ATI Testing Level 2 Proctored Exam Complete Pack (Passed Guaranteed)
A community health nurse is teaching a group of older adult clients about interventions to
prevent pneumonia. Which of the following instructions should the nurse include in the
teaching?
"Obtain a pneumococcal vaccination every 2 years."
"Contact your provider if you have a fever that lasts 18 hours."
"Wash your hands when you return home from running errands."
"Avoid exposure to cold air by shopping inside enclosed malls." - ✔✔✔-"Wash your hands
when you return home from running errands."
The nurse should instruct clients that handwashing is one way to avoid organisms that can
cause pneumonia. Handwashing after using the restroom or being in public areas can minimize
the risk of developing pneumonia.
A hospice nurse is caring for a preschooler who has a terminal illness. One of the child's parents
tells the nurse that it is too difficult to cope any longer and has decided to move out of the
house. Which of the following responses should the nurse make?
"Let's talk about a few ways you have dealt with stress in the past."
"I believe that you will regret that decision. Your family needs your support."
"I agree that you have to do what is best for your well-being at this time."
"I think you should try to put your feelings aside and focus solely on your child." - ✔✔✔-"Let's
talk about a few ways you have dealt with stress in the past."
,ATI Testing Level 2 Proctored Exam Complete Pack (Passed Guaranteed)
This statement by the nurse combines two therapeutic responses, active listening and focusing.
Used together, these techniques facilitate communication by letting the parent know one's
feelings are heard and taken seriously, which conveys acceptance and respect. Therefore, the
parent feels the nurse validates the concerns and becomes comfortable asking the nurse
sensitive questions about the child.
A nurse has arrived at the site of an accident where a client has sustained a traumatic
amputation of the big toe. Identify the sequence of steps the nurse should take to treat the
musculoskeletal trauma. (Move the steps into the box on the right, placing them in the order of
performance. Use all the steps.) - ✔✔✔-The nurse should first call 911 and examine the
amputation site. Next, the nurse should apply direct pressure with layers of dry cloth to slow or
stop the bleeding. Then, the nurse should elevate the affected extremity above the client's
heart to slow the bleeding. Next, the nurse should find the toe and wrap it in sterile gauze or a
clean cloth to decrease contamination for possible surgical reattachment. Finally, the nurse
should place the wrapped toe in a bag and place the bag in 1 part ice and 3 parts water to
maintain tissue integrity for possible reattachment.
A nurse in a provider's office is assessing a preschooler who has developed contact dermatitis
following exposure to poison ivy. Which of the following statements should the nurse make to
the child's parent regarding disease management?
"Wash your child's exposed clothing in cold water using powder detergent."
"Keep your child away from other children for 10 days after lesions
appear."
"Scrub your child's affected areas with an antibacterial soap every other day."
"Place your child in an oatmeal bath using tepid water for 15 minutes." - ✔✔✔-"Place your
child in an oatmeal bath using tepid water for 15 minutes."
,ATI Testing Level 2 Proctored Exam Complete Pack (Passed Guaranteed)
The nurse should instruct the parent that tepid baths containing oatmeal or mineral oil can
decrease itching and evenly disperse the antipruritic solution. The parent should not place the
child in a hot bath as this can aggravate the child's condition and increase itching.
A nurse in a provider's office is completing a preoperative screening for a client who is
scheduled for a knee arthroplasty later that week. Which of the following findings requires the
nurse's intervention? (Click on the exhibit button for additional information about the client.
There are three tabs that contain separate categories of data.) - ✔✔✔-Coagulation time
The nurse should report the client's coagulation time, or INR, to the provider immediately
because it is above the expected reference range, which predisposes the client to intraoperative
and/or postoperative hemorrhage. The nurse should expect the provider to postpone the joint
arthroplasty until the client's clotting time is within the expected reference range.
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 - ✔✔✔-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).
, ATI Testing Level 2 Proctored Exam Complete Pack (Passed Guaranteed)
A nurse in an emergency department is assessing a client who has type 1 diabetes mellitus.
Which of the following findings should the nurse identify as an indication that the client has
diabetic ketoacidosis?
Seizure activity
Nervousness
Blood glucose 396 mg/dL
Serum pH 7.52 - ✔✔✔-Blood glucose 396 mg/dL
A client who has diabetic ketoacidosis will have a blood glucose level above 300 mg/dL
A nurse in an emergency department is assessing a client who is experiencing mild
hypothermia. Which of the following manifestations should the nurse expect?
Stupor
Decreased pulse
Slurred speech
Dysrhythmias - ✔✔✔-Slurred speech
The nurse should expect a client who is experiencing mild hypothermia to exhibit
manifestations such as slurred speech, shivering, decreased coordination, and diuresis.
