ATI testing level 2 Proctored exam Questions
and Answers| Latest Update
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 elimination 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."
"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
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?
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
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."
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."
"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)
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.
and Answers| Latest Update
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 elimination 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."
"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
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?
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
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."
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."
"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)
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.
