Prepare for the ATI CBC Level 3 Proctored exam with these practice questions and answers. This guide covers comprehensive nursing content for successful exam completion.
Q: A nurse is caring for a client who is scheduled to undergo ECT. The provider has explained the procedure to the client. Which of the following statements made by the client indicates a need for further teaching?
Answer: This procedure can increase my risk for developing Parkinson’s
Q: There has been a massive community disaster and stable clients must be discharged from the hospital to prepare for the influx of new casualties. Which of the following clients is safe to discharge?
Answer: A client with multiple sclerosis who reports ataxia
Q: A nurse is providing discharge teaching to a client and family members following an admission for a seizure disorder. Which of the following actions should the nurse instruct the family members to take if the client experiences a seizure?
Answer: Loosen constricting clothing
Q: A nurse is caring for a client who reports pain. When documenting the quality of the client’s pain on an initial pain assessment, the nurse should record which of the following client statements?
Answer: The pain is like a dull ache in my stomach.
Q: A nurse is administering baclofen for a client who has a spinal cord injury. Which of the following should the nurse document as therapeutic outcome?
Answer: Decrease in flexor and extensor spasticity
Q: A client recently diagnosed with bipolar disorder is placed in a room with a client who has severe depression. The client who has depression reports to the nurse, “That man in my room never sleeps and he keeps me up, too.” Which of the following is an appropriate intervention for the nurse to take?
Answer: Move the client who has bipolar disorder to a private room.
Q: The nurse is assisting a group of clients to identify skin cancer-related risk factors that can be reduced. Which of the following is an appropriate health behavior change?
Answer: Wearing a wide-brim hat while gardening.
Q: An older adult client is to receive an annual influenza vaccine. While preparing the client for this immunization, the nurse should ask the client if he has a hypersensitivity to which of the following?
Answer: Eggs
Q: Which of the following nursing interventions is helpful in establishing trust in the initial phase of a nurse-client relationship?
Answer: Discussing the boundaries of the relationship with the client.
Q: A nurse is assessing a client who is diagnosed with rheumatoid arthritis. Which of the following nonpharmacologic interventions should the nurse suggest to a client to reduce pain?
Answer: Alternate application of heat and cold
Q: A nurse is watching an assistive personnel empty a postsurgical client’s Jackson-Pratt drain. Which of the following indicates that the AP needs further instruction on this procedure?
Answer: The AP puts on sterile gloves beore performing the procedure.
Q: A nurse is caring for a child who has experienced a generalized seizure. During the postictal period, which of the following actions should the nurse take?
Answer: Document the time until the child is fully awake
Q: A client who has systemic lupus erythematosus presents to the clinic. Which of the following findings should be reported to the primary care provider?
Answer: Increase in heart rate 25/min above baseline.
Q: A nurse is educating a client who is at 30 weeks of gestation regarding a 3-hr oral glucose tolerance test. Which of the following should the nurse include in her teaching?
Answer: Consume 150 g of carbs for 3 days prior
Q: A nurse is moving into the role of a hospic nurse. She recognizes that when she is working with clients in the community, the collaborative process for hospice care begins in the hospital with
Answer: The dischage planner
Q: A nurse is assessing a young adult client in a women’s health clinic who asks for a contraceptive. The client reports to the nurse a familial history of osteoporosis. Which of the following contraceptive methods is contraindicated for this client?
Answer: Medroxyprogesterone acetate
Q: A community health nurse is asked to give a health education program to a group of African-American men age 40 to 75. Considering the health concerns for this group, which of the following topics is most important to include in the program?
Answer: Prostate cancer screening
Q: A nurse is caring for an older adult client. The client received 0.9% NaCl 1 L over 4 hr insted of over 8 hr as prescribed. Which of the following entries is the appropriate documentation of this occurrence in the client’s medical record?
Answer: 0.9% sodium chloride 1 L IV infused over 4 hr. Vital signs stable
Q: A nurse is caring for a child who was just admitted from the ER with a head injury. The child had two episodes of vomiting while in the ER, responds to name, but easily falls back to sleep. Which of the following are appropriate interventions?
Answer: Apply O2 at 2L/min via nasal cannulaAdministerNPO
Q: A nurse is providing postoperative instructions about complete proteins to a client following a below the knee amputation. Which of the following food choices indicated a need for additional instruction?
Answer: Pinto beans
Q: A community health nurse is teaching a group of older adults about environmental health hazards. A need for additional teaching is indicated when a group member lists which of the following as a possible source of carbon monoxide poisening?
Answer: Electric space heaters
Q: A nurse is performing a screening test for sickle cell anemia on a toddler. Which of the following actions should the nurse take when performing the sickle-turbidity test?
