ATI RN Concept - Based Assessment
Level 4 Online Practice A .
A nurse is teaching a client who has been newly diagnosed with systemic lupus erythematosus (SLE).
Which statement by the client indicates an understanding of the teaching? - ANS "I should inspect
my skin daily for cuts and rashes"
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? - ANS 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.
A nurse is caring for a client who has had a myocardial infarction and suspects cardiogenic shock.
The nurse should monitor for which of the following manifestations? - ANS Pulmonary Congestion
-Pulmonary congestion is a result of decreased cardiac output due to damage to the cardiac muscle
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? - ANS Respect the client's
preferences.
A nurse manager is teaching a group of nurses about OSHA. What information should the nurse
include? - ANS Sets standards for hazardous exposures in the workplace.
A nurse manager identifies that the number of client medication administration errors on the unit
has increased. When creating a cause-and-effect chart, which of the following information should
the nurse manger include? - ANS 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.
A nurse manager notices that he has exceeded the amount of money allocated for labor costs for the
quarter. Which action should the nurse manager take? - ANS involve staff nurses in budge planning.
-this promotes awareness of the costs of staffing a unit and encourages cost-effective care.
,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 should the nurse include? - ANS "Avoid
leaning forward when attempting to stand."
-the weight of the halo device can alter balance. leaning forward could cause the client to fall.
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)? - ANS Administer pain medication
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? - ANS Offer self to constructively facilitate communication.
-The nurse manager will be the impartial third party in this communication
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? - ANS 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.
A triage nurse is prioritizing clients following a mass casualty disaster. Which of the following clients
should the nurse treat first? - ANS A client who is exhibiting manifestations of shock.
-a client exhibiting manifestations of shock requires immediate intervention for survival.
A nurse is caring for a client who has a partial-thickness burn and a prescription for a silver
sulfadiazine cream. Which intervention should the nurse take? - ANS Monitor the client's WBC.
-A drop in the WBC count can be an indication of an allergic reaction to the silver sulfadiazine cream
, 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) - ANS 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
4) Cover the medication site with plastic wrap
5) Remove the medication in 6 hr.
A nurse manager is teaching a group of nurses about professional negligence. Which of the following
situations should the nurse manager include as an example? - ANS 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
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? - ANS An increase in nosebleeds
-increase in nosebleeds or bruising can be indications of a hemorrhage, which is an adverse effect of
heparin
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? -
ANS Outpatient counseling clinic
-primary care setting clinics provide strategies for clients to prevent or delay mental health issues
A nurse manager is informed that the family of a client is preparing to file a malpractice lawsuit. The
nurse should identify which of the following situations as potential malpractice? - ANS 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.
Level 4 Online Practice A .
A nurse is teaching a client who has been newly diagnosed with systemic lupus erythematosus (SLE).
Which statement by the client indicates an understanding of the teaching? - ANS "I should inspect
my skin daily for cuts and rashes"
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? - ANS 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.
A nurse is caring for a client who has had a myocardial infarction and suspects cardiogenic shock.
The nurse should monitor for which of the following manifestations? - ANS Pulmonary Congestion
-Pulmonary congestion is a result of decreased cardiac output due to damage to the cardiac muscle
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? - ANS Respect the client's
preferences.
A nurse manager is teaching a group of nurses about OSHA. What information should the nurse
include? - ANS Sets standards for hazardous exposures in the workplace.
A nurse manager identifies that the number of client medication administration errors on the unit
has increased. When creating a cause-and-effect chart, which of the following information should
the nurse manger include? - ANS 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.
A nurse manager notices that he has exceeded the amount of money allocated for labor costs for the
quarter. Which action should the nurse manager take? - ANS involve staff nurses in budge planning.
-this promotes awareness of the costs of staffing a unit and encourages cost-effective care.
,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 should the nurse include? - ANS "Avoid
leaning forward when attempting to stand."
-the weight of the halo device can alter balance. leaning forward could cause the client to fall.
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)? - ANS Administer pain medication
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? - ANS Offer self to constructively facilitate communication.
-The nurse manager will be the impartial third party in this communication
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? - ANS 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.
A triage nurse is prioritizing clients following a mass casualty disaster. Which of the following clients
should the nurse treat first? - ANS A client who is exhibiting manifestations of shock.
-a client exhibiting manifestations of shock requires immediate intervention for survival.
A nurse is caring for a client who has a partial-thickness burn and a prescription for a silver
sulfadiazine cream. Which intervention should the nurse take? - ANS Monitor the client's WBC.
-A drop in the WBC count can be an indication of an allergic reaction to the silver sulfadiazine cream
, 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) - ANS 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
4) Cover the medication site with plastic wrap
5) Remove the medication in 6 hr.
A nurse manager is teaching a group of nurses about professional negligence. Which of the following
situations should the nurse manager include as an example? - ANS 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
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? - ANS An increase in nosebleeds
-increase in nosebleeds or bruising can be indications of a hemorrhage, which is an adverse effect of
heparin
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? -
ANS Outpatient counseling clinic
-primary care setting clinics provide strategies for clients to prevent or delay mental health issues
A nurse manager is informed that the family of a client is preparing to file a malpractice lawsuit. The
nurse should identify which of the following situations as potential malpractice? - ANS 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.
