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ATI CBC LEVEL 2 ASSESSMENT A QUESTIONS LATEST DOWNLOAD ACCURATE WITH ACCURATE, Exams of Nursing

Cheyney University of PennsylvaniaNursing

ATI CBC LEVEL 2 ASSESSMENT A QUESTIONS LATEST DOWNLOAD ACCURATE WITH ACCURATE

Typology: Exams

2024/2025

Available from 08/03/2025

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ATI CBC LEVEL 2 ASSESSMENT A QUESTIONS LATEST
DOWNLOAD ACCURATE WITH ACCURATE
1.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: Encourage at least 3 L of fluid
each day
2.A nurse is providing postoperative education for a client
following a laparo- scopic cholecystectomy for cholelithiasis.
Which of the following client state- ments indicates an
understanding of the teaching?: "The adhesive bandages on my
incision will fall off as the incision heals."
3.A nurse is planning care to prevent hospital-acquired
methicillin-resistant Staphylococcus aureus (MRSA) infection
for a client who is immunocom- promised. Which of the
following interventions should the nurse include to prevent
this antibiotic-resistant infection?: Bathe the client with
chlorhexidine wipes
4.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 the lips
5.A nurse is assessing a client who has Graves' disease. Which
of the follow- ing findings should the nurse expect?:
Exophthalmos
6.A nurse is teaching an older adult client who has peripheral
neuropathy about a new prescription for duloxetine. Which of
the following client state- ments indicates an understanding of
the teaching?: It might take several weeks to notice an improvement
in my symptoms
7.A nurse is teaching a client who has scabies about a new
prescription for lindane lotion. Which of the following client
statements indicates an under- standing of the treatment for
this parasitic infection?: "I will wash the lotion off 12 hours after I
apply it"
8.A nurse is assessing a client who has appendicitis. Which of
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ATI CBC LEVEL 2 ASSESSMENT A QUESTIONS LATEST

DOWNLOAD ACCURATE WITH ACCURATE

1.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: Encourage at least 3 L of fluid each day 2.A nurse is providing postoperative education for a client following a laparo- scopic cholecystectomy for cholelithiasis. Which of the following client state- ments indicates an understanding of the teaching?: "The adhesive bandages on my incision will fall off as the incision heals." 3.A nurse is planning care to prevent hospital-acquired methicillin-resistant Staphylococcus aureus (MRSA) infection for a client who is immunocom- promised. Which of the following interventions should the nurse include to prevent this antibiotic-resistant infection?: Bathe the client with chlorhexidine wipes 4.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 the lips 5.A nurse is assessing a client who has Graves' disease. Which of the follow- ing findings should the nurse expect?: Exophthalmos 6.A nurse is teaching an older adult client who has peripheral neuropathy about a new prescription for duloxetine. Which of the following client state- ments indicates an understanding of the teaching?: It might take several weeks to notice an improvement in my symptoms 7.A nurse is teaching a client who has scabies about a new prescription for lindane lotion. Which of the following client statements indicates an under- standing of the treatment for this parasitic infection?: "I will wash the lotion off 12 hours after I apply it" 8.A nurse is assessing a client who has appendicitis. Which of

2 / 14 the following findings should the nurse report to the provider immediately?: Board like abdomen 9.A nurse is teaching a client who has gastroesophageal reflux disease about ways to prevent reflux. Which of the following information should the nurse include in the teaching?: Plan to finish eating at least three hours before bedtime 10.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 should contact my provider if I notice a pink-tinged color to my urine." 11.A nurse is reviewing the urinalysis results of a client who has completed a 14-day course of ciprofloxacin to treat pyelonephritis. Which of the following values should indicate to the nurse that the client has a continuing infection?- : Positive leukocyte esterase 12.A nurse is assessing a client for manifestations of grief after having a colostomy for removal of colon cancer. Which of the following findings indi- cates to the nurse that the client has accepted the loss?: Touches the colostomy stoma when the bag is changed 13.A nurse is assessing a school-age child who has appendicitis with possi- ble perforation. Which of the following findings should the nurse identify as a manifestation of peritonitis?: Abdominal distension 14.A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings is a priority to report to the provider?: Hemo- globin 7.6 mg/dL 15.A nurse in an emergency department is assessing a client who has hy- perthermia. Which of the following findings should the nurse identify as an indication that the client has heat exhaustion?: Vomiting 16.A nurse is providing teaching to a client who is experiencing malabsorp- tion related to lactose intolerance. Which of the following foods should the nurse recommend to the client as the best nondairy source of calcium?: Col- lard greens 17.A nurse is planning care for a client who is postoperative and has devel- oped left lower leg deep-vein thrombosis. Which of the following interventions should the nurse include in the plan

