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

ATI RN Concept-Based Assessment Level 2

Practice B (Latest 2023/ 2024) Questions and

Verified Answers with Rationales| 100%

Correct| Grade A

Q: A nurse is performing a focused assessment on a client who has cholelithiasis and reports

pain. Which of the following areas should the nurse assess?

Answer:

Right upper quadrant

The nurse should assess the gallbladder for the presence of pain or discomfort as a result of

biliary colic, which is caused by a gallbladder stone obstructing the bile duct. The pain can

radiate from the right upper quadrant of the client's abdomen to the client's right shoulder.

Q: The nurse is providing discharge teaching to a client about managing diverticulitis. Which of

the following statements should the nurse include in the teaching?

-"Use bisacodyl suppositories to stimulate a bowel movement"

-"Avoid lifting objects greater than 50 pounds"

-"Consume a clear liquid diet until symptoms resolve"

-"Take a probiotic 15 minutes after taking a prescribed antibiotic to prevent antibiotic-related

diarrhea"

Answer:

"Consume a clear liquid diet until symptoms resolve"

The nurse should recommend the client consume a clear liquid diet until manifestations such as

abdominal pain, nausea, and vomiting have resolved. A clear liquid diet is low in fiber and does

not stimulate intestinal motility.

Q: A nurse is providing teaching to a client who has a methicillin-resistant Staphylococcus

aureus (MRSA) skin infection. Which of the following client statements indicates an

understanding of the management of antibiotic resistant infections?

-I will keep the infected area open to air to help it heal

-I can sleep in the same bed as my partner after I have been taking antibiotics for 24 hours

-I should sit on upholstered chairs instead of hardback chairs

-I will wash all uninfected skin areas with a fresh washcloth

Answer:

I will wash all uninfected skin areas with a fresh washcloth

The nurse should instruct the client to wash the uninfected skin areas with a fresh washcloth to

prevent contamination of the unaffected areas of the skin with the MRSA infection.

Q: A nurse is providing teaching to a client about preventing hearing loss from trauma. Which

of the following instructions should the nurse include in the teaching?

-Keep your mouth open when sneezing

-Block one nostril when blowing your nose

-Use an ear wick candle to remove excess cerumen from the canal

-Lubricate cotton-tipped applicators with mineral oil to clean the ear canal

Answer:

Keep your mouth open when sneezing

The nurse should instruct the client to keep the mouth open while sneezing to reduce the pressure

in the middle ear. Sudden pressure changes can damage the ossicles and perforate the ear drum.

Q: A nurse is teaching a client who recently lost his partner to a terminal illness. The client asks

how his 4-year-old son is expected to react to the death of his partner. Which of the following

information should the nurse include in the teaching?

-A preschooler has no concept of death

-A preschooler is often interested in what happens to the body after death

-A preschooler often believes that death is reversible

-A preschooler understands that death happens to everyone

Answer:

A preschooler often believes that death is reversible

The nurse should identify that preschoolers tend to have difficulty understanding the reality of

death and often believe that it is reversible. Because of magical thinking, the preschooler might

think that his thoughts or behavior might have caused the person to die.

Q: A nurse is assessing a client who has gestational diabetes and ketoacidosis. Which of the

following manifestations should the nurse expect?

-Increased urination

-Sweating

-Dizziness

-Loose stools

Answer:

Increased urination

The nurse should expect the client to exhibit manifestations of hyperglycemia, including

increased thirst, nausea, vomiting, increased urination, flushed dry skin, acetone breath odor, and

a weak, rapid pulse.

Q: A nurse is assessing a client who has an external fixator to the right lower arm following

musculoskeletal trauma. Which of the following findings should indicate to the nurse that the

client has developed compartment syndrome?

-Serous drainage is present on the pin site dressings

-Flushing of the skin on the right arm

-Bounding pulse palpated in the radial artery

-Numbness to the fingers on the right arm

Answer:

Numbness to the fingers on the right arm

The nurse should identify a decrease in sensation, such as numbness and tingling of the fingers,

as one of the first indications that the client might be developing compartment syndrome of the

right lower arm. Compartment syndrome is the result of edema and ischemia, a complication

following musculoskeletal injury. Other manifestations include increased pain, paralysis, pallor,

and decreased or absent pulses.