ATI RN CONCEPT BASED ASSESSMENT LEVEL 1
ONLINE PRACTICE A 2022/2023
Clinical manifestations of heart failure - ✔cool extremities
6 month infant has bacterial pneumonia. clinical manifestations of b. pneumonia - ✔nasal flaring
Acute asthma exacerbation what actions should the nurse take first - ✔apply humidified oxygen with a simple mask
Diabetes foot care - ✔ill wash my feet everyday with soap and lukewarm water
Decreased urinary output. what findings should be identified as a risk factor for the development of pyelonephritis? - ✔diabetes mellitus
Acute cholecystitis (select all) - ✔fever, dyspepsia, and eructation
Client has appendicitis. what actions should the nurse take - ✔place the client in semi-
fowler's position
Caring for a client following collection of admission data. what should the nurse identify as a priority? - ✔client reports coughing and a change of voice whenever he eats
Client has respiratory acidosis due to opioid oversedation - ✔ensure the patient airway using a chin-lift maneuver
Which client is at risk for developing respiratory acidosis? - ✔client who has abdominal ascites?
Teaching about newborns and crib use - ✔dressing your baby in a one-piece sleeper for
bedtime will replace the need to use a blanket or sheet
Findings that indicate a therapeutic response to anti hyperlipidemia medication - ✔HDL 50 mg/dL
Teaching to parents about epinephrine auto-injector - ✔"give a second injection if the first fails to reverse your child's symptoms"
Client is experiencing a panic attack - ✔stay with the client until manifestations subside
Mix NPH insulin and insulin steps - ✔cloudy, clear, clear, cloudy
Gastroenteritis with dehydration. which med should the nurse administer? - ✔ondansetron Adverse effect of acetaminophen - ✔elevated aspartate aminotransferase levels
Potassium level of 6 mEq/L would cause ECG to look like what? - ✔Tall T waves
6 month old infant with mild dehydration - ✔capillary refill greater than 2 seconds
Acute pyelonephritis findings - ✔urinary burning
A client has COPD and a resp. rate of 22 and reports SOB. what would the nurse do - ✔place the client in high-fowlers position
A client has metabolic acidosis due to salicylate overdose. what findings should the nurse expect? - ✔flushed, dry skin
Hypermagnesemia clinical manifestation - ✔bradycardia
Client has external fixator to the right lower arm, what would indicate that the client has compartment syndrome? - ✔numbness of the fingers on the right arm
A client has AIDS, what lab data would determine if the client is at risk for malnutrition - ✔albumin level
Client is 1 hour post op from open carpal tunnel release to treat injury - ✔elevate the client's arm above the heart
Discharge teaching for the parent of a newborn - ✔"do not bathe your new born immediately after she eats"
A client is at 13 weeks gestation with hyperemesis gravidarum - ✔"drink fluids between, rather than with, meals"
Client has calcium oxalate renal calculi. what would u teach them - ✔"limit the amount of spinach in your diet"
A school age child has asthma and SOB. what findings would be priority? - ✔inaudible lung sounds
An adolescent client has a skin infection caused by MRSA - ✔"I will soak in a bathtub filled one-fourth full of water and one-half cup of bleach"
An adolescent has infectious mononucleosis. what would be a manifestation of this - ✔onset of abdominal pain
A client is experiencing an asthma attack. what would the nurse use to assess the client's respiratory status - ✔peak expiratory flow meter testing A nurse is teaching a client about foot care with peripheral neuropathy - ✔"file your toenails straight across to prevent ingrown toenails"
Clinical manifestations of heat stroke - ✔oliguria
A client has a sodium level of 124 mEq/L, what manifestations should the nurse expect?
- ✔orthostatic hypotension
A client's parent recently died. what would place the client at risk for maladaptive grieving? - ✔the client lost his house in a fire one month ago
The parent has a child with pediculosis capitis. what would the nurse tell the parent? - ✔to comb the child's hair daily with an extra fine tooth comb
A parent has a child with scabies. what would the parent say to indicate understanding of teaching? - ✔"i should wash my child's bed linens and clothing in hot water and detergent"
A client has peripheral arterial disease. what would be a finding of this? - ✔dependent rubor
A nurse is providing teaching to a client with MRSA. what would be an understanding of this disease for the client to say? - ✔"I will wash all uninfected skin areas with a fresh washcloth"
What would be a manifestation that the nurse should expect for an infant who might have otitis media? - ✔enlarged postauricular lymph nodes
A client has hyperthyroidism and has been taking methimazole for 6 months. what indicates a therapeutic response? - ✔the client reports sleeping longer during the night
Metabolic alkalosis would give u what lab value? - ✔potassium 3 mEq/L
A client is going in for a laproscopic appendectomy. which of the findings would the nurse report? - ✔report of urinating small amounts twice daily
a client has severe hypothermia. which actions should the nurse take - ✔contact a specialized team to place the client on cardiopulmonary bypass
a client has cellulitis in a lower extremity. what action should the nurse take? - ✔elevate the extremity above heart level
a client has frostbite to the fingers and toes, what would the nurse include in the teaching about frostbite? - ✔place the affected areas of frostbite in a warm water bath
ONLINE PRACTICE A 2022/2023
Clinical manifestations of heart failure - ✔cool extremities
6 month infant has bacterial pneumonia. clinical manifestations of b. pneumonia - ✔nasal flaring
Acute asthma exacerbation what actions should the nurse take first - ✔apply humidified oxygen with a simple mask
Diabetes foot care - ✔ill wash my feet everyday with soap and lukewarm water
Decreased urinary output. what findings should be identified as a risk factor for the development of pyelonephritis? - ✔diabetes mellitus
Acute cholecystitis (select all) - ✔fever, dyspepsia, and eructation
Client has appendicitis. what actions should the nurse take - ✔place the client in semi-
fowler's position
Caring for a client following collection of admission data. what should the nurse identify as a priority? - ✔client reports coughing and a change of voice whenever he eats
Client has respiratory acidosis due to opioid oversedation - ✔ensure the patient airway using a chin-lift maneuver
Which client is at risk for developing respiratory acidosis? - ✔client who has abdominal ascites?