Answer: Fingerstick
Q: A nurse is working with an Orthodox Jewish client who has just given birth to a stillborn infant. Which of the following interventions is appropriate?
Answer: Ask the family is there are any special rituals that they would like to follow at this time.
Q: A nurse is providing care to a school-age child who is in skeletal traction. Which of the following nursing actions is appropriate for the care of the child’s pin sites?
Answer: Apply a topical antibiotic to the pin sites daily.
Q: A nurse in a pediatric unit is caring for a preschool-age child who has acute lympho
Answer: Help child brush teeth gently
Q: A client who is pregnant arrives at the labor and delivery unit reporting leakage of fluid from the vagina. The nurse determines that the client has probably rupture of membranes when assessment reveals that
Answer: The ferning test is positive.
Q: A nurse is caring for a client who is post op. When the nurse prepares to change his dressing, he says, “Every time you change my bandage, it hurts so much.” Which of the following
Answer: Pain meds
Q: A nurse in the ER is performing a neuro assessment
Answer: Babinski
Q: A nurse is providing inservice education to a group of nurses who are new to community health. Further teaching?
Answer: CDC develops Health People 2020
Q: A nurse is preparing a discharge teaching plan regarding dressing changes for client who…. facial scars
Answer: Mirror
Q: A nurse is assessing a client who is taking oral contraceptives. Which of the following meds will interfere?
Answer: Carbamazepine
Q: A nurse is caring for a client who is receiving TPN. A new bag is not available when current infusion is nearly complete. Which actions?
Answer: Dextrose
Q: Which of the following measures should a nurse include when preparing and adolescent for lumbar puncture?
Answer: Apply analgegic
Q: A nurse is providing pre op education to a client who is scheduled for mastectomy. understand teaching?
Answer: I’ll probably have a drain and dressing
Q: A client walks into the ER with reports of numbness and tingling of the lower extremetries following a fall from a ladder. Which of the follwing actions should the nurse take first when admitting the client?
Answer: backboard
Q: A nurse is working with a toddler who has cerebral palsy and is having trouble with verbal communication. Which of the following strategies should the nurse plan to use to promote effective communication?
Answer: ✔️Use pictures and objects when talking to the child✔️encourage the child to move his lips and tongue when eating✔️allow the child time to articulate at his own pace
Q: A nurse is providing discharge instructions to a client who has active TB. Which of the following should be included in the discharge instructions?
Answer: Sputum specimens are necessary every 2 to 4 weeks
Q: A nurse is caring for a school-age child recently diagnosied with acute lymph… bone marrow dysfunction?
Answer: Low-grade fever
Q: A nurse is caring for a client who reports abdominal cramping immediately following gastric tube feeding.
Answer: Room temperature
Q: A nurse walks into the nurses’ station and sees several staff members looking at the electronic medical record for a celebrity client on another unit. Which of the following actions should the nurse take first?
Answer: Remind the staff members that this is a breach of confidentiality.
Q: A nurse is assessing fetal heart tones for a client who is pregnant. The nurse has determined the fetal position..
Answer: Left Lower
Q: A nurse is preparing to insert an indwelling urinary catheter in a school-age child. Which of the following should the nurse include in the plan of care?
Answer: Allow child to see equipment
Q: A community health nurse identifies an increase in the occurrence of osteoporosis-related fractures in women experiencing menopause. Which of the following primary prevention strategies should the nurse implement?
Answer: Encourage the women to participate in weight-bearing activities.
Q: A student at a local high school is diagnosed with syphilis. Which of the following actions should the nurse take?
Answer: Report the case to the state health department.
Q: A client is receiving a second dose of IV cefazolin post op. The nurse notes urticaria, dyspnea, anxiety, and hypotension. Which of the following should the nurse anticipate administering?
Answer: Epinephrine
Q: A client who is being discharged today asks the nurse for supplies for her wound dressing. Which of the following actions should the nurse take to ensure quality, cost-effective care?
Answer: Provide enough supplies for 1-2 days.
Q: A nurse is aware that a client who has stage 4 Alzheimer’s disease may exhibit
Answer: Inability to manage finacnes
Q: The parents of a child who has a terminal prognosis tell the nurse that they do not want the child to know the prognosis. The child asks the nurse if he is going to die. Which of the following is an appropriate response by the nurse?
Answer: Discuss with the child his thoughts about dying.
Q: A nurse is caring for a client who is receiving end-of-life care. Which of the following should the nurse include in the client’s plan of care to promote comfort?
