ATI RN Concept - Based Assessment Level 4 Online Practice A
Study online at https://quizlet.com/_e3liff
1. A nurse is teaching a client who has been newly diagnosed with systemic
lupus erythematosus (SLE). Which statement by the client indicates an under-
standing of the teaching?: "I should inspect my skin daily for cuts and rashes"
2. A nurse is caring for a client who has Parkinson's disease. Which of the
following actions should the nurse take to promote the client's mobility?: Instruct
the client to perform range-of-motion exercises
- The nurse should instruct the client to perform stretching and range-of-motion exercises to promote mobility.
exercising and walking help to delay the progression of the disease.
3. A nurse is caring for a client who has had a myocardial infarction and sus-
pects cardiogenic shock. The nurse should monitor for which of the following
manifestations?: Pulmonary Congestion
-Pulmonary congestion is a result of decreased cardiac output due to damage to the cardiac muscle
4. A nurse is assessing a client who has a DNR order and has stopped breathing.
The family asks the nurse to resuscitate the client. Which action should the
nurse take?: Respect the client's preferences.
5. A nurse manager is teaching a group of nurses about OSHA. What informa-
tion should the nurse include?: Sets standards for hazardous exposures in the workplace.
6. A nurse manager identifies that the number of client medication administra-
tion errors on the unit has increased. When creating a cause-and-effect chart,
which of the following information should the nurse manger include?: Possible
reasons for the medication errors. ------------------------------------------------- The nurse manager should identify and
include possible reasons for the occurrence of medication errors when creating a cause and effect chart. This data
assists in the prevention of future medication errors.
7. A nurse manager notices that he has exceeded the amount of money allo-
cated for labor costs for the quarter. Which action should the nurse manager
take?: involve staff nurses in budge planning.
-this promotes awareness of the costs of staffing a unit and encourages cost-effective care.
8. A nurse is providing teaching to a client who has a halo device applied to
prevent further cervical spinal cord injury following a diving accident. What info
, ATI RN Concept - Based Assessment Level 4 Online Practice A
Study online at https://quizlet.com/_e3liff
should the nurse include?: "Avoid leaning forward when attempting to stand."
-the weight of the halo device can alter balance. leaning forward could cause the client to fall.
9. A nurse is working on an interprofessional collaboration plan of care for
a client who has a stage 3 pressure ulcer. Which action should the nurse
recognize as the. role of the licensed practical nurse (LPN)?: Administer pain medication
10. A nurse manager is facilitating conflict resolution between two nurses who
disagree about the need to make a referral to a social worker. Which conflict
management strategies should the nurse manager use?: Offer self to constructively
facilitate communication.
-The nurse manager will be the impartial third party in this communication
11. A nurse is having a disagreement with a coworker about a client assignment.
When following the chain of command, which of the following individuals
should the nurse contact to discuss the conflict?: The charge nurse
- When following the chain of command, the nurse should communicate with his immediate supervisor about any
questions and concerns he has, including a conflict with a coworkers.
12. A triage nurse is prioritizing clients following a mass casualty disaster. Which
of the following clients should the nurse treat first?: A client who is exhibiting manifestations
of shock.
-a client exhibiting manifestations of shock requires immediate intervention for survival.
13. A nurse is caring for a client who has a partial-thickness burn and a pre-
scription for a silver sulfadiazine cream. Which intervention should the nurse
take?: Monitor the client's WBC.
-A drop in the WBC count can be an indication of an allergic reaction to the silver sulfadiazine cream
14. A nurse is preparing to administer nitroglycerin topical ointment to a client
who had a myocardial infarction. Which action should the nurse plan to take?
(move steps in order): 1) Cleanse the client's skin and allow it to dry
2) Apply a thin layer of medication ointment to the dosing paper.
3) Spread the medication over a 6.4 by 8.9 cm area of skin
, ATI RN Concept - Based Assessment Level 4 Online Practice A
Study online at https://quizlet.com/_e3liff
4) Cover the medication site with plastic wrap
5) Remove the medication in 6 hr.
15. A nurse manager is teaching a group of nurses about professional negli-
gence. Which of the following situations should the nurse manager include as
an example?: Administering heparin to a client who is undergoing a lumbar puncture.
A nurse who administers heparin to client who is undergoing a lumbar puncture is an example of negligence.
Anticoagulant medication can cause bleeding in the lumbar area
16. A nurse is teaching a client who has deep-vein thrombosis and is receiving
heparin injections. The nurse should instruct the client to report which of the
following manifestations as an adverse effect of this medication?: An increase in
nosebleeds
-increase in nosebleeds or bruising can be indications of a hemorrhage, which is an adverse effect of heparin
17. A community health nurse is teaching a newly licensed nurse about the types
of psychiatric health care settings available in the community. Which should
the nurse identify as a primary care setting?: Outpatient counseling clinic
-primary care setting clinics provide strategies for clients to prevent or delay mental health issues
18. A nurse manager is informed that the family of a client is prepar-
ing to file a malpractice lawsuit. The nurse should identify which of
the following situations as potential malpractice?: Failure to identify an infiltrated IV
------------------------------------------------------- The nurse manager should identify that failure to provide reasonable
care, such as identifying IV infiltration, can contribute to malpractice. The nurse should provide care that a reasonably
prudent nurse would provide under the same circumstances.
19. A community health nurse is planning a public health presentation aimed at
minimizing health care disparities. Which of the following age groups should
the nurse identify as the priority for increasing health literacy?: Older Adults
- Evidence-based practice indicates that the nurse should target older adults because this age group has the lowest
level of health literacy compared to other groups.
