ATI RN Concept-Based Assessment
Level 1 Online Practice A
A nurse is assessing a preschooler who has a urinary tract infection (UTI).
Which of the
following findings should the nurse
expect?
1.
Diarrhea
2. Abdominal
pain
3. Increased
thirst
4. Skin rash correct answers Abdominal
Pain
Rat: The nurse should expect a preschooler who has a UTI to experience
abdominal
pain. Other manifestations include constipation, dysuria, foul-smelling urine,
and fever.
A nurse is counseling a client who has a family history of colorectal
cancer about of nutrition to help prevent gastrointestinal (GI) cancers.
management
Which of the
following images indicates a food or beverage the nurse should encourage
the client
include to
liberally in his diet? correct answers Fruits and
Veggies
Rat: To help reduce the risk of cancers of the GI system, the nurse should
instruct
client to the
consume at least 2.5 cups of fruits and vegetables
per day.
A nurse is preparing to extinguish a small fire in a clients room. Which of
the following
actions should the nurse take when using the fire
extinguisher?
1. Aim the fire extinguisher at the top of the
flames.
2. Pump the handles of the fire extinguisher up and down
three times.
3. Sweep the fire extinguisher in a circular motion until the fire is
extinguished.
4. Slide the pin on top of the fire extinguisher straight out. correct answers
Slide
on topthe
of pin
the fire extinguisher
straight out.
Rat: The nurse should pull the pin on the top of the fire extinguisher to
allow for use
extinguish theto
fire.
A nurse is caring for a child who has celiac disease. Which of the following
items
the should
nurse remove from the child's meal
tray?
,1. Corn-flake
cereal
2. Orange
juice
3. Scrambled
eggs
4. Oatmeal with raisins correct answers Oatmeal with
raisins
Rat: Celiac disease is the intolerance to dietary gluten, which is a protein in
wheat,
oats, andrye,
barley. This intolerance causes diarrhea, weight loss, abdominal
pain, and
fatigue. Therefore, the nurse should remove oatmeal from the child's
meal tray.
A nurse at a providers office is counseling a client who reports insomnia.
Which of the
following statements should the nurse make to include the clients
preferences
sleep promotioninto a
plan?
1. "If alcoholic beverages are desired, consume them in the early
evenings"
2. "Sleep in the location of your home where you feel your
rest best"
3. "Turn on a favorite television show just before going
to "Allow
4. bed" your sleep and wake times to vary depending on how you feel
each day"
correct answers "Sleep in the location of your home where you feel your
rest best"
Rat: The nurse should encourage the client to sleep wherever she feels
she gets
most rest,thewhether it be a bed, couch, or
chair.
A nurse is assessing the spiritual wellbeing and development of a
preschooler.
nurse asks the The
preschooler, "Why is it wrong to kick our baby sister?"
Which of the
following responses should the nurse
expect?
1. "It's not wrong because she made me
mad."
2. "It's wrong because my dad said I can't
kick
3. her."
"It's wrong to kick her because the gods won't
like"It's
4. it." wrong because she would get hurt and be sad." correct answers
"It's wrong
because my dad said I can't kick
her."
Rat: The nurse should expect the preschooler to be motivated to choose
right from
wrong because of rules taught to him by his parents. The nurse should
understand
even thoughthat,the preschooler might know the rules, he is not yet able to
understand
rationale forthethe
rules.
A nurse in a long term care facility is admitting a new client following a
brief stay
acute care. inIn adherence with the Joint Commission National Patient
Safety Goals
regarding medication administration, which of the following actions
should the nurse
take
?
A. Inform the client that he will not be receiving the medications he took
prior to his
hospitalizatio
n.
,B. Compare a list of the client's current medications with the ones he will
take in long-
term
care.
C. Eliminate any over-the-counter products from the client's current
medication
D. Omit the list.
medication indications when listing the client's medication dose
information.
correct answers Compare a list of the client's current medications with the
ones in
take helong-term
will
care.
