ATI testing level 2 proctored exam
A nurse is planning care for a client who has renal calculi. Which of
the following should the nurse include to promote elimination of
interventions
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. correct
answersEncourage
at intake of
least 3 L of fluid each
day.
The nurse should encourage the client to consume at least 3 L of fluid
each day. fluid intake increases urine production, promotes eliminiation of
Increased
calculi,prevent
helps and
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." correct
answers"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 in 7 to 10 days. The client can then remove the bandages
adhesiveness
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 correct the client with chlorhexidine
answersBathe
wipes.
The nurse should bathe a client who is immunocompromised with
chlorhexidine
to decrease the wipes
risk of contracting hospital-acquired
MRSA.
A nurse is assessing a client who has developed type 1 herpes simplex
virus.
the Which of
following images should the nurse identify as this type of viral
infection? correct
answersPicture 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
infection the
causes a recurring cold
sore.
A nurse is assessing a client who has Graves' disease. Which of the
following
should thefindings
nurse
expect?
Somnolenc
e
Cold
intolerance
Exophthalm
os
Dry, scaly skin correct
answersExophthalmos
The nurse should expect a client who has Graves' disease, an
autoimmune formto
hyperthyroidism, ofexperience exophthalmos, which is protrusion of
the eyeballs.
A nurse is teaching an older adult client who has peripheral neuropathy
about a new for duloxetine. Which of the following client statements
prescription
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."
answersIt might
correct
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
neuropath
y.
,A nurse is teaching a client who has scabies about a new prescription for
lindaneoflotion.
Which the following client statements indicates an understanding of the
treatment
this parasitic for
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." correct
answers"I
wash will off 12 hours after I
the lotion
apply it."
The nurse should instruct the client to apply the lotion and leave it in place
for 8then
and to 12remove
hr it by washing
it off.
A nurse is assessing a client who has appendicitis. Which of the
following
should thefindings
nurse report to the provider
immediately?
WBC
16,000/mm³
Board-like
abdomen
Nausea and
vomiting
Temperature of 38° C (100.4° F) correct answersBoard-like
abdomen
When using the urgent vs. nonurgent approach to client care, the nurse
should
that identify abdomen is the priority finding indicating peritonitis. The
a board-like
nurse should
notify the provider
immediately.
A nurse is teaching a client who has gastroesophageal reflux disease
about ways
prevent to Which of the following information should the nurse
reflux.
include in the
teaching
?
Drink tomato juice with the breakfast
meal.
Suck on peppermint when having
indigestion.
Elevate the head of the bed 10 cm (4 in) using wooden
blocks.
Plan to finish eating at least 3 hr before bedtime. correct answersPlan to
finish 3eating
least at
hr before
bedtime.
, The nurse should encourage the client not to eat anything at least 3 hr
before
to bedtime
prevent
reflux.
A nurse is teaching a client who has a deep-vein thrombosis about a new
prescription
for warfarin. Which of the following client statements indicates an
understanding of the
teaching
?
"I will stop taking the medication immediately if I experience
nausea."
"I should contact my provider if I notice a pink-tinged color to
my urine."
"I will increase my dietary intake of
spinach."
"I will not be able to use an electric razor while I am taking this
medication."
answers"I correct
should contact my provider if I notice a pink-tinged color to
my urine."
The nurse should instruct the client to monitor for blood in the urine. The
client should
report a pink-tinged urine color to the
provider.
A nurse is reviewing the urinalysis results of a client who has
completed
course a 14-day
of ciprofloxacin to treat pyelonephritis. Which of the following
values should
indicate to the nurse that the client has a continuing
infection?
Negative
nitrites
RBCs <
2
Positive leukocyte
esterase
Amber-colored urine correct answersPositive leukocyte
esterase
The nurse should identify that a positive leukocyte esterase test is an
indicationof
presence ofWBCs
the in the urine and the presence of continued
infection.
A nurse is assessing a client for manifestations of grief after having a
colostomy
removal of for
colon cancer. Which of the following findings indicates to the
nurse has
client thataccepted
the the
loss?
Becomes angry when it is time to perform
colostomy care
Touches the colostomy stoma when the bag is
changed
Looks away as the nurse empties the
colostomy bag
Tells others that it will be nice to have a normal bowel movement
again correct
answersTouches the colostomy stoma when the bag is
changed
A nurse is planning care for a client who has renal calculi. Which of
the following should the nurse include to promote elimination of
interventions
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. correct
answersEncourage
at intake of
least 3 L of fluid each
day.
