ATI: Nurse Logic 2.0: Nursing Concepts (Advance Test)
Fall 2022-2023.
A nurse working in a provider’s office is reinforcing teaching with a client who is 14 weeks of
gestation. The nurse should instruct the client to immediately notify the provider if she
experiences which of the following?
A. Facial edema
B. Urinary frequency
C. Acid indigestion
D. Breast leakage “Correct answer”- A. Facial edema
*The content of this question emphasizes the concept of client education by determining
manifestations the client should be taught to immediately report to the provider. Client education
is the provision of health-related education to clients to facilitate the acquisition of new
knowledge and skills, adoption of new behaviors, and modification of attitudes. It is important
for the client to be taught symptoms that should be immediately reported to the provider to
prevent or reduce potential harm to herself or the fetus. Facial edema is an indication of
pregnancy-induced hypertension and should be reported immediately to the provider.
A nurse working in a hospice facility is talking to a client’s son who is distressed because his
mother cries frequently and says she wants to die. Which of the following responses by the nurse
is appropriate?
A. “I know this must be difficult, but your mother will calm down soon.”
B. “Let’s discuss some strategies you can use when this happens again.”
C. “Individuals near death are ready to let go toward the end.”
D. “Have you determined why she is crying and saying she is ready to die?” “Correct answer”-
B. “Let’s discuss some strategies you can use when this happens again.”
*The content of this question emphasizes the concept of client-centered care through the use of
therapeutic communication. Client-centered care focuses on the client and emphasizes the client’s
cultural, ethnic, and social values. The use of therapeutic communication assists the nurse to
develop client relationships that foster trust and respect. This response by the nurse offers to
provide information, which can reduce anxiety and enhance decision-making. This response by
the nurse creates a safe and secure environment, fosters trust and respect, and is appropriate.
A nurse is caring for a client who has a urinary tract infection and is prescribed ciprofloxacin
(Cipro). The client exhibits urticaria and angioedema following administration of the medication.
Which of the following is the first action the nurse should take?
A. Administer epinephrine (Adrenaline).
B. Elevate the lower extremities.
C. Determine respiratory status.
D. Apply oxygen via non-rebreather mask. “Correct answer”- C. Determine respiratory status.
*The content of this question emphasizes the concept of priority setting by determining priority
nursing action for a client experiencing an allergic reaction. Priority setting is the use of nursing
judgment when making decisions about the rank order in which to take nursing actions. Various
priority setting frameworks, such as Maslow’s Hierarchy of Needs, nursing process, ABC, and
safety and risk reduction, can be useful in determining the priority of needed actions. This item
can be answered using both nursing process and the ABC priority setting framework. The client
is experiencing angioedema, indicating the possibility of an anaphylactic reaction, which is lifethreatening; therefore, the nurse should first determine the client’s respiratory status.
A nurse is caring for a child who is 24 hr postoperative following a supratentorial craniotomy.
The nurse should maintain the child in which of the following positions?
A. Prone with head of the bed flat
B. Dorsal recumbent with head of the bed elevated to 15°
C. Supine with head of the bed elevated to 30°
D. Side-lying with head of the bed elevated to 45°. “Correct answer”- C. Supine with head of the
bed elevated to 30°
*The content of this question emphasizes the concept of safety through selection of the
appropriate position for a child who is postoperative following a supratentorial craniotomy.
Safety in nursing practice is the minimization of risk factors that could cause injury or harm
while promoting quality care and maintaining a secure environment for clients, self, and others.
Through the provision of client-centered care and incorporation of evidence-based practice,
nurses are able to assist in achieving this goal by preventing or minimizing physical injury.
Following a supratentorial craniotomy, the client should be maintained in a position that
facilitates drainage of cerebrospinal fluid and prevents hemorrhage by reducing blood flow to the
brain. Positioning the client supine with the head of the bed elevated to 30° is appropriate.
A nurse has assigned four tasks to an assistive personnel (AP). Which of the following should
the nurse instruct the AP to perform first?
A. Take an ABG specimen to the laboratory.
B. Transport a client to the radiology department for an x-ray.
Obtain a clean catch urine sample from a newly admitted client.
Pass fresh water to clients. “Correct answer”- A. Take an ABG specimen to the laboratory.
*The content of this question emphasizes the concept of leadership by prioritizing completion of
assigned tasks. Leadership is the process by which nurses use a set of skills that directs and
influences others in the provision of individualized, safe, quality client care. When making
assignments, a leader should be certain to include a timeline for completion. ABG samples are
kept on ice and should be transported immediately to the laboratory or the specimen will