RN ATI CONCEPT-BASED ASSESSMENT LEVEL 3,ONLINE
PRACTICE FORM A & B |TEST BANK| 2023 UPDATE
a nurse in a mental health clinic is assessing a client who states, "I don't think my
gambling is as big of a problem as my friends think it is." which of the following
findings should the nurse identify as meeting the diagnostic criteria of gambling
disorder?
a. the client makes no attempts to stop gambling.
b. the client gambles when feeling happy or enthusiastic.
c. the client gambles the same amount of money each week.
d. the client asks others for money to compensate for gambling losses. - ANSWER:
the client asks others for money to compensate for gambling losses.
one of the diagnostic criteria for this is a reliance on others to provide money to help
with negative financial situations that are a direct result of gambling losses.
according to the american psychiatric association, a diagnosis of this requires that
the client's behavior meets four of the defined criteria over the period of the past 12
months. - ANSWER: gambling disorder
a nurse is assessing a client who has schizophrenia. which of the following
manifestations should the nurse identify as positive symptoms of schizophrenia?
select all that apply.
a. magical thinking.
b. clang association.
c. auditory hallucinations.
d. flat affect.
e. emotional ambivalence. - ANSWER: magical thinking.
clang association.
auditory hallucinations.
the nurse should identify that magical thinking, or the belief that one's thoughts
affect others, is a positive symptom of this disorder. - ANSWER: schizophrenia
manifestation
the nurse should identify that clang association, or choosing words based on their
sounds, is a positive symptom of this disorder. - ANSWER: schizophrenia
manifestation
the nurse should identify that experiencing auditory hallucinations, or hearing voices
or sounds that do not exist, is a positive symptom of this disorder. - ANSWER:
schizophrenia manifestation
the nurse is assessing a client who has end stage COPD. which of the following
images should the nurse identify as a late manifestation of this terminal illness?
a. flexion or contraction of the joints.
,b. swan neck deformation.
c. tophi, related to chronic gout.
d. digital clubbing. - ANSWER: digital clubbing
the nurse should identify digital clubbing when assessing a client who has this
disorder. - ANSWER: late manifestation of COPD
evidence of decreased arterial oxygen levels, which occurs over time and is evident
as a late manifestation of COPD. - ANSWER: digital clubbing
a nurse in an ED is assessing a newly admitted client. the nurse should identify that
which of the following findings is a manifestation of acute cocaine toxicity?
a. hypotension.
b. pinpoint pupils.
c. agitation.
d. hypothermia. - ANSWER: agitation
agitation, dizziness, and tremor. - ANSWER: acute cocaine toxicity s/s
can cause convulsions and myocardial infarction. - ANSWER: severe cocaine toxicity
a CNS stimulant - ANSWER: cocaine
a nurse is providing teaching to a client who has preeclampsia without severe
symptoms. which of the following instructions should the nurse include?
a. monitor temperature twice each day.
b. restrict fluid intake to four 245 mL glasses a day.
c. maintain a dark, quiet environment as much as possible.
d. use a side lying position when resting in bed or on the couch. - ANSWER: use a
side lying position when resting in bed or on the couch.
increases blood flow to the uterus and placenta optimizing the delivery of nutrients
and oxygen to the fetus. - ANSWER: side lying position
can result in hypotension, which diminishes blood flow to the uterus and placenta. -
ANSWER: supine positioning
a nurse is planning care for a client who has a gambling disorder. which of the
following interventions should the nurse include in the plan?
a. recommend joining a self help group.
b. administer antipsychotic medications.
c. begin disulfiram therapy.
d. initiate aversion therapy. - ANSWER: recommend joining a self help group.
self help groups such as gambler's anonymous. - ANSWER: effective treatment for
gambling disorder
,used as a behavioral modification tool for clients who have sexual paraphilias. -
ANSWER: aversion therapy
a medication prescribed to deter drinking in clients who abuse alcohol. - ANSWER:
disulfiram
lithium, carbamazepine, naltrexone. - ANSWER: antipsychotic meds
a nurse is caring for a client who has alzheimer's disease (AD). the client's daughter
asks the nurse if she will have AD as well. which of the following responses should
the nurse make regarding the genetic disposition of this disease?
a. you can be tested for the presence of apolipoprotein, an indication of an increased
risk of developing AD.
b. having a family history of AD is not a known risk factor for developing the disease.
c. individuals who develop AD generally have a history of frequent bacterial
infections.
d. AD is more common in men, so your brothers have a higher risk of developing the
disease than you do. - ANSWER: you can be tested for the presence of
apolipoprotein, an indication of an increased risk of developing AD.
a nurse in a mental health clinic is planning care for a client who has post traumatic
stress disorder. which of the following strategies should the nurse include?
a. assist the client to identify their stage in the grief process.
b. encourage the client to avoid discussing their trauma.
c. offer the client alone time when flashbacks occur.
d. provide the client with a rotating staffing assignment. - ANSWER: assist the client
to identify their stage in the grief process.
a nurse is reviewing the laboratory findings of a client who has acute pancreatitis.
which of the following findings should the nurse expect?
a. calcium 10.2 mg/dL
b. amylase 300 units/L
c. WBC count 7000 mm3
d. blood glucose 100 mg/dL - ANSWER: amylase 300 units/L
the nurse should identify that a client who has acute pancreatitis can have
_________. - ANSWER: elevated amylase level
30-220 units/dL - ANSWER: amylase
rises within 12-24 hours of onset of pancreatitis. - ANSWER: amylase
a nurse is caring for a client who has schizophrenia and states, "the government has
spies here monitoring me in my room." which of the following responses should the
nurse give?
a. the government is not monitoring your room.
b. what would you like me to do about the government being here?
