ATI RN Concept-Based Assessment Level 2 Practice A (Latest 2023/ 2024) Questions and Verified Answers with Rationales| 100% Correct| Grade A

ATI RN Concept-Based Assessment Level 2

Practice A (Latest 2023/ 2024) Questions and

Verified Answers with Rationales| 100%

Correct| Grade A

Q: A nurse is caring for a client who has left hemiparesis following a stroke. Which of the

following actions should the nurse take?

Answer:

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.

Q: 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?

Answer:

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

Q: 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?

Answer:

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.

Q: 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?

Answer:

C: Check for paresthesia of the affected leg.

Rationale: The nurse should include in the interventions to check for paresthesia, such as a

tingling sensation of the leg and foot, which can indicate manifestations of neurovascular

compromise or compartment syndrome.

Q: A nurse is assessing the eyes and ears of a 2-year-old toddler at a well-child visit. Which of

the following findings should the nurse report to the provider?

Answer:

B: Presence of strabismus

Rationale: The nurse should recognize that the presence of strabismus, or crossing of the eyes,

should disappear by 4 months of age. If this is not corrected by 4 to 6 years of age, it can lead to

amblyopia; therefore, the nurse should report this finding to the provider.

Q: A nurse is teaching a client who has atherosclerosis about self-care. Which of the following

instructions should the nurse include in the teaching?

Answer:

C: Increase fiber intake to at least 30 g per day.

Rationale: The nurse should instruct the client to increase daily fiber intake to at least 30 g.

Fiber assists in the elimination of lipids and minimizes the development of atherosclerosis.

Q: 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?

Answer:

B: Discoloration and edema of the right ankle

Rationale: The nurse should identify that manifestations of peripheral venous disease include

discoloration and edema of the ankle, resulting from venous hypertension.

Q: 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 the teaching?

Answer:

D: "Perform Kegel exercises several times throughout the day."

Rationale: The nurse should instruct the client on the performance of Kegel exercises, or

tightening and then relaxing the urinary sphincter, to assist the client in regaining urinary control

and eliminate dribbling or the leakage of urine. The nurse should encourage the client to perform

these exercises several times each day.

Q: A nurse is assessing a client who has left-sided heart failure. Which of the following

findings should the nurse expect? (Select all the apply.)

Answer:

A: Nocturia

C: Dyspnea

D: Hacking cough

Rationale: Left-sided heart failure causes oliguria during the day and nocturia during sleeping

hours, pulmonary manifestations, such as dyspnea, orthopnea, crackles, and wheezes, and a

hacking cough that worsens at night and eventually produces frothy sputum.

Q: A nurse is assessing a client who is 1 hour postoperative following a transurethral resection

of the prostate (TURP) for treatment of benign prostatic hyperplasia. For which of the following

assessment findings should the nurse notify the provider?

Answer:

C: The catheter tubing has multiple red clots.

Rationale: The nurse should identify that the presence of multiple red clots in the catheter tubing

or drainage that is ketchup-like are manifestations of postoperative bleeding. The nurse should

notify the provider and provide hand irrigation of the bladder per provider prescription.

Q: 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?

Answer:

D: Plan to finish eating at least 3 hr before bedtime.

Rationale: The nurse should encourage the client not to eat anything at least 3 hr before bedtime

to prevent reflux.

Q: A nurse is providing teaching for a client who has a new diagnosis of benign prostatic

hyperplasia (BPH). Which of the following instructions should the nurse include to promote

elimination?

Answer:

B: "Void as soon as you feel the urge."

Rationale: The nurse should instruct a client who has BPH on measures to prevent distension of

the bladder and urinary retention. Encouraging the client to void as soon as the urge develops

decreases the risk of bladder distension.

Q: A nurse is assessing for manifestations of hyponatremia in a client who has been taking

twice the prescribed dose of a diuretic. Which of the following findings should the nurse expect?