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Exam (elaborations)

ATI CBC Level 2 Test Questions with Correct Answers

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a nurse is caring for a client admitted with confusion and lethargy. the client was found at home unresponsive with an empty bottle of aspirin lying next to her bed. Vital signs reveal blood pressure 104/72, HR 116, RR 42 and deep, which of the following should the nurse expect? A. pH 7.68 PaCo...

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  • August 28, 2024
  • 31
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KenAli
ATI CBC Level 2 Test Questions
with Correct Answers
a nurse is caring for a client admitted with confusion and lethargy. the client was found at home
unresponsive with an empty bottle of aspirin lying next to her bed. Vital signs reveal blood
pressure 104/72, HR 116, RR 42 and deep, which of the following should the nurse expect?


A. pH 7.68
PaCo2 38
HCO3 28
B. pH 7.48
PaCO2 28
HCO3 23
C. pH 6.98
PaCO2 30

HCO3 18 - ✔C.



a nurse is obtaining arterial blood gases for a client who has vomited for 24 hours. the
nurse should expect which of the following acid-base imbalances to result from vomiting for
24 hours?


a. respiratory acidosis
b. respiratory alkalosis

,c. metabolic acidosis

d. metabolic alkalosis - ✔D.



A charge nurse is teaching a group of nurses about conditions related to metabolic
acidosis. which of the following statements by a unit nurse indicates the teaching has been
effective


a. metabolic acidosis can occur due to diabetic ketoacidosis
b. metabolic acidosis can occur in a client who has myasthenia gravis
c. metabolic acidosis can occur in a client who has asthma

d. metabolic acidosis can occur due to cancer - ✔A



a nurse is assessing a client who has pancreatitis. the client's arterial blood gases reveal
metabolic acidosis. which of the following are expected findings?


a. tachycardia
b. hypertension
c. bounding pulses
d. hyperreflexia
e. dysrhythmia

f. tachypnea - ✔E, F



complications of sedatives (benzodiazepines, barbiturates) - ✔- respiratory depression
- drowsiness
- dizziness
- FLUMACENIL is reversal agent



complications of opioids - ✔- respiratory depression

,- drowsiness
- dizziness
- constipation
- urinary retention
- NALOXONE is reversal agent



parenteral anticoagulants - ✔- heparin
- enoxaparin
- dalteparin
- fondaparinux



toxicity/overdose of heparin and enoxaparin - ✔- administer PROTAMINE



how to evaluate effectiveness of heparin - ✔- aPTT levels of 60-80 seconds



oral anticoagulant - ✔- warfarin



toxicity/overdose of warfarin - ✔- administer vitamin K



rapid acting insulins - ✔- insulin lispro
- insulin aspart
- insulin glulisine



regular insulin - ✔short acting



NPH insulin - ✔intermediate acting

, insulin glargine - ✔long acting



nursing care for hypoglycemia - ✔- blood glucose less than 70
- administer glucose
- administer a snack of 15 g carbs (4 oz orange juice, 2 oz grape juice, 8 oz milk)



lipohypertrophy - ✔instruct clients to systematically rotate injection sites and to allow 1
inch between injection sites



adverse reactions to exenatide - ✔- nausea, vomiting, diarrhea, pancreatitis



warfarin adverse effects - ✔- hemorrhage
- hepatitis
- toxicity



risk factors for benign prostatic hyperplasia - ✔- increased age
- smoking, alcohol use
- sedentary lifestyle, obesity
- western diet
- diabetes



expected findings of BPH - ✔- urinary frequency
- incontinence
- incomplete emptying of the bladder
- dribbling post voiding
- nocturia
- diminished force of urinary stream

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