the following client statements indicates an understanding of
the teaching?
"I will stop taking the medication immediately if I experience nausea."
"I should contact my provider if I notice a pink-tinged color to my urine."
"I will increase my dietary intake of spinach."
"I will not be able to use an electric razor while I am taking this medication." - correct
answer "I should contact my provider if I notice a pink-tinged color to my urine."
The nurse should instruct the client to monitor for blood in the urine. The client
should report a pink-tinged urine color to the provider.
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?
Negative nitrites
RBCs < 2
Positive leukocyte esterase
Amber-colored urine - correct answer Positive leukocyte esterase
,The nurse should identify that a positive leukocyte esterase test is an indication of the
presence of WBCs in the urine and the presence of continued infection.
A nurse is assessing a client for manifestations of grief after having a colostomy for
removal of colon cancer. Which of the following findings indicates to the nurse that
the client has accepted the loss?
Becomes angry when it is time to perform colostomy care
Touches the colostomy stoma when the bag is changed
Looks away as the nurse empties the colostomy bag
Tells others that it will be nice to have a normal bowel movement again - correct
answer Touches the colostomy stoma when the bag is changed
The client touching the colostomy stoma when the bag is changed should indicate to
the nurse that the client is accepting and coping with the alteration of body image
and has gone through the stages of grief.
A nurse is assessing a school-age child who has appendicitis with possible
perforation. Which of the following findings should the nurse identify as a
manifestation of peritonitis?
Abdominal distention
Bradycardia
Hyperactive bowel sounds
Slow, deep breathing - correct answer Abdominal distention
The nurse should identify that peritonitis is an inflammation of the lining of the
abdominal wall. This inflammation, along with the ileus that develops, causes
, abdominal distention; therefore, the nurse should identify this as a manifestation of
peritonitis.
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?
Melena stools
Hemoglobin 7.6 mg/dL
Weight gain of 1.4 kg (3 lb) in 2 weeks
Dyspepsia during the day - correct answer Hemoglobin 7.6 mg/dL
When using the urgent vs. nonurgent approach to client care, the nurse should
determine that the priority finding to report to the provider is the hemoglobin below
the expected reference range, which in an indication of a peptic ulcer that is
chronically bleeding.
A nurse in an emergency department is assessing a client who has hyperthermia.
Which of the following findings should the nurse identify as an indication that the
client has heat exhaustion?
Hallucinations
Vomiting
Bradycardia
Seizures - correct answer Vomiting
The nurse should identify that heat exhaustion is usually the result of excess
sweating, leading to dehydration. Manifestations include nausea, vomiting, headache,
dizziness, fainting, and a temperature typically between 38.3º C and 38.9º C (101º F
and 102º F).
(Latest Update ) Questions
with 100% Correct Verified Answers
[Grade A]- Chamberlain
A nurse is assessing a client who has appendicitis. Which of the following findings
should the nurse report to the provider immediately?
WBC 16,000/mm³
Board-like abdomen
Nausea and vomiting
Temperature of 38° C (100.4° F) - correct answer Board-like abdomen
When using the urgent vs. nonurgent approach to client care, the nurse should
identify that a board-like abdomen is the priority finding indicating peritonitis. The
nurse should notify the provider immediately.
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?
Drink tomato juice with the breakfast meal.
Suck on peppermint when having indigestion.
,Elevate the head of the bed 10 cm (4 in) using wooden blocks.
Plan to finish eating at least 3 hr before bedtime. - correct answer Plan to finish
eating at least 3 hr before bedtime.
The nurse should encourage the client not to eat anything at least 3 hr before
bedtime to prevent reflux.
A nurse is teaching a client who has a deep-vein thrombosis about a new prescription
for warfarin. Which of the following client statements indicates an understanding of
the teaching?
"I will stop taking the medication immediately if I experience nausea."
"I should contact my provider if I notice a pink-tinged color to my urine."
"I will increase my dietary intake of spinach."
"I will not be able to use an electric razor while I am taking this medication." - correct
answer "I should contact my provider if I notice a pink-tinged color to my urine."
The nurse should instruct the client to monitor for blood in the urine. The client
should report a pink-tinged urine color to the provider.
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?
Negative nitrites
RBCs < 2
Positive leukocyte esterase
Amber-colored urine - correct answer Positive leukocyte esterase
,The nurse should identify that a positive leukocyte esterase test is an indication of the
presence of WBCs in the urine and the presence of continued infection.
A nurse is assessing a client for manifestations of grief after having a colostomy for
removal of colon cancer. Which of the following findings indicates to the nurse that
the client has accepted the loss?
Becomes angry when it is time to perform colostomy care
Touches the colostomy stoma when the bag is changed
Looks away as the nurse empties the colostomy bag
Tells others that it will be nice to have a normal bowel movement again - correct
answer Touches the colostomy stoma when the bag is changed
The client touching the colostomy stoma when the bag is changed should indicate to
the nurse that the client is accepting and coping with the alteration of body image
and has gone through the stages of grief.
A nurse is assessing a school-age child who has appendicitis with possible
perforation. Which of the following findings should the nurse identify as a
manifestation of peritonitis?
Abdominal distention
Bradycardia
Hyperactive bowel sounds
Slow, deep breathing - correct answer Abdominal distention
The nurse should identify that peritonitis is an inflammation of the lining of the
abdominal wall. This inflammation, along with the ileus that develops, causes
, abdominal distention; therefore, the nurse should identify this as a manifestation of
peritonitis.
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?
Melena stools
Hemoglobin 7.6 mg/dL
Weight gain of 1.4 kg (3 lb) in 2 weeks
Dyspepsia during the day - correct answer Hemoglobin 7.6 mg/dL
When using the urgent vs. nonurgent approach to client care, the nurse should
determine that the priority finding to report to the provider is the hemoglobin below
the expected reference range, which in an indication of a peptic ulcer that is
chronically bleeding.
A nurse in an emergency department is assessing a client who has hyperthermia.
Which of the following findings should the nurse identify as an indication that the
client has heat exhaustion?
Hallucinations
Vomiting
Bradycardia
Seizures - correct answer Vomiting
The nurse should identify that heat exhaustion is usually the result of excess
sweating, leading to dehydration. Manifestations include nausea, vomiting, headache,
dizziness, fainting, and a temperature typically between 38.3º C and 38.9º C (101º F
and 102º F).
