ATI testing level 2 proctored exam questions and solutions
A nurse in an emergency department is assessing a client who reports severe constipation. The nurse should
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identify which of the following findings as an indication that the client might have a small-bowel obstruction?
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Peripheral edema ew
Minimal vomiting ew
Intermittent cramping in the lower abdomen ew ew ew ew ew
Visible peristaltic waves in the upper abdomen - answersVisible peristaltic waves in the upper abdomen
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The nurse should identify that visible peristaltic waves in the upper and middle abdomen are a manifestation of a
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small-bowel obstruction. The client might also have abdominal discomfort or pain.
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A nurse is assessing a client who has a calcium level of 6.3 mg/dL. Which of the following findings should the nurs
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expect?
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Circumoral tingling ew
Hypoactive reflexes ew
Fatigue
Anorexia - answersCircumoral tingling
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The nurse should identify that hypocalcemia causes paresthesias, which is circumoral numbness and tingling of th
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fingers, toes, and around the mouth.
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A nurse is teaching a client who has type 1 diabetes mellitus about actions to take when having manifestations of
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hypoglycemia with a glucometer reading between 40 and 60 mg/dL. Which of the following instructions should the
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nurse include?
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Self-administer 1 mg of glucagon subcutaneously. ew ew ew ew ew
Self-administer 20 units of regular insulin. ew ew ew ew ew
Drink 120 mL (4 oz) of skim milk.
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Drink 120 mL (4 oz) of fruit juice. - answersDrink 120 mL (4 oz) of fruit juice.
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The nurse should instruct the client to drink 120 mL (4 oz) of fruit juice, which will provide 10 to 15 g of
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carbohydrates to treat the hypoglycemia.
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,A nurse is teaching a client who has asthma how to use a peak flow meter. Which of the following statements
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should the nurse identify as an indication the client understands the teaching?
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"I will blow out as hard as I can before I use the peak flow meter."
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"I will not take my controller medication if my peak flow meter scores in the yellow zone."
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"I will base my peak flow meter score on the best of three attempts."
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"I will go to the emergency room if my peak flow meter is in the green zone." - answers"I will base my peak flow
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meter score on the best of three attempts."
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The client's peak flow rate should be based on the best of three trials of the peak flow meter. The client should
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record this finding and share it with the provider on the next visit.
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A nurse is teaching a client who is at moderate risk for osteoporosis about ways to help prevent this chronic
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disease. Which of the following instructions should the nurse include? (Select all that apply.)
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Avoid sun exposure. ew ew
Increase dairy product intake. ew ew ew
Engage in weight-bearing exercises regularly. ew ew ew ew
Increase phosphate intake. ew ew
Reduce excessive caffeine intake. - answersIncrease dairy product intake is correct.
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Engage in weight-bearing exercises regularly is correct ew ew ew ew ew ew
Reduce excessive caffeine intake is correct. ew ew ew ew ew
A nurse is assessing a client who is 1 hr postoperative following a transurethral resection of the prostate (TURP) f
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treatment of benign prostatic hyperplasia. For which of the following assessment findings should the nurse notify
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the provider?
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Urine color is light pink. ew ew ew ew
The suprapubic area is soft to palpation.ew ew ew ew ew ew
The catheter tubing has multiple red clots.
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The bowel sounds are hypoactive. - answersThe catheter tubing has multiple red clots.
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The nurse should identify that the presence of multiple red clots in the catheter tubing or drainage that is ketchup-
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like are manifestations of postoperative bleeding. The nurse should notify the provider and provide hand irrigation
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the bladder per provider prescription.
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A nurse is assessing a client who reports a new onset of joint pain and stiffness. Which of the following findings
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should the nurse identify as an indication of osteoarthritis?
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Joint pain improves with rest. ew ew ew ew
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A nurse in an emergency department is assessing a client who reports severe constipation. The nurse should
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identify which of the following findings as an indication that the client might have a small-bowel obstruction?