Rat: The Joint Commission National Patient Safety Goals regarding
medication
reconciliation includes maintaining and communicating accurate client
medication
information. The nurse should complete a medication reconciliation to
identify any
resolve and discrepancies by comparing the client's list of current
medications with the
he will take in the long-term care facility and addressing any
duplications,
omissions, or
interactions.
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 wasWhich of the following actions should the nurse take to treat
amputated.
the client's
neuropathic
pain?
A. Inform the client that phantom limb pain is
notAdminister
B. real. a beta-blocking medication to
thePlace
C. client.the client on a soft
mattress.
D. Loosen the bandage on the client's residual limb. correct answers
Administer
blocking a beta- to the
medication
client
Rat: The nurse should administer a beta-blocking medication to the
client. This of medication has been shown to relieve the phantom
classification
limb pain
manifestations of constant dull and burning
type pain.
A nurse is teaching the parent of a toddler about home injury
prevention.snacks,
discussing When which of the following statements by the parent
indicates an of the
understanding
teaching?
1. "I can offer her grapes as long as I peel
them
2. first."
"I can give her watermelon pieces after I remove the
seeds."
3. "I should give her popcorn that is air-popped and without salt
or "I
4. butter."
should cut hot dogs into thin, round slices before giving them to
her." correct
answers "I can give her watermelon pieces after I remove
the seeds."
Rat: The nurse should inform the parent that toddlers can easily choke on
seeds such
fruits, from as watermelon seeds or cherry pits, because of their round
shape and the
Removing size.
seeds and cutting the watermelon into pieces provides the
toddler with
nutritious a that does not increase the toddler's risk of foreign body
snack
obstruction.
, A nurse is searching electronic databases for clinical research about
behavioral
indicators of pain in an infant. Which of the following online sources should
the nurse
select to research this infant care
issue?
1. Cumulative Index to Nursing and Allied Health Literature
(CINAHL)
2. The Nursing Minimum Data
Set
3. The Omaha
System
4. The Nursing Interventions Classification (NIC) correct answers
Cumulative
Nursing andIndex
Alliedto
Health Literature
(CINAHL)
Rat: The nurse should select the Cumulative Index to Nursing and
Allied Health
Literature (CINAHL) to locate clinical research about health-related client
care issues.
CINAHL is a cumulative index that the nurse can search electronically to
locaterelated
data reliable to the specific topic being
researched.
A nurse is caring for a client who has dysphagia following a stroke.
Which
followingof the
actions should the nurse take to facilitate safe swallowing and
decrease
risk of the
aspiration?
1. Delay the client's meal-time if he is
fatigued.
2. Instruct the client to tilt his head to the side when
swallowing.
3. Assist the client with fluid intake by inserting it into the client's mouth
with
4. a syringe.the client to focus on a television program during meal
Encourage
time. correct
answers Delay the client's meal-time if he is
fatigued.
Rat: To facilitate safe swallowing and decrease the risk of aspiration, the
nurse should
encourage the client to rest prior to meal-time. If the client is fatigued, the
nurse should
delay the meal-time and give the client time
to rest.
A nurse in a long term care facility is performing a fall risk assessment
on a newly
admitted client using the Timed Up and Go (TUG) test. The client reports
using for
cane a tripod
ambulation. Which of the following actions should the nurse take
when using
this
test?
1. Observe the client ambulating a distance of 3 m (10 feet) during the
TUG
2. test. the client to perform the TUG test without the use of
Instruct
theAssist
3. cane.the client to stand up from the chair when starting the
TUG
4. test. the client to use the arms of the chair to stand when starting
Advise
the TUGanswers
correct test. Observe the client ambulating a distance of 3 m (10 feet)
during the
TUG
test.
Rat:The nurse should mark a spot 3 m (10 feet) away from the client's
sitting
The nurse
location.
should instruct the client to stand, ambulate to the marked
spot, turn,back to the chair, and sit down. The nurse should observe the
ambulate
client's ability
perform to and use a stopwatch to time the client. The nurse should
the test
identify that
Level 1 Online Practice A
A nurse is assessing a preschooler who has a urinary tract infection (UTI).