The nurse should encourage the client to consume at least 3 L of fluid
each day. fluid intake increases urine production, promotes eliminiation of
Increased
calculi,prevent
helps and
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." correct
answers"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 in 7 to 10 days. The client can then remove the bandages
adhesiveness
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 correct the client with chlorhexidine
answersBathe
wipes.
The nurse should bathe a client who is immunocompromised with
chlorhexidine
to decrease the wipes
risk of contracting hospital-acquired
MRSA.
A nurse is assessing a client who has developed type 1 herpes simplex
virus.
the Which of
following images should the nurse identify as this type of viral
infection? correct
answersPicture 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
infection the
causes a recurring cold
sore.
A nurse is assessing a client who has Graves' disease. Which of the
following
should thefindings
nurse
expect?
Somnolenc
e
Cold
intolerance
Exophthalm
os
Dry, scaly skin correct
answersExophthalmos
The nurse should expect a client who has Graves' disease, an
autoimmune formto
hyperthyroidism, ofexperience exophthalmos, which is protrusion of
the eyeballs.
A nurse is teaching an older adult client who has peripheral neuropathy
about a new for duloxetine. Which of the following client statements
prescription
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."
answersIt might
correct
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
neuropath
y.
,A nurse is teaching a client who has scabies about a new prescription for
lindaneoflotion.
Which the following client statements indicates an understanding of the
treatment
this parasitic for
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." correct
answers"I
wash will off 12 hours after I
the lotion
apply it."
The nurse should instruct the client to apply the lotion and leave it in place
for 8then
and to 12remove
hr it by washing
it off.
A nurse is assessing a client who has appendicitis. Which of the
following
should thefindings
nurse report to the provider
immediately?
WBC
16,000/mm³
Board-like
abdomen
Nausea and
vomiting
Temperature of 38° C (100.4° F) correct answersBoard-like
abdomen
When using the urgent vs. nonurgent approach to client care, the nurse
should
that identify abdomen is the priority finding indicating peritonitis. The
a board-like
nurse should
notify the provider
immediately.
A nurse is teaching a client who has gastroesophageal reflux disease
about ways
prevent to Which of the following information should the nurse
reflux.
include in the
teaching
?
Drink tomato juice with the breakfast
meal.
Suck on peppermint when having
indigestion.
Elevate the head of the bed 10 cm (4 in) using wooden
blocks.
Plan to finish eating at least 3 hr before bedtime. correct answersPlan to
finish 3eating
least at
hr before
bedtime.
, The nurse should encourage the client not to eat anything at least 3 hr
before
to bedtime
prevent
reflux.
A nurse is teaching a client who has a deep-vein thrombosis about a new
prescription
for warfarin. Which of the following client statements indicates an
understanding of the
teaching
?
"I will stop taking the medication immediately if I experience
nausea."
"I should contact my provider if I notice a pink-tinged color to
my urine."
"I will increase my dietary intake of
spinach."
"I will not be able to use an electric razor while I am taking this
medication."
answers"I correct
should contact my provider if I notice a pink-tinged color to
my urine."
The nurse should instruct the client to monitor for blood in the urine. The
client should
report a pink-tinged urine color to the
provider.
A nurse is reviewing the urinalysis results of a client who has
completed
course a 14-day
of ciprofloxacin to treat pyelonephritis. Which of the following
values should
indicate to the nurse that the client has a continuing
infection?
Negative
nitrites
RBCs <
2
Positive leukocyte
esterase
Amber-colored urine correct answersPositive leukocyte
esterase
The nurse should identify that a positive leukocyte esterase test is an
indicationof
presence ofWBCs
the in the urine and the presence of continued
infection.
A nurse is assessing a client for manifestations of grief after having a
colostomy
removal of for
colon cancer. Which of the following findings indicates to the
nurse has
client thataccepted
the the
loss?
Becomes angry when it is time to perform
colostomy care
Touches the colostomy stoma when the bag is
changed
Looks away as the nurse empties the
colostomy bag
Tells others that it will be nice to have a normal bowel movement
again correct
answersTouches the colostomy stoma when the bag is
changed