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Peripheral edema ew
Minimal vomiting ew
Intermittent cramping in the lower abdomen ew ew ew ew ew
Visible peristaltic waves in the upper abdomen - answersVisible peristaltic waves in the upper abdomen
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The nurse should identify that visible peristaltic waves in the upper and middle abdomen are a manifestation of a
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small-bowel obstruction. The client might also have abdominal discomfort or pain.
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A nurse is assessing a client who has a calcium level of 6.3 mg/dL. Which of the following findings should the nurs
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expect?
ew
Circumoral tingling ew
Hypoactive reflexes ew
Fatigue
Anorexia - answersCircumoral tingling
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The nurse should identify that hypocalcemia causes paresthesias, which is circumoral numbness and tingling of th
ew ew ew ew ew ew ew ew ew ew ew ew ew ew ew
fingers, toes, and around the mouth.
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A nurse is teaching a client who has type 1 diabetes mellitus about actions to take when having manifestations of
ew ew ew ew ew ew ew ew ew ew ew ew ew ew ew ew ew ew ew
hypoglycemia with a glucometer reading between 40 and 60 mg/dL. Which of the following instructions should the
ew ew ew ew ew ew ew ew ew ew ew ew ew ew ew ew ew
nurse include?
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Self-administer 1 mg of glucagon subcutaneously. ew ew ew ew ew
Self-administer 20 units of regular insulin. ew ew ew ew ew
Drink 120 mL (4 oz) of skim milk.
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Drink 120 mL (4 oz) of fruit juice. - answersDrink 120 mL (4 oz) of fruit juice.
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The nurse should instruct the client to drink 120 mL (4 oz) of fruit juice, which will provide 10 to 15 g of
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carbohydrates to treat the hypoglycemia.
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,A nurse is teaching a client who has asthma how to use a peak flow meter. Which of the following statements
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should the nurse identify as an indication the client understands the teaching?
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"I will blow out as hard as I can before I use the peak flow meter."
ew ew ew ew ew ew ew ew ew ew ew ew ew ew ew
"I will not take my controller medication if my peak flow meter scores in the yellow zone."
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"I will base my peak flow meter score on the best of three attempts."
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"I will go to the emergency room if my peak flow meter is in the green zone." - answers"I will base my peak flow
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meter score on the best of three attempts."
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The client's peak flow rate should be based on the best of three trials of the peak flow meter. The client should
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record this finding and share it with the provider on the next visit.
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A nurse is teaching a client who is at moderate risk for osteoporosis about ways to help prevent this chronic
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disease. Which of the following instructions should the nurse include? (Select all that apply.)
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Avoid sun exposure. ew ew
Increase dairy product intake. ew ew ew
Engage in weight-bearing exercises regularly. ew ew ew ew
Increase phosphate intake. ew ew
Reduce excessive caffeine intake. - answersIncrease dairy product intake is correct.
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Engage in weight-bearing exercises regularly is correct ew ew ew ew ew ew
Reduce excessive caffeine intake is correct. ew ew ew ew ew
A nurse is assessing a client who is 1 hr postoperative following a transurethral resection of the prostate (TURP) f
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treatment of benign prostatic hyperplasia. For which of the following assessment findings should the nurse notify
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the provider?
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Urine color is light pink. ew ew ew ew
The suprapubic area is soft to palpation.ew ew ew ew ew ew
The catheter tubing has multiple red clots.
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The bowel sounds are hypoactive. - answersThe catheter tubing has multiple red clots.
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The nurse should identify that the presence of multiple red clots in the catheter tubing or drainage that is ketchup-
ew ew ew ew ew ew ew ew ew ew ew ew ew ew ew ew ew ew ew
like are manifestations of postoperative bleeding. The nurse should notify the provider and provide hand irrigation
ew ew ew ew ew ew ew ew ew ew ew ew ew ew ew
the bladder per provider prescription.
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A nurse is assessing a client who reports a new onset of joint pain and stiffness. Which of the following findings
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should the nurse identify as an indication of osteoarthritis?
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Joint pain improves with rest. ew ew ew ew
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