ATI TESTING LEVEL 2 PROCTORED EXAM |
QUESTIONS AND ANSWERS | LATEST EXAM
1. 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.: 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.
2. A nurse is providing postoperative education for a client following a la-
paroscopic 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.": "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.
,3. A nurse is planning care to prevent hospital-acquired methicillin-resistant
Staphylococcus aureus (MRSA) infection for a client who is immunocom-
promised. 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: 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.
4. 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?: 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.
5. A nurse is assessing a client who has Graves' disease. Which of the follow-
QUESTIONS AND ANSWERS | LATEST EXAM
1. 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.: 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.
2. A nurse is providing postoperative education for a client following a la-
paroscopic 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.": "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.
,3. A nurse is planning care to prevent hospital-acquired methicillin-resistant
Staphylococcus aureus (MRSA) infection for a client who is immunocom-
promised. 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: 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.
4. 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?: 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.
5. A nurse is assessing a client who has Graves' disease. Which of the follow-