, c. i understand that you believe the government is here, but i don't see any evidence
of this.
d. let's go see if the government is monitoring your room. - ANSWER: i understand
that you believe the government is here, but i don't see any evidence of this.
a nurse is reviewing the medical history of a client. the nurse should identify that
which of the following findings indicates the client is at risk for a stroke?
a. history of hypopituitarism.
b. takes a combination oral contraceptive.
c. drinks 150 mL of wine each day.
d. avoids saturated fats in cooking. - ANSWER: takes a combination oral
contraceptive.
a nurse is caring for a client who is 4 hour postpartum and is experiencing excessive
vaginal bleeding. which of the following actions is the nurse's priority?
a. administer oxytocin IV.
b. massage the client's fundus.
c. assist the client to the bathroom to void.
d. apply oxygen via nonrebreather face mask. - ANSWER: massage the client's
fundus.
a nurse is reviewing the medication record of a client who was recently diagnosed
with alzheimer's disease and has a new prescription for memantine. the nurse
should instruct the client that which of the following medications can interact
adversely with memantine?
a. sodium bicarbonate.
b. ibuprofen.
c. diphenhydramine.
d. omeprazole. - ANSWER: sodium bicarbonate
an antacid used to treat GI upset. - ANSWER: sodium bicarbonate
this medication alkalizes the client's urine, which increases the accumulation of
memantine, leading to toxicity. - ANSWER: sodium bicarbonate
a school nurse is planning an educational program for parents about bullying. which
of the following information should the nurse include?
a. children who are victims of bullying behavior have an increased risk of suicidal
ideation.
b. victims of bullying behavior in elementary school will have increased self esteem
as adults.
c. there is no evidence that a favorable relationship with parents can prevent
bullying behavior.
d. children who bully others have conduct disorder and should be evaluated by a
psychiatrist immediately. - ANSWER: children who are victims of bullying behavior
have an increased risk of suicidal ideation.
PRACTICE FORM A & B |TEST BANK| 2023 UPDATE
a nurse in a mental health clinic is assessing a client who states, "I don't think my
gambling is as big of a problem as my friends think it is." which of the following
findings should the nurse identify as meeting the diagnostic criteria of gambling
disorder?
a. the client makes no attempts to stop gambling.
b. the client gambles when feeling happy or enthusiastic.
c. the client gambles the same amount of money each week.
d. the client asks others for money to compensate for gambling losses. - ANSWER:
the client asks others for money to compensate for gambling losses.
one of the diagnostic criteria for this is a reliance on others to provide money to help
with negative financial situations that are a direct result of gambling losses.
according to the american psychiatric association, a diagnosis of this requires that
the client's behavior meets four of the defined criteria over the period of the past 12
months. - ANSWER: gambling disorder
a nurse is assessing a client who has schizophrenia. which of the following
manifestations should the nurse identify as positive symptoms of schizophrenia?
select all that apply.
a. magical thinking.
b. clang association.
c. auditory hallucinations.
d. flat affect.
e. emotional ambivalence. - ANSWER: magical thinking.
clang association.
auditory hallucinations.
the nurse should identify that magical thinking, or the belief that one's thoughts
affect others, is a positive symptom of this disorder. - ANSWER: schizophrenia
manifestation
the nurse should identify that clang association, or choosing words based on their
sounds, is a positive symptom of this disorder. - ANSWER: schizophrenia
manifestation
the nurse should identify that experiencing auditory hallucinations, or hearing voices
or sounds that do not exist, is a positive symptom of this disorder. - ANSWER:
schizophrenia manifestation
the nurse is assessing a client who has end stage COPD. which of the following
images should the nurse identify as a late manifestation of this terminal illness?
a. flexion or contraction of the joints.