4 / 14 your provider if your pulse rate drops below 60 per minute." 26.A community health nurse is teaching a group of older adult clients about interventions to prevent pneumonia. Which of the following instructions should the nurse include in the teaching?: "Wash your hands when you return home from running errands." 27.A nurse is discussing lactose-free foods with a client who is experiencing malabsorption due to lactose intolerance. Which of the following foods should the nurse recommend?: Soy milk 28.A nurse is providing dietary teaching for a client who has hyperlipidemia due to nephrotic syndrome. Which of the following instructions should the nurse include in the teaching?: Less than 30% of daily calories should come from fat.

  1. A nurse is assessing a client whose ABG results are pH 7.51, PaCO2 29 mm Hg, and HCO3- 24 mEq/L. Which of the following findings should the nurse expect?: Paresthesias 30.A nurse is teaching the parent of a school-age child who has pediculosis capitis about treating this parasitic infestation. Which of the following instruc- tions should the nurse include?: Wash bedding, clothes, and towels in hot water in a washing machine. 31.A nurse is providing teaching to an adolescent client who has methi- cillin-resistant Staphylococcus aureus. Which of the following instructions should the nurse provide to prevent the spread of this infection?: "Do not return to football practice until the infection has healed." 32.A nurse in an emergency department is caring for a client who reports abdominal pain, vomiting, and appears dehydrated. The client's ABG results are pH 7.28, PaCO2 36 mm Hg, and HCO3-14 mEq/L. Based on these findings, the nurse should identify that the client has which of the following acid-base imbalances?: metabolic acidosis 33.A nurse is teaching about herbal supplements with a group of newly licensed nurses. Which of the following herbal supplements should the nurse include in the teaching for treating hyperlipidemia?: Garlic 34.A hospice nurse is caring for a preschooler who has a terminal illness. One of the child's parents tells the nurse that it is too difficult to cope any longer and has decided to move out of the house. Which of the following responses should the nurse make?: "Let's talk about a few ways you have dealt with stress in the

5 / 14 past." 35.A nurse is providing discharge teaching for a client who had lithotripsy to break up calculi in the right kidney. Which of the following findings should the nurse instruct the client to report to the provider?: Painful urination 36.A nurse is caring for a client who has left hemiparesis following a stroke. Which of the following actions should the nurse take?: Encourage the client to use wide-grip utensils when eating with the right hand. 37.A nurse is developing an in-service for a group of coworkers about adoles- cents' reactions to death. Which of the following information should the nurse include when discussing an adolescent's response to death?: Adolescents often alienate themselves from their peers when grieving. 38.A nurse in an emergency department is assessing a client who is experi- encing mild hypothermia. Which of the following manifestations should the nurse expect?: Slurred speech 39.A nurse is providing discharge teaching to an older adult client who had surgery to treat visual impairment due to cataracts. Which of the following client statements indicates an understanding of the teaching?: "It might take 4 to 6 weeks for my vision to fully improve." 40.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 the priority?: Protect the client from harm. 41.A nurse is assessing a client who has as an ulcer due to peripheral vascular disease. Which of the following findings should the nurse identify as an indication that the client has a venous ulcer rather than an arterial ulcer?: Discoloration and edema of the right ankle 42.A nurse is leading a small group discussion in an acute care mental health facility when one client suddenly begins to experience a panic attack. Which of the following actions should the nurse take?: Remain with the client until manifestations subside 43.A nurse is caring for a client who has respiratory depression following opioid administration to control cancer-related pain. The client's ABG results are pH 7.28, PaCO2 49 mm Hg, and

7 / 14 following statements by the parent indicates an understanding of the teaching?: "I should add 1 teaspoon of rice cereal to my infant's formula." 51.A nurse is reviewing the medical record of a client who is receiving total parenteral nutrition. Which of the following actions should the nurse take?

