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? -
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? -
It 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? -
Client 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? -
Decrease 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? -
It 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? -
Labeled 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? -
Wearing 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? -
Delayed 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? -
Verify 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? -
The client is scheduled for a chest x-ray on the next shift.
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, 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? -
Informing 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? -
Recap 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? -
Well 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? -
Reduce 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? -
Raisins.
A nurse is initiating droplet precautions for a newly admitted client. Which of the following
actions should the nurse take? (Select all. that apply). -
Place 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? -
The 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? -
Remove 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? -
Decreased appetite.
A nurse is preparing to administer enoxaparin to a client via a subcutaneous injection. Which
of the following actions should the nurse take? -
Administer the medication in the clients abdomen.
A public health nurse is planning care to meet healthy people 2020 objectives. Which of the
following interventions sure the nurse include to promote clients access to healthcare? -
Set up workshops to help people who are uninsured sign up for health coverage.
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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? -
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? -
It 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? -
Client 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? -
Decrease 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? -
It 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? -
Labeled 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? -
Wearing 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? -
Delayed 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? -
Verify 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? -
The client is scheduled for a chest x-ray on the next shift.
1|Page
, 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? -
Informing 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? -
Recap 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? -
Well 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? -
Reduce 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? -
Raisins.
A nurse is initiating droplet precautions for a newly admitted client. Which of the following
actions should the nurse take? (Select all. that apply). -
Place 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? -
The 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? -
Remove 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? -
Decreased appetite.
A nurse is preparing to administer enoxaparin to a client via a subcutaneous injection. Which
of the following actions should the nurse take? -
Administer the medication in the clients abdomen.
A public health nurse is planning care to meet healthy people 2020 objectives. Which of the
following interventions sure the nurse include to promote clients access to healthcare? -
Set up workshops to help people who are uninsured sign up for health coverage.
2|Page