,b. swan neck deformation.
c. tophi, related to chronic gout.
d. digital clubbing. - ANSWER: digital clubbing
the nurse should identify digital clubbing when assessing a client who has this
disorder. - ANSWER: late manifestation of COPD
evidence of decreased arterial oxygen levels, which occurs over time and is evident
as a late manifestation of COPD. - ANSWER: digital clubbing
a nurse in an ED is assessing a newly admitted client. the nurse should identify that
which of the following findings is a manifestation of acute cocaine toxicity?
a. hypotension.
b. pinpoint pupils.
c. agitation.
d. hypothermia. - ANSWER: agitation
agitation, dizziness, and tremor. - ANSWER: acute cocaine toxicity s/s
can cause convulsions and myocardial infarction. - ANSWER: severe cocaine toxicity
a CNS stimulant - ANSWER: cocaine
a nurse is providing teaching to a client who has preeclampsia without severe
symptoms. which of the following instructions should the nurse include?
a. monitor temperature twice each day.
b. restrict fluid intake to four 245 mL glasses a day.
c. maintain a dark, quiet environment as much as possible.
d. use a side lying position when resting in bed or on the couch. - ANSWER: use a
side lying position when resting in bed or on the couch.
increases blood flow to the uterus and placenta optimizing the delivery of nutrients
and oxygen to the fetus. - ANSWER: side lying position
can result in hypotension, which diminishes blood flow to the uterus and placenta. -
ANSWER: supine positioning
a nurse is planning care for a client who has a gambling disorder. which of the
following interventions should the nurse include in the plan?
a. recommend joining a self help group.
b. administer antipsychotic medications.
c. begin disulfiram therapy.
d. initiate aversion therapy. - ANSWER: recommend joining a self help group.
self help groups such as gambler's anonymous. - ANSWER: effective treatment for
gambling disorder
,used as a behavioral modification tool for clients who have sexual paraphilias. -
ANSWER: aversion therapy
a medication prescribed to deter drinking in clients who abuse alcohol. - ANSWER:
disulfiram
lithium, carbamazepine, naltrexone. - ANSWER: antipsychotic meds
a nurse is caring for a client who has alzheimer's disease (AD). the client's daughter
asks the nurse if she will have AD as well. which of the following responses should
the nurse make regarding the genetic disposition of this disease?
a. you can be tested for the presence of apolipoprotein, an indication of an increased
risk of developing AD.
b. having a family history of AD is not a known risk factor for developing the disease.
c. individuals who develop AD generally have a history of frequent bacterial
infections.
d. AD is more common in men, so your brothers have a higher risk of developing the
disease than you do. - ANSWER: you can be tested for the presence of
apolipoprotein, an indication of an increased risk of developing AD.
a nurse in a mental health clinic is planning care for a client who has post traumatic
stress disorder. which of the following strategies should the nurse include?
a. assist the client to identify their stage in the grief process.
b. encourage the client to avoid discussing their trauma.
c. offer the client alone time when flashbacks occur.
d. provide the client with a rotating staffing assignment. - ANSWER: assist the client
to identify their stage in the grief process.
a nurse is reviewing the laboratory findings of a client who has acute pancreatitis.
which of the following findings should the nurse expect?
a. calcium 10.2 mg/dL
b. amylase 300 units/L
c. WBC count 7000 mm3
d. blood glucose 100 mg/dL - ANSWER: amylase 300 units/L
the nurse should identify that a client who has acute pancreatitis can have
_________. - ANSWER: elevated amylase level
30-220 units/dL - ANSWER: amylase
rises within 12-24 hours of onset of pancreatitis. - ANSWER: amylase
a nurse is caring for a client who has schizophrenia and states, "the government has
spies here monitoring me in my room." which of the following responses should the
nurse give?
a. the government is not monitoring your room.
b. what would you like me to do about the government being here?
, c. i understand that you believe the government is here, but i don't see any evidence
of this.
d. let's go see if the government is monitoring your room. - ANSWER: i understand
that you believe the government is here, but i don't see any evidence of this.
a nurse is reviewing the medical history of a client. the nurse should identify that
which of the following findings indicates the client is at risk for a stroke?
a. history of hypopituitarism.
b. takes a combination oral contraceptive.
c. drinks 150 mL of wine each day.
d. avoids saturated fats in cooking. - ANSWER: takes a combination oral
contraceptive.
a nurse is caring for a client who is 4 hour postpartum and is experiencing excessive
vaginal bleeding. which of the following actions is the nurse's priority?
a. administer oxytocin IV.
b. massage the client's fundus.
c. assist the client to the bathroom to void.
d. apply oxygen via nonrebreather face mask. - ANSWER: massage the client's
fundus.
a nurse is reviewing the medication record of a client who was recently diagnosed
with alzheimer's disease and has a new prescription for memantine. the nurse
should instruct the client that which of the following medications can interact
adversely with memantine?
a. sodium bicarbonate.
b. ibuprofen.
c. diphenhydramine.
d. omeprazole. - ANSWER: sodium bicarbonate
an antacid used to treat GI upset. - ANSWER: sodium bicarbonate
this medication alkalizes the client's urine, which increases the accumulation of
memantine, leading to toxicity. - ANSWER: sodium bicarbonate
a school nurse is planning an educational program for parents about bullying. which
of the following information should the nurse include?
a. children who are victims of bullying behavior have an increased risk of suicidal
ideation.
b. victims of bullying behavior in elementary school will have increased self esteem
as adults.
c. there is no evidence that a favorable relationship with parents can prevent
bullying behavior.
d. children who bully others have conduct disorder and should be evaluated by a
psychiatrist immediately. - ANSWER: children who are victims of bullying behavior
have an increased risk of suicidal ideation.
