RN ATI concept-based assessment,

proctored exam for level 1 Test Bank.

ATI Rn concept based assessment level 1

A nurse is admitting a client who has pulmonary tuberculosis which of the following

transmission based precautions should the nurse initiate

✅ANS- Airborne

A nurse in a mental health facility is preparing an educational program for a group of staff nurses

about the proper use of restraints which of the following information should the nurse plan to

include

✅ANS- An adult client may be in mechanical restraint for up to four hours

A nurse is teaching sleep hygiene to a client who has insomnia which of the following statements

should the nurse make

✅ANS- Exercise in the morning after araising

A nurse is preparing to leave the room of a client who is on isolation precautions which of the

following actions should the nurse take when removing a tight surgical Mask

✅ANS- Remove the mask by securely holding the ties and moving it away from the face

A nurse is caring for an adolescent client who is in critical condition following a motor vehicle

crash in which he was a passenger. the clients parent Shouts at the Nurse asking why her son is

dying instead of the driver which of the following actions should the nurse take to provide

emotional support to the parent

✅ANS- Inform the parent that anger is a natural response when dealing with loss

A community health nurse is planning prevention strategies for hypertension among members of

our community the nurse should identify that which of the following ethnic groups in the

community is at great risk for developing hypertension

✅ANS- African Americans

A community health nurse is planning interventions to promote healthy people 2020 initiatives in

the community which of the following actions should the nurse plan to take first

✅ANS- Determine the level of health equity among groups in the community

A nurse is reviewing a clients new prescriptions that were just documented in the clients medical

record by the provider which of the following abbreviation should the nurse clarify with the

provider

✅ANS- Enoxaparin 40 mg sq qd

A nurse is talking with a client who has major depressive disorder the client states nobody cares

if I'm around or not which of the following responses should the nurse night

✅ANS- It sounds as though you're feeling hopeless

A nurse is preparing to administer a unit of packed red blood cells to a client in adherence with

the joint commission national patient safety goals regarding blood administration which of the

following actions should the nurse plan to take

✅ANS- Verify the client and blood component using a two person process

The nurse on a medical surgical unit is caring for a group of clients which of the following

clients should the nurse monitor for the development of reflex urinary incontinence

✅ANS- A client who has a T 12 spinal cord injury

A nurse is documenting and assessment in a clients electronica health record when an assistive

personnel asked to enter the morning blood glucose by the client which of the following actions

should the nurse take

✅ANS- Request that AP to use another computer to enter the data

A nurse is preparing to administer acetaminophen 120 mg PO to a toddler Available is

acetaminophen drops 80 mg/0.8 ML. How many ML Should the nurse administer? Round to

nearest tenth

✅ANS- 1.2ml

A nurse is preparing to administer 0.9% sodium chloride 1000 ML over eight hours IV to a client

the nurse should say the infusion infusion pump to deliver how many ML per hour round the

answer to the nearest whole number

✅ANS- 125ml/hr

A nurse is providing teaching about nutrition management to the parent of an 18 month old

toddler who has phenylketonuria which of the following foods should the nurse recommend

✅ANS- Baked potato

A nurse is preparing to extinguish a small fire in a clients room which of the following actions

should the nurse take when using a fire extinguisher

✅ANS- Slide the pin on top of the fire extinguisher to allow for use to extinguish the fire

A nurse is planning meals for a client who practices Judaism and reports that she strictly adhere's

to Orthodox dietary laws the nurse should recognize that which of the following dietary practices

applies to the clients beliefs

✅ANS- The client is permitted to eat fish That have scales

A nurse is caring for a client who has CDF infection and is incontinent of stool following longterm antibiotic therapy. Which of the following actions should the nurse take?

✅ANS- Wear a gown when providing care for the client

A nurse is planning the menu for a client who practices seventh day Adventism which of the

following food selections should the nurse make

✅ANS- Scrambled eggs

A nurse in a long-term facility discovers a small fire in a clients trashcan after moving the client

to safety which of the following actions should the nurse take next

✅ANS- Pull the alarm to notify emergency services

A community health nurse is developing brochure about the use of smokeless tobacco which of

the following information should the nurse plan to include

✅ANS- Smokeless tobacco provide a higher dose of nicotine than cigarettes

A nurse is preparing to administer three medications to a client who has an NG tube a

levothyroxine tablet and ibuprofen gel cap and a delayed release omeprazole capsule which of

the following actions should the nurse take

✅ANS- Chrush the levo thyroxine tablet into a powder and dissolve it in 30 ML's of of warm

sterile water

A nurse is caring for a child who has contact dermatitis due to poison ivy the parent asked the

nurse how to prevent further reactions which of the following responses should the nurse make

✅ANS- Wash your child's exposed clothing with hot water and detergent

A nurse is planning care for a client who has an indwelling urinary catheter which of the

following interventions should the nurse include in the plan to prevent the development of a

catheter associated urinary tract infection

✅ANS- Secure the catheter tubing to the clients leg

A nurse in a long-term care facility is admitting a new client following a brief stay in acute care

in adherence with the joint commission national patient safety goals regarding medication

administration which of the following actions should the nurse take

✅ANS- Compare a list of the clients current medications with the ones he will take in long-term

care

A nurse is creating a plan of care for a client who is non-ambulatory and has bladder and bowel

incontinence which of the following interventions should the nurse include to prevent skin

breakdown ✅ANS- Offered the client a glass of water every two hours when repositioning

A home health nurse is providing teaching to the parent of a child who is receiving

chemotherapy and experiencing nausea which of the following statements shit the nurse make

✅ANS- Have your child rest with his head elevated after meals

A nurse is caring for a client who has cancer and is planning discharge to home with hospice care

which of the following statements by the client indicates that he is experiencing spiritual distress

✅ANS- I wish God had not allowed this cancer to invade my body

A nurse is beginning nutrition counseling with a client who has a BMI of 34.2 which of the

following questions should the nurse asked first to address the clients excessive nutrition and

obesity ✅ANS- Are you ready to make a lifelong commitment to a healthier lifestyle

A nurse is administering Enoxaparin subcutaneously to a client who is post operative and is at

risk of thromboembolic event which of the following actions should the nurse take ✅ANS- Pull

up a small amount of skin using the thumb and forefinger of the non-dominant hand

A nurse is searching electronic data bases for clinical research about behavioral indicators of

pain in an infant which of the following online sources should the nurse late to research this

infant care issue ✅ANS- Cumulative index to nursing and allied health literature

A nurse is planning to use an interpreter to assist her when interviewing a client who does not

speak the same language as the nurse which of the following actions should the nurse plan to

take ✅ANS- Ensure the client and the interpreter are compatible

A nurse is planning a community health program about substance use disorders which of the

following information should the nurse include when discussing the guidelines for safety limits

of alcohol consumption ✅ANS- A healthy woman of any age should consume no more than

seven drinks in a week

A nurse is caring for a client who is two day's post operative following an above the knee

amputation the client states he is experiencing a dull burning pain in the leg that was amputated

which of the following actions should the nurse take to treat the clients neuropathic pain ✅ANSAnd minister of Beto blocking medication to the client