ATI RN Concept-Based Assessment Level 3 Practice B (Latest 2023/ 2024) Questions and Verified Answers with Rationales| 100% Correct| Grade A

ATI RN Concept-Based Assessment Level 3

Practice B (Latest 2023/ 2024) Questions

and Verified Answers with Rationales| 100%

Correct| Grade A

Q: A nurse in a mental health clinic is planning care for a client who has post-traumatic stress

disorder (PTSD). Which of the following strategies should the nurse include?

-Assist the client to identify their stage in the grief process.

-Encourage the client to avoid discussing their trauma.

-Offer the client alone time when flashbacks occur.

-Provide the client with a rotating staffing assignment.

Answer:

Assist the client to identify their stage in the grief process.

The nurse should explain to the client the stages of grief and help them identify their progression

in the process. Knowing their feelings are an expected part of the grieving process, and that they

can move forward through the process, can offer the client a sense of hope for the future.

Q: A nurse is reviewing the laboratory findings of a client who has acute pancreatitis. Which of

the following findings should the nurse expect?

-Calcium 10.2 mg/dL

-Amylase 300 units/L

-WBC count 7,000/mm3

-Blood glucose 100 mg/dL

Answer:

Amylase 300 units/L

The nurse should identify that a client who has acute pancreatitis can have an elevated amylase

level. The expected reference range for amylase is 30 to 220 units/L. An amylase value rises

within 12 to 24 hr of the onset of pancreatitis.

Q: A nurse is caring for a client who has schizophrenia and states, "The government has spies

here monitoring me in my room." Which of the following responses should the nurse give?

-"The government is not monitoring your room."

-"What would you like me to do about the government being here?"

-I understand that you believe the government is here, but I don't see any evidence of this."

-"Let's go see if the government is monitoring your room."

Answer:

"I understand that you believe the government is here, but I don't see any evidence of this."

The nurse should convey belief in what the client is experiencing, but should express reasonable

doubt to reinforce reality.

Q: A nurse is reviewing the medical history of a client. The nurse should identify that which of

the following findings indicates the client is at risk for a stroke?

-History of hypopituitarism

-Takes a combination oral contraceptive

-Drinks 150 mL (5 oz) of wine each day

-Avoids saturated fats in cooking

Answer:

Takes a combination oral contraceptive

A client who takes combination oral contraceptives is at risk for a stroke caused by a

thromboembolism. Thromboembolism is an adverse effect of the estrogen found in oral

contraceptives.

Q: A nurse is caring for a client who is 4 hr postpartum and is experiencing excessive vaginal

bleeding. Which of the following actions is the nurse's priority?

-Administer oxytocin IV.

-Massage the client's fundus.

-Assist the client to the bathroom to void.

-Apply oxygen via nonrebreather face ma

Answer:

Massage the client's fundus.

The nurse should identify that the greatest risk to the client is uterine atony leading to postpartum

hemorrhage. The initial treatment of uterine atony is fundal massage, which enhances uterine

muscle contraction, decreasing bleeding. Therefore, fundal massage is the nurse's priority action.

Q: A nurse is reviewing the medication record of a client who was recently di- agnosed with

Alzheimer's disease and has a new prescription for memantine. The nurse should instruct the

client that which of the following medications can interact adversely with memantine?

-Sodium bicarbonate

-Ibuprofen

-Diphenhydramine

-Omeprazole

Answer:

Sodium bicarbonate

Sodium bicarbonate is an antacid used to treat GI upset. This medication alkalizes the client's

urine, which increases the accumulation of memantine, leading to toxicity. The nurse should

instruct the client to avoid taking sodium bicarbonate while also taking memantine.

Q: A school nurse is planning an educational program for parents about bullying. Which of the

following information should the nurse include?

-Children who are victims of bullying behavior have an increased risk of suicidal ideation.

-Victims of bullying behavior in elementary school will have increased self-es- teem as adults.

-There is no evidence that a favorable relationship with parents can prevent bullying behavior.

-Children who bully others have conduct disorder and should be evaluated by a psychiatrist

immediately.

Answer:

Children who are victims of bullying behavior have an increased risk of suicidal ideation.

The nurse should inform the parents of children who are victims of bullying behavior that this

places them at an increased risk for depression and they are more likely to attempt suicide.

Q: A nurse is providing teaching to a client who has bipolar disorder and a new prescription for

lithium. Which of the following statements should the

nurse make?

-"Take this medication on an empty stomach."

-"Restrict your intake of salt while taking this medication."

-"Drink at least 1.5 liters of fluid per day while taking this medication."

-"Expect a weight loss of 10 to 20 pounds with this medication."

Answer:

"Drink at least

1.5 liters of fluid per day while taking this medication."

The nurse should instruct the client to drink 1.5 to 3 L of fluids per day while taking lithium.

Dehydration can lead to lithium toxicity.

Q: A nurse is teaching about approaches to care with the family of a client who has a new

diagnosis of dementia with confusion. Which of the following information should the nurse

include in the teaching?