RN Concept-Based Assessment Level 1
Practice B
A nurse is reviewing the medical record of a client prior to medication administration.
Which of the following actions should the nurse plan to take? - answer Instruct the client
to refrain from taking St. John's wort.
A nurse is preparing an in-service on different types of pain. Which of the following
information should the nurse plan to include as a characteristic of acute pain? - answerIt
is part of the bodies attempt to protect itself.
A nurse is documenting information on a clients medical record. Which of the following
injuries should the nurse make? - answerClient reports no pain while ambulating in the
hallway.
A charge nurse is providing an educational session to a group of newly licensed nurses
about the purpose of the national patient safety goals. Which of the following objectives
should the nurse include as a component of the national patient safety goals? -
answerDecrease error related to invasive procedures.
A nurse is caring for a client who has a history of depressive disorder. The client states,
"it feels pointless to get up in the morning." Which of the following responses should the
nurse make? - answerIt sounds as if life seems meaningless to you now.
A nurse is administering a liquid oral medication from a multi does bottle to a client. The
nurse calculate that the dose is to be administered as for ML. Which of the following
actions should the nurse take? - answerLabeled the medication after measuring the
dosage.
A nurse is teaching a group of Parents and guardians about identifying substance use
disorder among adolescents. Which of the following adolescent behaviors should the
nurse include as a possible indication of substance use disorder? - answerWearing dark
glasses indoors
A community health nurse is teaching a group of older adult client at a senior center.
Which of the following factors should the nurse include as an age related change the
increases the risk for constipation an older adult clients? - answerDelayed gastric
emptying.
A nurse is disgusting informed consent with a group of newly licensed nurses. Which of
the following actions is the responsibility of the nurse when obtaining informed consent?
- answerVerify that the client voluntarily gave consent for the procedure
, A nurse is providing handoff report on a client. Which of the following information should
the nurse include in the report? - answerThe client is scheduled for a chest x-ray on the
next shift.
A nurse is teaching a newly licensed nurse about the patient self-determination act PDS
a. Which of the following actions should the nurse include as an example of PSD a
compliant? - answerInforming clients they can decline any treatment the provider
prescribes.
A nurse is planning to teach a class about standard precautions and preventing punch
her injuries. Which of the following information should the nurse include in the plan? -
answerRecap needles using the one hand it's good method.
A nurse is assessing a client who has a rash on their hands and forearms after working
in the garden. The nurse should identify that which of the following findings indicate
contact dermatitis? - answerWell defined margins in the erythematous area.
A nurse is teaching a client who has chronic fatigue syndrome. Which of the following
statements should the nurse include? - answerReduce stress by taking tai chi classes.
A nurse is caring for a client who has a recent diagnosis of iron deficiency. The client
asked the nurse for food suggestions to increase iron in their diet. Which of the following
foods should the nurse recommend? - answerRaisins.
A nurse is initiating droplet precautions for a newly admitted client. Which of the
following actions should the nurse take? (Select all. that apply). - answerPlace the
patient in a private room. Ensure the client wears a face mask for transport to x-ray.
A nurse is reviewing the advance directives of a client who is being sustained on life-
support. The Family disagrees Regarding the continuation of life support measures.
Which of the following individuals should the nurse identify as having the legal ability to
determine the clients course of treatment? - answerThe clients younger child, who is the
clients health care proxy.
A nurse is caring for a client who has a pressure ulcer and a prescription for a culture to
evaluate the effect of anabiotic therapy on one healing. Which of the following actions
should the nurse take first when obtaining the culture? - answerRemove dressings
covering the wound.
A nurse is assessing a 10 month old infant who has a urinary tract infection (UTI).
Which of the following things should a nurse expect? - answerDecreased appetite.
A nurse is preparing to administer enoxaparin to a client via a subcutaneous injection.
Which of the following actions should the nurse take? - answerAdminister the
medication in the clients abdomen.
Practice B
A nurse is reviewing the medical record of a client prior to medication administration.
Which of the following actions should the nurse plan to take? - answer Instruct the client
to refrain from taking St. John's wort.
A nurse is preparing an in-service on different types of pain. Which of the following
information should the nurse plan to include as a characteristic of acute pain? - answerIt
is part of the bodies attempt to protect itself.
A nurse is documenting information on a clients medical record. Which of the following
injuries should the nurse make? - answerClient reports no pain while ambulating in the
hallway.
A charge nurse is providing an educational session to a group of newly licensed nurses
about the purpose of the national patient safety goals. Which of the following objectives
should the nurse include as a component of the national patient safety goals? -
answerDecrease error related to invasive procedures.
A nurse is caring for a client who has a history of depressive disorder. The client states,
"it feels pointless to get up in the morning." Which of the following responses should the
nurse make? - answerIt sounds as if life seems meaningless to you now.
A nurse is administering a liquid oral medication from a multi does bottle to a client. The
nurse calculate that the dose is to be administered as for ML. Which of the following
actions should the nurse take? - answerLabeled the medication after measuring the
dosage.
A nurse is teaching a group of Parents and guardians about identifying substance use
disorder among adolescents. Which of the following adolescent behaviors should the
nurse include as a possible indication of substance use disorder? - answerWearing dark
glasses indoors
A community health nurse is teaching a group of older adult client at a senior center.
Which of the following factors should the nurse include as an age related change the
increases the risk for constipation an older adult clients? - answerDelayed gastric
emptying.
A nurse is disgusting informed consent with a group of newly licensed nurses. Which of
the following actions is the responsibility of the nurse when obtaining informed consent?
- answerVerify that the client voluntarily gave consent for the procedure
, A nurse is providing handoff report on a client. Which of the following information should
the nurse include in the report? - answerThe client is scheduled for a chest x-ray on the
next shift.
A nurse is teaching a newly licensed nurse about the patient self-determination act PDS
a. Which of the following actions should the nurse include as an example of PSD a
compliant? - answerInforming clients they can decline any treatment the provider
prescribes.
A nurse is planning to teach a class about standard precautions and preventing punch
her injuries. Which of the following information should the nurse include in the plan? -
answerRecap needles using the one hand it's good method.
A nurse is assessing a client who has a rash on their hands and forearms after working
in the garden. The nurse should identify that which of the following findings indicate
contact dermatitis? - answerWell defined margins in the erythematous area.
A nurse is teaching a client who has chronic fatigue syndrome. Which of the following
statements should the nurse include? - answerReduce stress by taking tai chi classes.
A nurse is caring for a client who has a recent diagnosis of iron deficiency. The client
asked the nurse for food suggestions to increase iron in their diet. Which of the following
foods should the nurse recommend? - answerRaisins.
A nurse is initiating droplet precautions for a newly admitted client. Which of the
following actions should the nurse take? (Select all. that apply). - answerPlace the
patient in a private room. Ensure the client wears a face mask for transport to x-ray.
A nurse is reviewing the advance directives of a client who is being sustained on life-
support. The Family disagrees Regarding the continuation of life support measures.
Which of the following individuals should the nurse identify as having the legal ability to
determine the clients course of treatment? - answerThe clients younger child, who is the
clients health care proxy.
A nurse is caring for a client who has a pressure ulcer and a prescription for a culture to
evaluate the effect of anabiotic therapy on one healing. Which of the following actions
should the nurse take first when obtaining the culture? - answerRemove dressings
covering the wound.
A nurse is assessing a 10 month old infant who has a urinary tract infection (UTI).
Which of the following things should a nurse expect? - answerDecreased appetite.
A nurse is preparing to administer enoxaparin to a client via a subcutaneous injection.
Which of the following actions should the nurse take? - answerAdminister the
medication in the clients abdomen.