Study online at https://quizlet.com/_e3liff
1. A nurse is teaching a client who has been newly diagnosed with systemic
lupus erythematosus (SLE). Which statement by the client indicates an under-
standing of the teaching?: "I should inspect my skin daily for cuts and rashes"
2. A nurse is caring for a client who has Parkinson's disease. Which of the
following actions should the nurse take to promote the client's mobility?: Instruct
the client to perform range-of-motion exercises
- The nurse should instruct the client to perform stretching and range-of-motion exercises to promote mobility.
exercising and walking help to delay the progression of the disease.
3. A nurse is caring for a client who has had a myocardial infarction and sus-
pects cardiogenic shock. The nurse should monitor for which of the following
manifestations?: Pulmonary Congestion
-Pulmonary congestion is a result of decreased cardiac output due to damage to the cardiac muscle
4. A nurse is assessing a client who has a DNR order and has stopped breathing.
The family asks the nurse to resuscitate the client. Which action should the
nurse take?: Respect the client's preferences.
5. A nurse manager is teaching a group of nurses about OSHA. What informa-
tion should the nurse include?: Sets standards for hazardous exposures in the workplace.
6. A nurse manager identifies that the number of client medication administra-
tion errors on the unit has increased. When creating a cause-and-effect chart,
which of the following information should the nurse manger include?: Possible
reasons for the medication errors. ------------------------------------------------- The nurse manager should identify and
include possible reasons for the occurrence of medication errors when creating a cause and effect chart. This data
assists in the prevention of future medication errors.
7. A nurse manager notices that he has exceeded the amount of money allo-
cated for labor costs for the quarter. Which action should the nurse manager
take?: involve staff nurses in budge planning.
-this promotes awareness of the costs of staffing a unit and encourages cost-effective care.
8. A nurse is providing teaching to a client who has a halo device applied to
prevent further cervical spinal cord injury following a diving accident. What info
, ATI RN Concept - Based Assessment Level 4 Online Practice A
Study online at https://quizlet.com/_e3liff
should the nurse include?: "Avoid leaning forward when attempting to stand."
-the weight of the halo device can alter balance. leaning forward could cause the client to fall.
9. A nurse is working on an interprofessional collaboration plan of care for
a client who has a stage 3 pressure ulcer. Which action should the nurse
recognize as the. role of the licensed practical nurse (LPN)?: Administer pain medication
10. A nurse manager is facilitating conflict resolution between two nurses who
disagree about the need to make a referral to a social worker. Which conflict
management strategies should the nurse manager use?: Offer self to constructively
facilitate communication.
-The nurse manager will be the impartial third party in this communication
11. A nurse is having a disagreement with a coworker about a client assignment.
When following the chain of command, which of the following individuals
should the nurse contact to discuss the conflict?: The charge nurse
- When following the chain of command, the nurse should communicate with his immediate supervisor about any
questions and concerns he has, including a conflict with a coworkers.
12. A triage nurse is prioritizing clients following a mass casualty disaster. Which
of the following clients should the nurse treat first?: A client who is exhibiting manifestations
of shock.
-a client exhibiting manifestations of shock requires immediate intervention for survival.
13. A nurse is caring for a client who has a partial-thickness burn and a pre-
scription for a silver sulfadiazine cream. Which intervention should the nurse
take?: Monitor the client's WBC.
-A drop in the WBC count can be an indication of an allergic reaction to the silver sulfadiazine cream
14. A nurse is preparing to administer nitroglycerin topical ointment to a client
who had a myocardial infarction. Which action should the nurse plan to take?
(move steps in order): 1) Cleanse the client's skin and allow it to dry
2) Apply a thin layer of medication ointment to the dosing paper.
3) Spread the medication over a 6.4 by 8.9 cm area of skin
, ATI RN Concept - Based Assessment Level 4 Online Practice A
Study online at https://quizlet.com/_e3liff
4) Cover the medication site with plastic wrap
5) Remove the medication in 6 hr.
15. A nurse manager is teaching a group of nurses about professional negli-
gence. Which of the following situations should the nurse manager include as
an example?: Administering heparin to a client who is undergoing a lumbar puncture.
A nurse who administers heparin to client who is undergoing a lumbar puncture is an example of negligence.
Anticoagulant medication can cause bleeding in the lumbar area
16. A nurse is teaching a client who has deep-vein thrombosis and is receiving
heparin injections. The nurse should instruct the client to report which of the
following manifestations as an adverse effect of this medication?: An increase in
nosebleeds
-increase in nosebleeds or bruising can be indications of a hemorrhage, which is an adverse effect of heparin
17. A community health nurse is teaching a newly licensed nurse about the types
of psychiatric health care settings available in the community. Which should
the nurse identify as a primary care setting?: Outpatient counseling clinic
-primary care setting clinics provide strategies for clients to prevent or delay mental health issues
18. A nurse manager is informed that the family of a client is prepar-
ing to file a malpractice lawsuit. The nurse should identify which of
the following situations as potential malpractice?: Failure to identify an infiltrated IV
------------------------------------------------------- The nurse manager should identify that failure to provide reasonable
care, such as identifying IV infiltration, can contribute to malpractice. The nurse should provide care that a reasonably
prudent nurse would provide under the same circumstances.
19. A community health nurse is planning a public health presentation aimed at
minimizing health care disparities. Which of the following age groups should
the nurse identify as the priority for increasing health literacy?: Older Adults
- Evidence-based practice indicates that the nurse should target older adults because this age group has the lowest
level of health literacy compared to other groups.