Which of the
following findings should the nurse
expect?
1.
Diarrhea
2. Abdominal
pain
3. Increased
thirst
4. Skin rash correct answers Abdominal
Pain
Rat: The nurse should expect a preschooler who has a UTI to experience
abdominal
pain. Other manifestations include constipation, dysuria, foul-smelling urine,
and fever.
A nurse is counseling a client who has a family history of colorectal
cancer about of nutrition to help prevent gastrointestinal (GI) cancers.
management
Which of the
following images indicates a food or beverage the nurse should encourage
the client
include to
liberally in his diet? correct answers Fruits and
Veggies
Rat: To help reduce the risk of cancers of the GI system, the nurse should
instruct
client to the
consume at least 2.5 cups of fruits and vegetables
per day.
A nurse is preparing to extinguish a small fire in a clients room. Which of
the following
actions should the nurse take when using the fire
extinguisher?
1. Aim the fire extinguisher at the top of the
flames.
2. Pump the handles of the fire extinguisher up and down
three times.
3. Sweep the fire extinguisher in a circular motion until the fire is
extinguished.
4. Slide the pin on top of the fire extinguisher straight out. correct answers
Slide
on topthe
of pin
the fire extinguisher
straight out.
Rat: The nurse should pull the pin on the top of the fire extinguisher to
allow for use
extinguish theto
fire.
A nurse is caring for a child who has celiac disease. Which of the following
items
the should
nurse remove from the child's meal
tray?
,1. Corn-flake
cereal
2. Orange
juice
3. Scrambled
eggs
4. Oatmeal with raisins correct answers Oatmeal with
raisins
Rat: Celiac disease is the intolerance to dietary gluten, which is a protein in
wheat,
oats, andrye,
barley. This intolerance causes diarrhea, weight loss, abdominal
pain, and
fatigue. Therefore, the nurse should remove oatmeal from the child's
meal tray.
A nurse at a providers office is counseling a client who reports insomnia.
Which of the
following statements should the nurse make to include the clients
preferences
sleep promotioninto a
plan?
1. "If alcoholic beverages are desired, consume them in the early
evenings"
2. "Sleep in the location of your home where you feel your
rest best"
3. "Turn on a favorite television show just before going
to "Allow
4. bed" your sleep and wake times to vary depending on how you feel
each day"
correct answers "Sleep in the location of your home where you feel your
rest best"
Rat: The nurse should encourage the client to sleep wherever she feels
she gets
most rest,thewhether it be a bed, couch, or
chair.
A nurse is assessing the spiritual wellbeing and development of a
preschooler.
nurse asks the The
preschooler, "Why is it wrong to kick our baby sister?"
Which of the
following responses should the nurse
expect?
1. "It's not wrong because she made me
mad."
2. "It's wrong because my dad said I can't
kick
3. her."
"It's wrong to kick her because the gods won't
like"It's
4. it." wrong because she would get hurt and be sad." correct answers
"It's wrong
because my dad said I can't kick
her."
Rat: The nurse should expect the preschooler to be motivated to choose
right from
wrong because of rules taught to him by his parents. The nurse should
understand
even thoughthat,the preschooler might know the rules, he is not yet able to
understand
rationale forthethe
rules.
A nurse in a long term care facility is admitting a new client following a
brief stay
acute care. inIn adherence with the Joint Commission National Patient
Safety Goals
regarding medication administration, which of the following actions
should the nurse
take
?
A. Inform the client that he will not be receiving the medications he took
prior to his
hospitalizatio
n.
,B. Compare a list of the client's current medications with the ones he will
take in long-
term
care.
C. Eliminate any over-the-counter products from the client's current
medication
D. Omit the list.
medication indications when listing the client's medication dose
information.
correct answers Compare a list of the client's current medications with the
ones in
take helong-term
will
care.