Answer: Provide oral care frequently
Q: A community health nurse is working in a youth health clinic and identifies an increase in suicide attempts. The nurse uses population-focused practice to address this concern by
Answer: Implementing an educational program for high-risk client
Q: A nurse takes a phone call from a man who states that he is a client’s pastor and then asks about the client’s condition. Which of the following is an appropriate response by the nurse?
Answer: Suggest that the caller contact the family regarding the client’s condition.
Q: A nurse is providing care for a client who is in the PACU following a colonoscopy. The client reports increased abdominal pain; his skin is pale, cool, and diaphoretic; and his abdomen is distended. Which of the following is the priority assessment?
Answer: Blood pressure
Q: A nurse is caring for a client who is receiving a blood transfusion. The client becomes restless, dyspneic, and has jugular vein distention. Which of the following actions should the nurse anticipate taking?
Answer: Slow the infusion rate.
Q: A community health nurse is action as an advocate for an adolescent who is pregnant. Which of the following is the most important action the nurse should take to assist this client?
Answer: Help the client obtain a provider for prenatal care.
Q: A nurse is caring for a client who is receiving radiation treatment for colon cancer. The client states, “I have three episodes of diarrhea since treatment.” Which of the following should the nurse suggest to the client?
Answer: Limit caffeine
Q: A nurse on a postpartum unit is caring for a client who reports that her partner is abusive. Which of the following actions should the nurse take?
Answer: Ask the client is she has developed an escape plan
Q: A nurse manager is providing orientation to a nurse who is new to hospice care. Which of the following statements indicates that the new nurse needs additional orientation?
Answer: I will provide care and education to clients in order to promote recovery.
Q: A nurse is caring for a client who has just delivered a newborn. The nurse is preparing to administer oxytocin. Which of the following findings is an indication for the use of oxytocin?
Answer: Flaccid uterusExcess vaginal bleeding
Q: When planning care for a child who has increased ICP, which of the following should the nurse include in the child’s plan of care?
Answer: Maintain head in midline
Q: A nurse is working at a community health center. Which of the following nursing activities demonstrates a tertiary level of prevention?
Answer: Teaching a client who has rheumotoid arthritis measures to prevent joint deform
Q: A nurse is talking with a client who is beginning chemotherapy. She tells the nurse that she is mourning the loss of her hair. Which of the following actions should the nurse take first?
Answer: Discuss the importance of hair with the client.
Q: A nurse is caring for a client who is taking tranylcypromine. Which of the following foods is appropriate for this client to eat?
Answer: Blueberries
Q: A parent expresses concern to the nurse that her 18-month-old may have autism. Which of the following characteristics described by the parent should the nurse report to the primary care provider?
Answer: Dislikes being held
Q: A hospice nurse is visiting a parent on the 1-year anniversary of the death of his child from leukemia. Which of the following reactions by the parent would indicate to the nurse the need for a bereavement counseling referral?
Answer: The parent has not returned to work
Q: A nurse observes a client in the hallway who is having a generalized tonic-clonic seizure. The client has become cyanotic. Which of the following nursing interventions is appropriate for this client?
Answer: Turn the client onto her side.
Q: A nurse is caring for a 14-month-old client newly diagnosed with spastic cerebral palsy. Which of the following assessment findings should the nurse anticipate?
Answer: Fine and gross motor skill challenges.
Q: A client is reporting pain at the insertion site of his IV catheter. The nurse observes a red line extending outward from the insertion site. Which of the following actions should the nurse take first?
Answer: Discontinue infusion
Q: A nurse is providing teaching to a female client who has been newly diagnosed with a seizure disorder and have began phenytoin. The nurse should tell the client that phenytoin can decrease the effectiveness of which of the following?
Answer: Ethinyl estradiol/desogestrel
Q: A nurse is caring for an older adult client who has kidney failure. The client tells the nurse that she has decided to stop hemodialysis treatment. Which of the following actions by the nurse is appropriate in regard to serving as the client’s advocate?
Answer: Support
Q: A nurse is caring for a client who has been diagnosed with placenta previa. The nurse should expect which of the following findings?
Answer: Painless vaginal bleeding
Q: A nurse is performing an assessment on a new client. Which of the following should be included in the cultural portion of the assessment?
Answer: Food preferences
Q: The mother of an adolescent tells the nurse that she argues frequently with her daughter about playing music while studying. Which of the following is an appropriate response for the nurse to make?
Answer: Consider letting her make her own choice about listening to music while studying.
Q: A client who is taking fluoxetine for depression presents to the clinic for follow-up treatment. Which of the following adverse effects reported by the client should the nurse recognize as being attributable to this medication?
Answer: Sexual dysfunction
Q: A client who is at 18 weeks of gestation has had an abnormal maternal serum alpha-fetoprotein and elects to have an aminocentresis for diagnostic confirmation. Which of the following statements by the client should the nurse recognize as indicating a complication?
