Concept-Based Assessment Online Practice A Level 2 ATI Approved Exam |Question and Answer| 100% Correct

Concept-Based Assessment Online Practice A Level 2 ATI Approved Exam |Question and Answer| 100% Correct 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? *Ans* A: "Let's talk about a few ways you have dealt with stress in the past." Rationale: This statement by the nurse combines two therapeutic responses, active listening and focusing. Used together, these techniques facilitate communication by letting the parent know one's feelings are heard and taken seriously, which conveys acceptance and respect. Therefore, the parent feels the nurse validates the concerns and becomes comfortable asking the nurse sensitive questions about the child. A nurse is teaching a client ways to prevent osteoporotic fractures due to osteoporosis. Which of the following information should the nurse include in the teaching? *Ans* A: "Maintain bone health by eating fruits, vegetables, and protein." Rationale: The nurse should instruct the client that the best way to maintain bone health and bone remodeling is by eating fruits, vegetables, and protein. A nurse is teaching a client who has hypothyroidism about taking levothyroxine. Which of the following statements should the nurse make? *Ans* B: "This medication causes adverse effects if the dosage is too high or too low." Rationale: The nurse should instruct the client that levothyroxine, in the right dosage, does not typically cause adverse effects. If the dosage is too low, the manifestations of hypothyroidism will recur. If the dosage is too high, the manifestations of hyperthyroidism will occur. 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? *Ans* D: Brisk skin turgor Rationale: The nurse should expect the child to have brisk skin turgor if fluid replacement therapy is effective. A nurse is caring for a client who has left hemiparesis following a stroke. Which of the following actions should the nurse take? *Ans* B: Encourage the client to use wide-grip utensils when eating with the right hand. Rationale: The nurse should encourage the client who has hemiparesis to use wide-grip utensils when eating with the right hand, which can accommodate a weak grasp and encourage independence in eating. 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? *Ans* D: Garlic Rationale: The nurse should include that garlic can help improve cholesterol levels, which then helps to reduce the buildup of plaque in the arteries. For some clients, it can also help lower blood pressure 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? *Ans* D: Set the temperature of the client's room to 22.2° C (72°). Rationale: The nurse should set the temperature of the client's room at 21° C to 27° C (70° F to 80° F). This promotes a reduction in the client's fever without causing shivering. By combining nonpharmacological interventions with antipyretics, the nurse can reduce the client's fever. 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? *Ans* C: Check for paresthesia of the affected leg. Rationale: The nurse should include in the interventions to ch