Rat: The Joint Commission National Patient Safety Goals regarding
medication
reconciliation includes maintaining and communicating accurate client
medication
information. The nurse should complete a medication reconciliation to
identify any
resolve and discrepancies by comparing the client's list of current
medications with the
he will take in the long-term care facility and addressing any
duplications,
omissions, or
interactions.
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 wasWhich of the following actions should the nurse take to treat
amputated.
the client's
neuropathic
pain?
A. Inform the client that phantom limb pain is
notAdminister
B. real. a beta-blocking medication to
thePlace
C. client.the client on a soft
mattress.
D. Loosen the bandage on the client's residual limb. correct answers
Administer
blocking a beta- to the
medication
client
Rat: The nurse should administer a beta-blocking medication to the
client. This of medication has been shown to relieve the phantom
classification
limb pain
manifestations of constant dull and burning
type pain.
A nurse is teaching the parent of a toddler about home injury
prevention.snacks,
discussing When which of the following statements by the parent
indicates an of the
understanding
teaching?
1. "I can offer her grapes as long as I peel
them
2. first."
"I can give her watermelon pieces after I remove the
seeds."
3. "I should give her popcorn that is air-popped and without salt
or "I
4. butter."
should cut hot dogs into thin, round slices before giving them to
her." correct
answers "I can give her watermelon pieces after I remove
the seeds."
Rat: The nurse should inform the parent that toddlers can easily choke on
seeds such
fruits, from as watermelon seeds or cherry pits, because of their round
shape and the
Removing size.
seeds and cutting the watermelon into pieces provides the
toddler with
nutritious a that does not increase the toddler's risk of foreign body
snack
obstruction.
, A nurse is searching electronic databases for clinical research about
behavioral
indicators of pain in an infant. Which of the following online sources should
the nurse
select to research this infant care
issue?
1. Cumulative Index to Nursing and Allied Health Literature
(CINAHL)
2. The Nursing Minimum Data
Set
3. The Omaha
System
4. The Nursing Interventions Classification (NIC) correct answers
Cumulative
Nursing andIndex
Alliedto
Health Literature
(CINAHL)
Rat: The nurse should select the Cumulative Index to Nursing and
Allied Health
Literature (CINAHL) to locate clinical research about health-related client
care issues.
CINAHL is a cumulative index that the nurse can search electronically to
locaterelated
data reliable to the specific topic being
researched.
A nurse is caring for a client who has dysphagia following a stroke.
Which
followingof the
actions should the nurse take to facilitate safe swallowing and
decrease
risk of the
aspiration?
1. Delay the client's meal-time if he is
fatigued.
2. Instruct the client to tilt his head to the side when
swallowing.
3. Assist the client with fluid intake by inserting it into the client's mouth
with
4. a syringe.the client to focus on a television program during meal
Encourage
time. correct
answers Delay the client's meal-time if he is
fatigued.
Rat: To facilitate safe swallowing and decrease the risk of aspiration, the
nurse should
encourage the client to rest prior to meal-time. If the client is fatigued, the
nurse should
delay the meal-time and give the client time
to rest.
A nurse in a long term care facility is performing a fall risk assessment
on a newly
admitted client using the Timed Up and Go (TUG) test. The client reports
using for
cane a tripod
ambulation. Which of the following actions should the nurse take
when using
this
test?
1. Observe the client ambulating a distance of 3 m (10 feet) during the
TUG
2. test. the client to perform the TUG test without the use of
Instruct
theAssist
3. cane.the client to stand up from the chair when starting the
TUG
4. test. the client to use the arms of the chair to stand when starting
Advise
the TUGanswers
correct test. Observe the client ambulating a distance of 3 m (10 feet)
during the
TUG
test.
Rat:The nurse should mark a spot 3 m (10 feet) away from the client's
sitting
The nurse
location.
should instruct the client to stand, ambulate to the marked
spot, turn,back to the chair, and sit down. The nurse should observe the
ambulate
client's ability
perform to and use a stopwatch to time the client. The nurse should
the test
identify that