A community health nurse is teaching a group of older adult clients about interventions to
prevent pneumonia. Which of the following instructions should the nurse include in the
teaching?
"Obtain a pneumococcal vaccination every 2 years."
"Contact your provider if you have a fever that lasts 18 hours."
"Wash your hands when you return home from running errands."
"Avoid exposure to cold air by shopping inside enclosed malls." - ✔✔✔-"Wash your hands
when you return home from running errands."
The nurse should instruct clients that handwashing is one way to avoid organisms that can
cause pneumonia. Handwashing after using the restroom or being in public areas can minimize
the risk of developing pneumonia.
A hospice nurse is caring for a preschooler who has a terminal illness. One of the child's parents
tells the nurse that it is too difficult to cope any longer and has decided to move out of the
house. Which of the following responses should the nurse make?
"Let's talk about a few ways you have dealt with stress in the past."
"I believe that you will regret that decision. Your family needs your support."
"I agree that you have to do what is best for your well-being at this time."
"I think you should try to put your feelings aside and focus solely on your child." - ✔✔✔-"Let's
talk about a few ways you have dealt with stress in the past."
,ATI Testing Level 2 Proctored Exam Complete Pack (Passed Guaranteed)
This statement by the nurse combines two therapeutic responses, active listening and focusing.
Used together, these techniques facilitate communication by letting the parent know one's
feelings are heard and taken seriously, which conveys acceptance and respect. Therefore, the
parent feels the nurse validates the concerns and becomes comfortable asking the nurse
sensitive questions about the child.
A nurse has arrived at the site of an accident where a client has sustained a traumatic
amputation of the big toe. Identify the sequence of steps the nurse should take to treat the
musculoskeletal trauma. (Move the steps into the box on the right, placing them in the order of
performance. Use all the steps.) - ✔✔✔-The nurse should first call 911 and examine the
amputation site. Next, the nurse should apply direct pressure with layers of dry cloth to slow or
stop the bleeding. Then, the nurse should elevate the affected extremity above the client's
heart to slow the bleeding. Next, the nurse should find the toe and wrap it in sterile gauze or a
clean cloth to decrease contamination for possible surgical reattachment. Finally, the nurse
should place the wrapped toe in a bag and place the bag in 1 part ice and 3 parts water to
maintain tissue integrity for possible reattachment.
A nurse in a provider's office is assessing a preschooler who has developed contact dermatitis
following exposure to poison ivy. Which of the following statements should the nurse make to
the child's parent regarding disease management?
"Wash your child's exposed clothing in cold water using powder detergent."
"Keep your child away from other children for 10 days after lesions
appear."
"Scrub your child's affected areas with an antibacterial soap every other day."
"Place your child in an oatmeal bath using tepid water for 15 minutes." - ✔✔✔-"Place your
child in an oatmeal bath using tepid water for 15 minutes."
,ATI Testing Level 2 Proctored Exam Complete Pack (Passed Guaranteed)
The nurse should instruct the parent that tepid baths containing oatmeal or mineral oil can
decrease itching and evenly disperse the antipruritic solution. The parent should not place the
child in a hot bath as this can aggravate the child's condition and increase itching.
A nurse in a provider's office is completing a preoperative screening for a client who is
scheduled for a knee arthroplasty later that week. Which of the following findings requires the
nurse's intervention? (Click on the exhibit button for additional information about the client.
There are three tabs that contain separate categories of data.) - ✔✔✔-Coagulation time
The nurse should report the client's coagulation time, or INR, to the provider immediately
because it is above the expected reference range, which predisposes the client to intraoperative
and/or postoperative hemorrhage. The nurse should expect the provider to postpone the joint
arthroplasty until the client's clotting time is within the expected reference range.
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 - ✔✔✔-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).
, ATI Testing Level 2 Proctored Exam Complete Pack (Passed Guaranteed)
A nurse in an emergency department is assessing a client who has type 1 diabetes mellitus.
Which of the following findings should the nurse identify as an indication that the client has
diabetic ketoacidosis?
Seizure activity
Nervousness
Blood glucose 396 mg/dL
Serum pH 7.52 - ✔✔✔-Blood glucose 396 mg/dL
A client who has diabetic ketoacidosis will have a blood glucose level above 300 mg/dL
A nurse in an emergency department is assessing a client who is experiencing mild
hypothermia. Which of the following manifestations should the nurse expect?
Stupor
Decreased pulse
Slurred speech
Dysrhythmias - ✔✔✔-Slurred speech
The nurse should expect a client who is experiencing mild hypothermia to exhibit
manifestations such as slurred speech, shivering, decreased coordination, and diuresis.
