ATI CBC Semester 2 Test| Questions & Correct Answers
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Course
ATI CBC
Institution
ATI CBC
a nurse is caring for a client who has cellulitis of the lower extremity. Which of the following
actions should the nurse take? - elevate the affected area 15.24 cm (6 inches) above the
heart
administer cefazolin intermittent IV bolus
a nurse is providing discharge teaching to an older adult cl...
ATI CBC Semester 2 Test| Questions
& Correct Answers
a nurse is caring for a client who has cellulitis of the lower extremity. Which of the following
actions should the nurse take? - ✔elevate the affected area 15.24 cm (6 inches) above the
heart
administer cefazolin intermittent IV bolus
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 4-6 weeks for my vision to fully improve"
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"
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
a nurse in a provider's office is completing a preoperative screening for a client who is
scheduled for a knee arthroplasty later that week. Which of the following findings requires
the nurse's intervention? - ✔coagulation time
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
,a nurse is providing teaching to a client who has COPD. Which of the following statements
should indicate to the nurse that the client understands the teaching? - ✔"I should make
my abdomen rise with each inhalation"
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? - ✔cold sores
a nurse is assessing a client who has appendicitis. Which of the following findings should
the nurse report to the provider immediately? - ✔board-like abdomen
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 past"
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
a nurse is assessing a client who is postoperative following the placement of an ileostomy
due to complications of ulcerative colitis. In which of the following areas should the nurse
expect the ileostomy to be located? - ✔C- duodenum, jejunum, then ilium
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
a nurse is assessing a school-age child who has appendicitis with possible perforation. Which
of the following findings should the nurse identify as a manifestation of peritonitis? -
✔abdominal distention
, 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 potassium infusion has brought the client's potassium level back to
the expected reference range? - ✔the client's hand grasp becomes stronger
a nurse is planning care for a client who is postoperative and has developed left lower leg deep-
vein thrombosis. Which of the following interventions should the nurse include in the plan of
care? - ✔make sure the client's legs are elevated while in bed
a nurse is teaching a client who has atherosclerosis about self-care. Which of the following
instructions should the nurse include in the teaching? - ✔increase fiber intake to at least
30 grams per day
a nurse is teaching an older adult client who has peripheral neuropathy about a new
prescription for duloxetine. Which of the following client statements indicates an
understanding of the teaching? - ✔"it might take several weeks to notice an improvement
in my symptoms"
a nurse has arrived at the site of an accident where a client has sustained a traumatic
amputation of the big toe. Identify the sequence of steps the nurse should take to treat
the musculoskeletal trauma - ✔1. call 911 and examine the amputation site
2. apply direct pressure with layers of dry cloth
3. elevate the extremity above the client's heart
4. find the toe and wrap it in sterile gauze or a clean cloth
5. place the toe in a bag and place the bag in 1 part ice and three parts water
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 HCO3-
24 mEq/L. Based on these findings, the nurse should identify that the client has which of the
following acid-base imbalances? - ✔respiratory acidosis
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