ATI LEVEL 2: EXAM A QUESTIONS WITH 100% ACCURATE
SOLUTIONS
1) A nurse is caring for a client who has generalized anxiety disorder and is
experiencing a mild level of anxiety. Which of the following manifestations should
the nurse expect?
A) Chest pain
B) Hallucinations
C) Feels unreal
D) Follows directions -- Correct Answer ✔✔ D. Follows directions
2) A nurse on a mental health unit is developing a plan of care for a client who is
experiencing a panic level of anxiety. Which of the following actions should the
nurse identify as a priority?
A) Reduce environmental stimulation.
B) Protect the client from harm.
C) Administer an anxiolytic.
D) Encourage physical exercise. -- Correct Answer ✔✔ B. Protect the
client from harm.
3) A nurse is providing home care instructions to a client who had a short-arm
plaster cast applied for a wrist fracture. Which of the following instructions
should the nurse include?
A) Apply heat for the first 48 hr.
, B) Wear a sling when resting in bed.
C) Elevate the wrist above heart level.
D) Use a soft-bristle toothbrush to relieve itching under the cast. --
Correct Answer ✔✔ C. Elevate the wrist above heart level.
4) A nurse is caring for a middle adult female client who has atrial fibrillation and is
taking warfarin. The nurse should recognize which of the following as an adverse
effect of the medication and notify the provider?
A) Clay-colored stools
B) Increased menstrual flow
C) Overgrowth of gingival tissue
D) Dry, non-productive cough -- Correct Answer ✔✔ B. Increased
menstrual flow
5) A nurse is planning care for a client who is postoperative and has developed left
lower leg deep-vein thrombosis. Which of the following interventions should the
nurse include in the plan of care?
A) Initiate complete bed rest.
B) Massage the left lower leg three times a day.
C) Make sure the client's legs are elevated while in bed.
D) Apply cold compresses to the left lower leg every 2 hr. -- Correct
Answer ✔✔ C. Make sure the client's legs are elevated while in bed.
6) A nurse is providing discharge planning for a client who has gestational diabetes.
Which of the following interventions should the nurse identify as a priority?
A) Determine the client's knowledge regarding gestational diabetes.
B) Explain the effects of gestational diabetes on the pregnancy and fetus
with the client.
C) Discuss dietary meal plans for gestational diabetes with the client.
D) Tell the client about manifestations of hypoglycemia. -- Correct
Answer ✔✔ A. Determine the client's knowledge regarding gestational
diabetes.
, 7) A nurse is assessing a client who reports vision impairment and is diagnosed with
primary open-angle glaucoma (POAG). Which of the following findings should the
nurse expect?
A) Progressive loss of peripheral vision
B) Opacity of the lens of the client's eye
C) Impaired central vision
D) Report of seeing floating dark spots -- Correct Answer ✔✔ A.
Progressive loss of peripheral vision
8) 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?
A) Hallucinations
B) Vomiting
C) Bradycardia
D) Seizures -- Correct Answer ✔✔ B. Vomiting
9) A nurse is developing an in-service for a group of coworkers about adolescents'
reactions to death. Which of the following information should the nurse include
when discussion an adolescent's response to death?
A) Adolescents cope with death better than children of other ages.
B) Adolescents view funeral services as an opportunity for closure.
C) Adolescents are more concerned with the past than the present or
future.
D) Adolescents often alienate themselves from their peers when grieving.
-- Correct Answer ✔✔ D. Adolescents often alienate themselves from
their peers when grieving
10) A nurse is providing teaching to a client who is experiencing malabsorption
related to lactose intolerance. Which of the following foods should the nurse
recommend to the client as the best nondairy source of calcium?
A) Ground beef
B) Collard greens
C) Cauliflower
D) Walnuts -- Correct Answer ✔✔ B. Collard greens
SOLUTIONS
1) A nurse is caring for a client who has generalized anxiety disorder and is
experiencing a mild level of anxiety. Which of the following manifestations should
the nurse expect?
A) Chest pain
B) Hallucinations
C) Feels unreal
D) Follows directions -- Correct Answer ✔✔ D. Follows directions
2) A nurse on a mental health unit is developing a plan of care for a client who is
experiencing a panic level of anxiety. Which of the following actions should the
nurse identify as a priority?
A) Reduce environmental stimulation.
B) Protect the client from harm.
C) Administer an anxiolytic.
D) Encourage physical exercise. -- Correct Answer ✔✔ B. Protect the
client from harm.
3) A nurse is providing home care instructions to a client who had a short-arm
plaster cast applied for a wrist fracture. Which of the following instructions
should the nurse include?
A) Apply heat for the first 48 hr.
, B) Wear a sling when resting in bed.
C) Elevate the wrist above heart level.
D) Use a soft-bristle toothbrush to relieve itching under the cast. --
Correct Answer ✔✔ C. Elevate the wrist above heart level.
4) A nurse is caring for a middle adult female client who has atrial fibrillation and is
taking warfarin. The nurse should recognize which of the following as an adverse
effect of the medication and notify the provider?
A) Clay-colored stools
B) Increased menstrual flow
C) Overgrowth of gingival tissue
D) Dry, non-productive cough -- Correct Answer ✔✔ B. Increased
menstrual flow
5) A nurse is planning care for a client who is postoperative and has developed left
lower leg deep-vein thrombosis. Which of the following interventions should the
nurse include in the plan of care?
A) Initiate complete bed rest.
B) Massage the left lower leg three times a day.
C) Make sure the client's legs are elevated while in bed.
D) Apply cold compresses to the left lower leg every 2 hr. -- Correct
Answer ✔✔ C. Make sure the client's legs are elevated while in bed.
6) A nurse is providing discharge planning for a client who has gestational diabetes.
Which of the following interventions should the nurse identify as a priority?
A) Determine the client's knowledge regarding gestational diabetes.
B) Explain the effects of gestational diabetes on the pregnancy and fetus
with the client.
C) Discuss dietary meal plans for gestational diabetes with the client.
D) Tell the client about manifestations of hypoglycemia. -- Correct
Answer ✔✔ A. Determine the client's knowledge regarding gestational
diabetes.
, 7) A nurse is assessing a client who reports vision impairment and is diagnosed with
primary open-angle glaucoma (POAG). Which of the following findings should the
nurse expect?
A) Progressive loss of peripheral vision
B) Opacity of the lens of the client's eye
C) Impaired central vision
D) Report of seeing floating dark spots -- Correct Answer ✔✔ A.
Progressive loss of peripheral vision
8) 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?
A) Hallucinations
B) Vomiting
C) Bradycardia
D) Seizures -- Correct Answer ✔✔ B. Vomiting
9) A nurse is developing an in-service for a group of coworkers about adolescents'
reactions to death. Which of the following information should the nurse include
when discussion an adolescent's response to death?
A) Adolescents cope with death better than children of other ages.
B) Adolescents view funeral services as an opportunity for closure.
C) Adolescents are more concerned with the past than the present or
future.
D) Adolescents often alienate themselves from their peers when grieving.
-- Correct Answer ✔✔ D. Adolescents often alienate themselves from
their peers when grieving
10) A nurse is providing teaching to a client who is experiencing malabsorption
related to lactose intolerance. Which of the following foods should the nurse
recommend to the client as the best nondairy source of calcium?
A) Ground beef
B) Collard greens
C) Cauliflower
D) Walnuts -- Correct Answer ✔✔ B. Collard greens
