ATI Level 2 Proctored Exam 2025 – Complete
Study Guide & Key Concepts
A nurse is planning care for a client who has renal calculi. Which of the following interventions should
the nurse include to promote elimination of the calculi?
Maintain bedrest until calculi are expelled.
Withhold thiazide diuretics.
Encourage intake of at least 3 L of fluid each day.
Collect all urine for 24 hr in a collection container. - ANSWER ✨✔---Encourage intake of at least 3 L
of fluid each day.
The nurse should encourage the client to consume at least 3 L of fluid each day. Increased fluid intake
increases urine production, promotes eliminiation of calculi, and helps prevent recurrence.
A nurse is providing postoperative education for a client following a laparoscopic cholecystectomy for
cholelithiasis. Which of the following client statements indicates an understanding of the teaching?
"The adhesive bandages on my incision will fall off as the incision heals."
,"I will be able to take a shower in 1 week."
"I will need to follow a liquid diet for the first 3 days after surgery."
"I can begin to resume my normal activity level in 2 weeks." - ANSWER ✨✔---"The adhesive
bandages on my incision will fall off as the incision heals."
The nurse should instruct the client that the small adhesive bandages will lose their adhesiveness in 7 to
10 days. The client can then remove the bandages or allow the bandages to fall off over time as the
incision heals.
A nurse is planning care to prevent hospital-acquired methicillin-resistant Staphylococcus aureus (MRSA)
infection for a client who is immunocompromised. Which of the following interventions should the
nurse include to prevent this antibiotic-resistant infection?
Initiate contact precautions for this client.
Bathe the client with chlorhexidine wipes.
Administer ceftaroline to the client as a prophylactic measure.
Avoid using alcohol-based hand sanitizers after caring for the client - ANSWER ✨✔---Bathe the
client with chlorhexidine wipes.
The nurse should bathe a client who is immunocompromised with chlorhexidine wipes to decrease the
risk of contracting hospital-acquired MRSA.
A nurse is assessing a client who has developed type 1 herpes simplex virus. Which of the following
images should the nurse identify as this type of viral infection? - ANSWER ✨✔---Picture of lips.
Herpes simplex virus infection is a common viral infection in adults. The nurse should identify that this
image indicates the type 1 herpes simplex viral infection because the infection causes a recurring cold
sore.
,A nurse is assessing a client who has Graves' disease. Which of the following findings should the nurse
expect?
Somnolence
Cold intolerance
Exophthalmos
Dry, scaly skin - ANSWER ✨✔---Exophthalmos
The nurse should expect a client who has Graves' disease, an autoimmune form of hyperthyroidism, to
experience exophthalmos, which is protrusion of the eyeballs.
A nurse is teaching an older adult client who has peripheral neuropathy about a new prescription for
duloxetine. Which of the following client statements indicates an understanding of the teaching?
"It might take several weeks to notice an improvement in my symptoms."
"I will need to take this medication on an empty stomach."
"I should take a daily ibuprofen for generalized aches."
"I will need to decrease my dietary sodium intake while taking this medication." - ANSWER ✨✔---It
might take several weeks to notice an improvement in my symptoms."
The nurse should instruct the client that duloxetine can take several weeks to be effective. This
medication is an antidepressant that reduces the discomfort of peripheral neuropathy.
, A nurse is teaching a client who has scabies about a new prescription for lindane lotion. Which of the
following client statements indicates an understanding of the treatment for this parasitic infection?
"I will apply the lotion once a day for 1 week."
"I will rub in the lotion thoroughly from my face to my toes."
"I will wash the lotion off 12 hours after I apply it."
"I should avoid bathing for 6 hours prior to applying the lotion." - ANSWER ✨✔---"I will wash the
lotion off 12 hours after I apply it."
The nurse should instruct the client to apply the lotion and leave it in place for 8 to 12 hr and then
remove it by washing it off.
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) - 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?
Study Guide & Key Concepts
A nurse is planning care for a client who has renal calculi. Which of the following interventions should
the nurse include to promote elimination of the calculi?
Maintain bedrest until calculi are expelled.
Withhold thiazide diuretics.
Encourage intake of at least 3 L of fluid each day.
Collect all urine for 24 hr in a collection container. - ANSWER ✨✔---Encourage intake of at least 3 L
of fluid each day.
The nurse should encourage the client to consume at least 3 L of fluid each day. Increased fluid intake
increases urine production, promotes eliminiation of calculi, and helps prevent recurrence.
A nurse is providing postoperative education for a client following a laparoscopic cholecystectomy for
cholelithiasis. Which of the following client statements indicates an understanding of the teaching?
"The adhesive bandages on my incision will fall off as the incision heals."
,"I will be able to take a shower in 1 week."
"I will need to follow a liquid diet for the first 3 days after surgery."
"I can begin to resume my normal activity level in 2 weeks." - ANSWER ✨✔---"The adhesive
bandages on my incision will fall off as the incision heals."
The nurse should instruct the client that the small adhesive bandages will lose their adhesiveness in 7 to
10 days. The client can then remove the bandages or allow the bandages to fall off over time as the
incision heals.
A nurse is planning care to prevent hospital-acquired methicillin-resistant Staphylococcus aureus (MRSA)
infection for a client who is immunocompromised. Which of the following interventions should the
nurse include to prevent this antibiotic-resistant infection?
Initiate contact precautions for this client.
Bathe the client with chlorhexidine wipes.
Administer ceftaroline to the client as a prophylactic measure.
Avoid using alcohol-based hand sanitizers after caring for the client - ANSWER ✨✔---Bathe the
client with chlorhexidine wipes.
The nurse should bathe a client who is immunocompromised with chlorhexidine wipes to decrease the
risk of contracting hospital-acquired MRSA.
A nurse is assessing a client who has developed type 1 herpes simplex virus. Which of the following
images should the nurse identify as this type of viral infection? - ANSWER ✨✔---Picture of lips.
Herpes simplex virus infection is a common viral infection in adults. The nurse should identify that this
image indicates the type 1 herpes simplex viral infection because the infection causes a recurring cold
sore.
,A nurse is assessing a client who has Graves' disease. Which of the following findings should the nurse
expect?
Somnolence
Cold intolerance
Exophthalmos
Dry, scaly skin - ANSWER ✨✔---Exophthalmos
The nurse should expect a client who has Graves' disease, an autoimmune form of hyperthyroidism, to
experience exophthalmos, which is protrusion of the eyeballs.
A nurse is teaching an older adult client who has peripheral neuropathy about a new prescription for
duloxetine. Which of the following client statements indicates an understanding of the teaching?
"It might take several weeks to notice an improvement in my symptoms."
"I will need to take this medication on an empty stomach."
"I should take a daily ibuprofen for generalized aches."
"I will need to decrease my dietary sodium intake while taking this medication." - ANSWER ✨✔---It
might take several weeks to notice an improvement in my symptoms."
The nurse should instruct the client that duloxetine can take several weeks to be effective. This
medication is an antidepressant that reduces the discomfort of peripheral neuropathy.
, A nurse is teaching a client who has scabies about a new prescription for lindane lotion. Which of the
following client statements indicates an understanding of the treatment for this parasitic infection?
"I will apply the lotion once a day for 1 week."
"I will rub in the lotion thoroughly from my face to my toes."
"I will wash the lotion off 12 hours after I apply it."
"I should avoid bathing for 6 hours prior to applying the lotion." - ANSWER ✨✔---"I will wash the
lotion off 12 hours after I apply it."
The nurse should instruct the client to apply the lotion and leave it in place for 8 to 12 hr and then
remove it by washing it off.
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) - 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?