8 / 14 (Click on the exhibit button for additional information about the client. There are three tabs that contain separate categories of data): Administered the pre- scribed regular insulin 52.A nurse is caring for a client who has had prolonged vomiting, has an NG tube for gastric decompression, and is receiving total parenteral nutrition. The client's ABG results are pH 7.48, PaCO 50 mm Hg, and HCO3- 30 mEq/L. Based on these findings, the nurse should identify that the client has which of the following acid base imbalances: When a client is experiencing metabolic alkalosis, the pH is above the expected reference range, the PaCO2 is within or above the expected reference range, and the HCO3- is above the expected reference range. 53.A nurse in an emergency department is assessing a preschooler who has severe dehydration as a result of gastroenteritis and is receiving isotonic IV fluids. Which of the following findings should the nurse identify as an indication that the treatment is effective?: Brisk skin turgor 54.A nurse is reviewing the laboratory report of a client who is taking exe- natide to treat type 2 diabetes mellitus. The nurse should recognize that which of the following laboratory results is an indication of an adverse reaction to the medication?: Lipase 185 units/L 55.A nurse is teaching disease management techniques to a client who has COPD. Which of the following instructions should the nurse include in the teaching?: Use pursed-lip breathing when feeling short of breath.

  1. A nurse is assessing an older adult client who is experiencing malnutrition. Which of the following findings should the nurse expect?: Brittle hair 57.A nurse is providing teaching to a client who has a hearing impairment and has a new prescription for a hearing aid. Which of the following client statements indicates an understanding of the teaching?: "I will make sure the hearing aid is off before inserting it in my ear." 58.A nurse is providing discharge planning for a client who has gestational diabetes. Which of the following interventions

10 / 14 68.A nurse is providing teaching for a client who has a new diagnosis of be- nign prostatic hyperplasia (BPH). Which of the following instructions should the nurse include to promote elimination?: "Void as soon as you feel the urge." 69.A nurse is assessing a client who reports vision impairment and is di- agnosed with primary open-angle glaucoma (POAG). Which of the following findings should the nurse expect?: Progressive loss of peripheral vision 70.A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse expect? (Select all that apply.): Nocturia Dyspnea Hacking cough 71.A nurse in an emergency department was caring for an adolescent who died following a motor vehicle crash. Which of the following reactions should the nurse expect the client's 10- year-old sibling to exhibit?: The sibling is curious about what will happen to the client's body. 72.A nurse is assessing a client who reports gastrointestinal distress. Which of the following findings should indicate to the nurse that the client has cholecystitis?: Abdominal pain that radiates to the right shoulder 73.A nurse is assessing a client who has social phobia and reports feelings of fear and panic when at social gatherings. Which of the following medications should the nurse expect the provider to prescribe?: Paroxetine 74.A nurse is planning care for a client who has generalized anxiety disorder. Which of the following interventions should the nurse include in the client's plan of care?: Reframe situations in a positive manner for the client. 75.A nurse is caring for a client who has cellulitis of the lower extremity. Which of the following actions should the nurse take? (Select all that apply.): Elevate the affected area 15.24 cm (6 in) above the heart Administer cefazolin intermittent IV bolus 76.A nurse in an emergency department is assessing a client who reports severe constipation. The nurse should identify which of the following findings as an indication that the client might have a small-bowel obstruction?: Visible peristaltic waves in the upper abdomen

