ATI TESTING LEVEL 2
PROCTORED EXAM
QUESTIONS WITH
COMPREHENSIVE
EXPLANATIONS AND
PROFESSIONALLY VERIFIED
ANSWERS FOR EXCELLENT
RESULTS
A nurse is planning care for a client who has chemotherapy-induced anemia and is starting epoetin.
Which of the following interventions should the nurse include in the plan?
Shake the medication vial prior to drawing up the medication.
Withhold epoetin if hemoglobin is less than 9 g/dL.
Initiate contact isolation.
Monitor for hypertension.
Monitor for hypertension.
The nurse should monitor the client's blood pressure while receiving epoetin to identify and treat
hypertension. Hypertension and cardiovascular events, such as myocardial infarction and stroke, are
adverse effects of epoetin.
A nurse is assessing a client who is receiving morphine via a PCA pump to manage postoperative pain.
The client has a heart rate of 66/min and a respiratory rate of 9/min. Which of the following
medications should the nurse anticipate the provider will prescribe for the client?
Naloxone
,Flumazenil
Acetylcysteine
Glucagon
Naloxone
The nurse should expect the provider to prescribe naloxone for the client. Naloxone is an opiate
antagonist that reverses the effects of opioids, such as morphine. Naloxone reverses respiratory
depression and sedation.
A nurse is planning care for a client who had surgery for osteomyelitis from a past musculoskeletal
trauma to the lower leg. Which of the following interventions should the nurse include in the plan of
care?
Position the affected leg flat when sitting up in bed.
Instruct the client to perform weight-bearing activities on the affected leg.
Check for paresthesia of the affected leg.
Apply heat to the surgical incision area of the affected leg.
Check for paresthesia of the affected leg.
The nurse should include in the interventions to check for paresthesia, such as a tingling sensation of the
leg and foot, which can indicate manifestations of neurovascular compromise or compartment
syndrome.
A nurse is teaching a male client who has hypertension about dietary guidelines to help manage his
disorder. Which of the following instructions should the nurse include?
Reduce sodium intake to 1,500 mg/day or less.
Maintain a BMI of 30.
Add high-protein sources, such as beef and pork, to the diet.
Limit alcohol consumption to no more than three drinks per day.
Reduce sodium intake to 1,500 mg/day or less.
The nurse should instruct the client to keep his daily sodium intake below 1,500 mg/day. Reducing
sodium intake can lower both systolic and diastolic blood pressure.
,A nurse is caring for a toddler who sustained a left lower leg fracture in a motor vehicle crash. The
toddler, who has light-pigmented skin, received a cast 24 hr ago. Which of the following assessment
findings from the casted leg should the nurse report to the provider?
The toddler's toes are pink in color.
The toddler's foot swells when dependent.
The toddler's toe movement is limited.
The toddler's capillary refill time is less than 2 second
The toddler's toe movement is limited.
The nurse should assess the toddler's ability to move the toes in the casted extremity. A limited or
restricted ability to move the toes is an indication of neurovascular compromise and should be reported
to the provider immediately because permanent muscle and tissue damage can occur within a short
period of time.
A nurse is assessing a client who has a potassium level of 2.6 mg/dL and is receiving potassium
chloride by continuous IV infusion. Which of the following findings should the nurse identify as an
indication that the potassium infusion has brought the client's potassium level back to the expected
reference range?
The client's ECG shows inverted T waves.
The client's bowel sounds become hyperactive.
The client's hand grasp becomes stronger.
The client's standing systolic BP is within 30 mm Hg of her sitting systolic BP.
The client's hand grasp becomes stronger.
The nurse should identify that hypokalemia can cause a decrease of skeletal muscle strength. An
improvement in the client's hand grasp indicates that the potassium chloride infusion is correcting this
electrolyte imbalance.
A school nurse is teaching an adolescent who has diabetes mellitus about preventing hypoglycemia
during and after baseball practice. Which of the following instructions should the school nurse
include?
"Inject your insulin into the upper thigh on practice days."
"Consume an extra snack before practice."
, "Increase your regular insulin dosage before lunch on practice days."
"Take a glucose tablet with a high-carbohydrate beverage after practice.
"Consume an extra snack before practice."
The nurse should instruct the adolescent to consume an extra snack before practice. This will help to
prevent hypoglycemia because extra food is required when physical activity level is increased.
A nurse is admitting a client who has an acute bacterial wound infection and a temperature of 39.8° C
(103.6° F). Which of the following actions should the nurse take?
Obtain a wound culture 30 min after initiating IV antibiotics.
Place a fan on the lowest setting in the client's room.
Apply a cooling blanket directly on the client's skin.
Set the temperature of the client's room to 22.2° C (72° F).
Set the temperature of the client's room to 22.2° C (72° F).
The nurse should set the temperature of the client's room at 21° C to 27° C (70° F to 80° F). This
promotes a reduction in the client's fever without causing shivering. By combining nonpharmacological
interventions with antipyretics, the nurse can reduce the client's fever.
A nurse is planning care for a client who has pneumonia. Which of the following interventions should
the nurse include in the plan?
Direct the client to perform incentive spirometry every 2 hr.
Titrate oxygen to maintain the client's oxygen saturation level at 90%.
Teach the client how to cough up secretions.
Maintain the client in a low-Fowler's position.
Teach the client how to cough up secretions.
The nurse should instruct the client how to cough and breathe deeply to expel productive secretions
and clear the airway for optimal breathing.
