2023 ATI RN CONCEPT BASED ASSESSMENT LEVEL 1
PROCTORED EXAM ACTUAL EXAM TEST BANK 250
QUESTIONS AND CORRECT DETAILD ANSWERS WITH
RATIONALES|ALREADY GRADED A+
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 – ANSWER- 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 – ANSWER- 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 – ANSWER- 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 – ANSWEROffered 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 – ANSWER- 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 – ANSWER- 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 – ANSWER- 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 – ANSWER- 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 –
ANSWER- 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 – ANSWER- 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
- ANSWER- 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 –
ANSWER- And minister of Beto blocking medication to the client
A nurse is developing a plan of care for an older adult client who is
experiencing functional incontinence following hip arthroplasty which
of the following intervention should the nurse include – ANSWERPlease grab bars by the toilet
A nurse is caring for a client who is 2 days postoperative 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 client’s neuropathic pain? –
ANSWER- Administer a beta-blocking medication to the client.
(The nurse should administer a beta-blocking medication to the client.
This classification of medication has been shown to relieve the phantom
limb pain manifestations of constant dull and burning type pain.)
A newly licensed nurse asks a charge nurse where to find information
about scope of practice for registered nurses. Which of the following
responses should the charge nurse make? – ANSWER- “The state board
of nursing can provide this information”
(each state develops a nurse practice act, which defines scope of practice
for nurses in that state. This practice act is available on the board of
nursing website for each state.)
A nurse is planning care to prevent a catheter-related bloodstream
infection for a client who is receiving IV fluid therapy. Which of the
following interventions should the nurse include in the plan? –
ANSWER- Perform hand hygiene before touching the IV tubing.
(The nurse should perform thorough hand hygiene before touching any
part of the infusion system or the client to reduce the risk of catheterrelated blood stream infections.)
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? –
ANSWER- Offer the client a glass of water every two hour when
repositioning.
(The nurse should offer the client a glass of water every two hours on
the clients repositioning schedule. This helps prevent dehydration, which
increases the risk of skin breakdown.)
A nurse is teaching a young adult female client about health screening
for breast cancer. Which of the following statements by the client
indicates an understanding of breast self-examination (BSE)? –
ANSWER- “I should expect to feel a firm ridge along the bottom curve
of each breast.”
(The nurse should instruct the client at a firm ridge is expected along the
bottom curve of each breast. The client should be able to feel this area
during the BSE. Performing a BSE promotes breast self awareness so
that the client knows how her breast normally feel. The awareness
increases the clients ability to identify changes that require further
evaluation.)
A nurse is caring for an adolescent who is in critical condition following
a motor vehicle crash which he was the passenger. The clients parent
shout 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? – ANSWER- Inform the parent that
anger is a natural response when dealing with loss.
(The nurse should identify that the parent is in the anger stage of grief.
The nurse should assist the parent to understand that anger is a natural
response to loss and encourage her to talk about her feelings.)
A nurse is teaching an older adult client about accessing electronic
resources for healthcare information on the internet. Which of the
following statements should the nurse include in the teaching? –
ANSWER- “Websites ending in ‘.gov’ are reliable sites for obtaining
health information from government agencies.”