11 / 14 77.A nurse is assessing a client who has a calcium level of 6. mg/dL. Which of the following findings should the nurse expect?: Circumoral tingling 78.A nurse is teaching a client who has type 1 diabetes mellitus about actions to take when having manifestations of hypoglycemia with a glucometer read- ing between 40 and 60 mg/dL. Which of the following instructions should the nurse include?: Drink 120 mL (4 oz) of fruit juice. 79.A nurse is teaching a client who has asthma how to use a peak flow meter. Which of the following statements should the nurse identify as an indication the client understands the teaching?: "I will base my peak flow meter score on the best of three attempts." 80.A nurse is teaching a client who is at moderate risk for osteoporosis about ways to help prevent this chronic disease. Which of the following instructions should the nurse include? (Select all that apply.): Increase dairy product intake Engage in weight-bearing exercises regularly Reduce excessive caffeine intake 81.A nurse is assessing a client who is 1 hr postoperative following a transurethral resection of the prostate (TURP) for treatment of benign prosta- tic hyperplasia. For which of the following assessment findings should the nurse notify the provider?: The catheter tubing has multiple red clots 82.A nurse is assessing a client who reports a new onset of joint pain and stiffness. Which of the following findings should the nurse identify as an indication of osteoarthritis?: Joint pain improves with rest. 83.A nurse is providing discharge teaching for a client who has a hearing impairment. Which of the following actions should the nurse take?: Encourage the client to repeat what the nurse has said. 84.A nurse is admitting a client who has just been diagnosed with active tuberculosis and has experienced a 5.9 kg (13 lb) weight loss during the past 3 weeks. Which of the following actions should the nurse take first?: Initiate airborne precautions. 85.A nurse is providing discharge teaching to a client who is postoperative following a transurethral resection of the prostate (TURP) for treatment of benign prostatic hyperplasia. Which of the following instructions should the nurse include in

13 / 14 finasteride to treat benign prostatic hyperplasia. Which of the following instructions should the nurse include in the teaching?: "You might need to take the medication for several months before seeing any relief." 96.A nurse is assessing a client who has pernicious anemia. Which of the following findings should the nurse expect?: Numbness of hands 97.A nurse is teaching a client who has tuberculosis about taking rifampin. Which of the following instructions should the nurse include?: "Do not drink alcohol while taking this medication." 98.A nurse is assessing a 1-hour-old newborn who has hypothermia, with a temperature of 36.1° C (97° F). Which of the following manifestations should the nurse expect?: Hypoglycemia 99.A nurse is teaching a client who has hypothyroidism about taking levothy- roxine. Which of the following statements should the nurse make?: "This med- ication causes adverse effects if the dosage is too high or too low."

  1. 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?: Increased menstrual flow
  2. A nurse is teaching a client who has asthma about using a metered-dose inhaler. Which of the following client statements indicates an understanding of the teaching?: "I'll take a deep breath and blow it out before I inhale the medication."
  3. A nurse is planning care for a client who has chemotherapy-induced anemia and is starting epoetin. Which of the following interventions should the nurse include in the plan?: Monitor for hypertension.
  4. A nurse is assessing a client who is receiving morphine via a PCA pump to manage postoperative pain. The client has a heart rate of 66/min and a respiratory rate of 9/min. Which of the following medications should the nurse anticipate the provider will prescribe for the client?: Naloxene
  5. A nurse is planning care for a client who had surgery for osteomyelitis from a past musculoskeletal trauma to the lower leg. Which of the following interventions should the nurse include in the plan of care?: Check for pares- thesia of the affected

14 / 14 leg.

  1. A nurse is teaching a male client who has hypertension about dietary guidelines to help manage his disorder. Which of the following instructions should the nurse include?: Reduce sodium intake to 1,500 mg/day or less.
  2. A nurse is caring for a toddler who sustained a left lower leg fracture in a motor vehicle crash. The toddler, who has light-pigmented skin, received a cast 24 hr ago. Which of the following assessment findings from the casted leg should the nurse report to the provider?: The toddler's toe movement is limited.
  3. A nurse is assessing a client who has a potassium level of 2.6 mg/dL and is receiving potassium chloride by continuous IV infusion. Which of the following findings should the nurse identify as an indication that the potas- sium infusion has brought the client's potassium level back to the expected reference range: The client hand grasps becomes stronger
  4. A school nurse is teaching an adolescent who has diabetes mellitus about preventing hypoglycemia during and after baseball practice. Which of the following instructions should the school nurse include?: "Consume an extra snack before practice."
  5. A nurse is admitting a client who has an acute bacterial wound infection and a temperature of 39.8° C (103.6° F). Which of the following actions should the nurse take?: Set the temperature of the client's room to 22.2° C (72° F).
  6. A nurse is planning care for a client who has pneumonia. Which of the following interventions should the nurse include in the plan?: Teach the client how to cough up secretions.