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.
PROCTORED EXAM
QUESTIONS WITH
COMPREHENSIVE
EXPLANATIONS AND
PROFESSIONALLY VERIFIED
ANSWERS FOR EXCELLENT
RESULTS
A nurse is planning care for a client who has chemotherapy-induced anemia and is starting epoetin.
Which of the following interventions should the nurse include in the plan?
Shake the medication vial prior to drawing up the medication.
Withhold epoetin if hemoglobin is less than 9 g/dL.
Initiate contact isolation.
Monitor for hypertension.
Monitor for hypertension.
The nurse should monitor the client's blood pressure while receiving epoetin to identify and treat
hypertension. Hypertension and cardiovascular events, such as myocardial infarction and stroke, are
adverse effects of epoetin.
A nurse is assessing a client who is receiving morphine via a PCA pump to manage postoperative pain.
The client has a heart rate of 66/min and a respiratory rate of 9/min. Which of the following
medications should the nurse anticipate the provider will prescribe for the client?
Naloxone
,Flumazenil
Acetylcysteine
Glucagon
Naloxone
The nurse should expect the provider to prescribe naloxone for the client. Naloxone is an opiate
antagonist that reverses the effects of opioids, such as morphine. Naloxone reverses respiratory
depression and sedation.
A nurse is planning care for a client who had surgery for osteomyelitis from a past musculoskeletal
trauma to the lower leg. Which of the following interventions should the nurse include in the plan of
care?
Position the affected leg flat when sitting up in bed.
Instruct the client to perform weight-bearing activities on the affected leg.
Check for paresthesia of the affected leg.
Apply heat to the surgical incision area of the affected leg.
Check for paresthesia of the affected leg.
The nurse should include in the interventions to check for paresthesia, such as a tingling sensation of the
leg and foot, which can indicate manifestations of neurovascular compromise or compartment
syndrome.
A nurse is teaching a male client who has hypertension about dietary guidelines to help manage his
disorder. Which of the following instructions should the nurse include?
Reduce sodium intake to 1,500 mg/day or less.
Maintain a BMI of 30.
Add high-protein sources, such as beef and pork, to the diet.
Limit alcohol consumption to no more than three drinks per day.
Reduce sodium intake to 1,500 mg/day or less.
The nurse should instruct the client to keep his daily sodium intake below 1,500 mg/day. Reducing
sodium intake can lower both systolic and diastolic blood pressure.
,A nurse is caring for a toddler who sustained a left lower leg fracture in a motor vehicle crash. The
toddler, who has light-pigmented skin, received a cast 24 hr ago. Which of the following assessment
findings from the casted leg should the nurse report to the provider?
The toddler's toes are pink in color.
The toddler's foot swells when dependent.
The toddler's toe movement is limited.
The toddler's capillary refill time is less than 2 second
The toddler's toe movement is limited.
The nurse should assess the toddler's ability to move the toes in the casted extremity. A limited or
restricted ability to move the toes is an indication of neurovascular compromise and should be reported
to the provider immediately because permanent muscle and tissue damage can occur within a short
period of time.
A nurse is assessing a client who has a potassium level of 2.6 mg/dL and is receiving potassium
chloride by continuous IV infusion. Which of the following findings should the nurse identify as an
indication that the potassium infusion has brought the client's potassium level back to the expected
reference range?
The client's ECG shows inverted T waves.
The client's bowel sounds become hyperactive.
The client's hand grasp becomes stronger.
The client's standing systolic BP is within 30 mm Hg of her sitting systolic BP.
The client's hand grasp becomes stronger.
The nurse should identify that hypokalemia can cause a decrease of skeletal muscle strength. An
improvement in the client's hand grasp indicates that the potassium chloride infusion is correcting this
electrolyte imbalance.
A school nurse is teaching an adolescent who has diabetes mellitus about preventing hypoglycemia
during and after baseball practice. Which of the following instructions should the school nurse
include?
"Inject your insulin into the upper thigh on practice days."
"Consume an extra snack before practice."
, "Increase your regular insulin dosage before lunch on practice days."
"Take a glucose tablet with a high-carbohydrate beverage after practice.
"Consume an extra snack before practice."
The nurse should instruct the adolescent to consume an extra snack before practice. This will help to
prevent hypoglycemia because extra food is required when physical activity level is increased.
A nurse is admitting a client who has an acute bacterial wound infection and a temperature of 39.8° C
(103.6° F). Which of the following actions should the nurse take?
Obtain a wound culture 30 min after initiating IV antibiotics.
Place a fan on the lowest setting in the client's room.
Apply a cooling blanket directly on the client's skin.
Set the temperature of the client's room to 22.2° C (72° F).
Set the temperature of the client's room to 22.2° C (72° F).
The nurse should set the temperature of the client's room at 21° C to 27° C (70° F to 80° F). This
promotes a reduction in the client's fever without causing shivering. By combining nonpharmacological
interventions with antipyretics, the nurse can reduce the client's fever.
A nurse is planning care for a client who has pneumonia. Which of the following interventions should
the nurse include in the plan?
Direct the client to perform incentive spirometry every 2 hr.
Titrate oxygen to maintain the client's oxygen saturation level at 90%.
Teach the client how to cough up secretions.
Maintain the client in a low-Fowler's position.
Teach the client how to cough up secretions.
The nurse should instruct the client how to cough and breathe deeply to expel productive secretions
and clear the airway for optimal breathing.
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.