Answer: My stomach seems tight since the doctor lift
Q: A nurse is caring for a client who has a closed head injury and has an intraventricular catheter placed. Which of the following findings indicates that the client is experiencing increased ICP?
Answer: SleepinessDecerebrate posturingWidening pulse pressure
Q: A woman has just delivered a stillborn baby. Which of the following is the appropriate response by the nurse?
Answer: I’ll stay with you just in case you want to talk.
Q: A nurse is caring for a client who is at 18 weeks of gestation and whose MSAFP results are high. Which of the following actions by the nurse is appropriate?
Answer: Request a prescription for an ultrasound
Q: A nurse is caring for a client who is at 32 weeks of gestation and has gonorrhea. This infection places the client at increased risk for which of the following during pregnancy?
Answer: Premature repture of membranes
Q: A nurse is caring for a client who is receiving chemotherapy. For which of the following should the nurse monitor to detect thrombocytopenia?
Answer: Occult blood in the stools
Q: A nurse is working with a group of older adult clients at an independent living facility who are discussing their plans for family reunions. Which of the following statements by a group member warrants further assessment by the nurse?
Answer: I’m not going to the reunion because no one asked me to help plan it
Q: A nurse is caring for a client who has an ileostomy and is 4 weeks post op. The client reports leakage and irritation around the stoma. Which of the following is an appropriate intervention?
Answer: Instruct the client to use a skin barrier when refitting the pouch system.
Q: A nurse is caring for a client who has postpartum hemorrhage due to uterine hypotonicity. Which of the following nursing actions is the highest priority?
Answer: Massage the fundus
Q: Which of the following activities is an example of a nurse’s role as a case manager?
Answer: Providing referral information to clients
Q: A community health nurse is planning an in-service about STI to a group of adolescents. Which of the following findings should the nurse include as a manifestation of primary syphilis?
Answer: Chancre
Q: A community health nurse is planning programs for the upcoming year. The focus of which of the following community health programs is an example of secondary prevention?
Answer: Testicular self-exam classes
Q: A charge nurse assigns an RN to administer IV medications and infusions, another RN to manage admission assessments, a LPN to give treatments, and an AP to handle hygiene needs for a caseload of clients. Which of the following is a rationale for this functional nursing approach?
Answer: To optimize efficiency of staff
Q: A nurse is providing teaching for a client who is perimonopausal and has been prescribed hormone therapy. For which of the following adverse effects should the nurse instruct the client to notify the provider?
Answer: Calf painNumbness in the armsIntense headache
Q: A nurse is teaching the partner of a client who has bipolar disorder to recognize findings of acute mania. Which of the following is an example of a manifestation that the client’s partner should report?
Answer: Inability to leep
Q: A client with a diagnosis of depression is attending group therapy. During the group meeting, the nurse asks each member to identify one goal of the day. When it is the client’s turn, she does not respond. Which of the following should the nurse do before repeating the request to the client?
Answer: Allow the client time to collect her thoughts.
Q: A charge nurse in the ICU notices that a nurse has made two medication errors during a shift. The charge nurse suspects that the nurse is chemically impaired. Which of the following actions should the charge nurse take first?
Answer: Remove the sataff member from the work environment.
Q: A nurse is caring for a school-age child prescribed methylpheniate for ADHD. The nurse has initiated interventions to minimize adverse effects. Which of the following findings indicates a successful intervention?
Answer: Maintatins age-appropriate weight
Q: A nurse receives report on four clients. Which of the following clients should the nurse assess first?
Answer: A client admitted for a fractured hip who has developed slurred speech
Q: A nurse is caring for a client who currently verbalizes clear intent to kill himself and is under suicide precautions with constant one-to-one observation. Nursing interventions should include which of the following?
Answer: Replace the client’s glass and metal tableware with paper or pllastic.
Q: A nurse is conducting a food safety class for a group of parents about potential choking hazards for toddlers. Which of the following food choices selected by the parents indicates an understanding of the teaching?
Answer: Peas
Q: A nurse from a medical unit is asked to work on an orthopedic unit. The medical nurse has no orthopedic experience. Which of the following clients should be assigned to the medical nurse?
Answer: A cleint who had a right above-the-knee amputation 24 hours ago
Q: A community health nurse contributes to disaster prepardness by doing which of the following?
Answer: Organizing community-wide disaster drills
Q: A nurse is providing teaching to a client who has rheumatoid arthritis and is prescribed methotrexate. Which of the following statements by the client indicates an understanding of the teaching?
Answer: I should call my doctor if I develop sores in my mouth.