Teaching about newborns and crib use - ✔dressing your baby in a one-piece sleeper for
bedtime will replace the need to use a blanket or sheet
Findings that indicate a therapeutic response to anti hyperlipidemia medication - ✔HDL 50 mg/dL
Teaching to parents about epinephrine auto-injector - ✔"give a second injection if the first fails to reverse your child's symptoms"
Client is experiencing a panic attack - ✔stay with the client until manifestations subside
Mix NPH insulin and insulin steps - ✔cloudy, clear, clear, cloudy
Gastroenteritis with dehydration. which med should the nurse administer? - ✔ondansetron Adverse effect of acetaminophen - ✔elevated aspartate aminotransferase levels
Potassium level of 6 mEq/L would cause ECG to look like what? - ✔Tall T waves
6 month old infant with mild dehydration - ✔capillary refill greater than 2 seconds
Acute pyelonephritis findings - ✔urinary burning
A client has COPD and a resp. rate of 22 and reports SOB. what would the nurse do - ✔place the client in high-fowlers position
A client has metabolic acidosis due to salicylate overdose. what findings should the nurse expect? - ✔flushed, dry skin
Hypermagnesemia clinical manifestation - ✔bradycardia
Client has external fixator to the right lower arm, what would indicate that the client has compartment syndrome? - ✔numbness of the fingers on the right arm
A client has AIDS, what lab data would determine if the client is at risk for malnutrition - ✔albumin level
Client is 1 hour post op from open carpal tunnel release to treat injury - ✔elevate the client's arm above the heart
Discharge teaching for the parent of a newborn - ✔"do not bathe your new born immediately after she eats"
A client is at 13 weeks gestation with hyperemesis gravidarum - ✔"drink fluids between, rather than with, meals"
Client has calcium oxalate renal calculi. what would u teach them - ✔"limit the amount of spinach in your diet"
A school age child has asthma and SOB. what findings would be priority? - ✔inaudible lung sounds
An adolescent client has a skin infection caused by MRSA - ✔"I will soak in a bathtub filled one-fourth full of water and one-half cup of bleach"
An adolescent has infectious mononucleosis. what would be a manifestation of this - ✔onset of abdominal pain
A client is experiencing an asthma attack. what would the nurse use to assess the client's respiratory status - ✔peak expiratory flow meter testing A nurse is teaching a client about foot care with peripheral neuropathy - ✔"file your toenails straight across to prevent ingrown toenails"
Clinical manifestations of heat stroke - ✔oliguria
A client has a sodium level of 124 mEq/L, what manifestations should the nurse expect?
- ✔orthostatic hypotension
A client's parent recently died. what would place the client at risk for maladaptive grieving? - ✔the client lost his house in a fire one month ago
The parent has a child with pediculosis capitis. what would the nurse tell the parent? - ✔to comb the child's hair daily with an extra fine tooth comb
A parent has a child with scabies. what would the parent say to indicate understanding of teaching? - ✔"i should wash my child's bed linens and clothing in hot water and detergent"
A client has peripheral arterial disease. what would be a finding of this? - ✔dependent rubor
A nurse is providing teaching to a client with MRSA. what would be an understanding of this disease for the client to say? - ✔"I will wash all uninfected skin areas with a fresh washcloth"
What would be a manifestation that the nurse should expect for an infant who might have otitis media? - ✔enlarged postauricular lymph nodes
A client has hyperthyroidism and has been taking methimazole for 6 months. what indicates a therapeutic response? - ✔the client reports sleeping longer during the night
Metabolic alkalosis would give u what lab value? - ✔potassium 3 mEq/L
A client is going in for a laproscopic appendectomy. which of the findings would the nurse report? - ✔report of urinating small amounts twice daily
a client has severe hypothermia. which actions should the nurse take - ✔contact a specialized team to place the client on cardiopulmonary bypass
a client has cellulitis in a lower extremity. what action should the nurse take? - ✔elevate the extremity above heart level
a client has frostbite to the fingers and toes, what would the nurse include in the teaching about frostbite? - ✔place the affected areas of frostbite in a warm water bath
