ATI RN CONCEPT BASED ASSESSMENT LEVEL 1 |
ALL QUESTIONS AND CORRECT ANSWERS |
ALREADY GRADED A+ | VERIFIED ANSWERS |
LATEST VERSION
A nurse is preparing to leave the room who is on isolation precautions.
Which of the following actions should the nurse take when removing a tied
surgical mask? ---------CORRECT ANSWER-----------------Remove the mask
by securely holding the ties and moving it away from the face.
(The nurse should untie the bottom strings and then the top strings. Finally,
while still holding the strings, the nurse should remove the mask from her
face. This action prevents the nurse from touching the front of the mask,
which is contaminated.)
A nurse is searching electronic databases for clinical research about
behavioral indicators. Which of the following online sources should the
nurse select to research this infant care issue? ---------CORRECT
ANSWER-----------------Cumulative Index to Nursing and Allied Health
Literature (CINAHL)
(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 locate reliable data related to the specific topic being
researched.)
A nurse is preparing to administer three medications to a client who has an
NG tube: a levothyroxine tablet, an ibuprofen gel cap, and a delayed-
release omeprazole capsule. Which of the following actions should the
nurse take? ---------CORRECT ANSWER-----------------Crush the
levothyroxine tablet into a powder and dissolve it into 30 mL of warm sterile
water.
(The nurse should prepare simple tablets for NG administration by crushing
them into a fine powder and dissolving them in at least 30 mL of warm
,sterile water. Cold water can cause discomfort. Sterile water eliminates the
possible problem of chemicals in tap water interacting with the medication.)
A nurse is planning care who has an indwelling urinary catheter. Which of
the following interventions include in the plan to prevent the development of
a catheter-associated urinary tract infection (CAUTI)? ---------CORRECT
ANSWER-----------------Secure the catheter tubing to the client's leg.
(The nurse should assess the client's need for urinary catheterization and
should follow evidence-based practice to prevent or reduce the risk of
CAUTI development. This includes securing the catheter tubing to the
client's leg so that the catheter does not move, reducing the risk of urethral
trauma and introduction of bacteria into the urinary system.)
A nurse is caring for a 2-year-old toddler who is immediately postoperative.
Which of the following pain scales should the nurse use to access the
toddler's pain level? ---------CORRECT ANSWER-----------------FLACC scale
(The nurse should use the FLACC scale to assess pain for a 2-year-old
child. The FLACC scale assesses facial expression, leg movement, activity,
cry, and consolability in children 2 months to 7 years of age. The nurse
assigns a score of 0 to 2 for each area.)
A nurse is caring for a client who has cancer and is planning discharge to
home with hospice care. Which of the following statements by the client
indicates that he is experiencing spiritual distress? ---------CORRECT
ANSWER-----------------"I wish God had not allowed this cancer to invade
my body."
(The nurse should identify that this statement indicates the client is
experiencing spiritual distress, which occurs when there is a disturbance in
a client's belief system. This client is expressing spiritual anger and not
accepting his condition.)
, A nurse is planning care for a client who has breast cancer and is
scheduled for chemotherapy. The client reports experiencing
chemotherapy-induced nausea and vomiting (CINV) during her previous
round of treatment. Which of the following interventions should the nurse
include in the client's plan of care? ---------CORRECT ANSWER---------------
--Administer ondansetron to the client prior to chemotherapy administration.
(The nurse should incorporate evidence-based practice interventions into
the client's plan of care to prevent and treat CINV. Evidence-based
research indicates that prevention of CINV is best achieved when
antiemetics, such as ondansetron, are given prior to the administration of
chemotherapy.)
A nurse in a long-term care facility is admitting a new client following a brief
stay in acute care. In adherence with the Joint Commission National
Patient Safety Goals regarding medication administration, which of the
following actions should the nurse take? ---------CORRECT ANSWER--------
---------Compare a list of the client's current medications with the ones he
will take in long-term care.
(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 and resolve any discrepancies by comparing the
client's list of current medications with the medications he will take in the
long-term care facility and addressing any duplications, omissions, or
interactions.)
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 a tripod cane for ambulation. Which of the following actions
should the nurse take when using this test? ---------CORRECT ANSWER----
-------------Observe the client ambulating a distance of 3 m (10 feet) during
the TUG test.
(The nurse should mark a spot 3 m (10 feet) away from the client's sitting
location. The nurse should instruct the client to stand, ambulate to the
marked spot, turn, ambulate back to the chair, and sit down. The nurse
should observe the client's ability to perform the test and use a stopwatch
ALL QUESTIONS AND CORRECT ANSWERS |
ALREADY GRADED A+ | VERIFIED ANSWERS |
LATEST VERSION
A nurse is preparing to leave the room who is on isolation precautions.
Which of the following actions should the nurse take when removing a tied
surgical mask? ---------CORRECT ANSWER-----------------Remove the mask
by securely holding the ties and moving it away from the face.
(The nurse should untie the bottom strings and then the top strings. Finally,
while still holding the strings, the nurse should remove the mask from her
face. This action prevents the nurse from touching the front of the mask,
which is contaminated.)
A nurse is searching electronic databases for clinical research about
behavioral indicators. Which of the following online sources should the
nurse select to research this infant care issue? ---------CORRECT
ANSWER-----------------Cumulative Index to Nursing and Allied Health
Literature (CINAHL)
(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 locate reliable data related to the specific topic being
researched.)
A nurse is preparing to administer three medications to a client who has an
NG tube: a levothyroxine tablet, an ibuprofen gel cap, and a delayed-
release omeprazole capsule. Which of the following actions should the
nurse take? ---------CORRECT ANSWER-----------------Crush the
levothyroxine tablet into a powder and dissolve it into 30 mL of warm sterile
water.
(The nurse should prepare simple tablets for NG administration by crushing
them into a fine powder and dissolving them in at least 30 mL of warm
,sterile water. Cold water can cause discomfort. Sterile water eliminates the
possible problem of chemicals in tap water interacting with the medication.)
A nurse is planning care who has an indwelling urinary catheter. Which of
the following interventions include in the plan to prevent the development of
a catheter-associated urinary tract infection (CAUTI)? ---------CORRECT
ANSWER-----------------Secure the catheter tubing to the client's leg.
(The nurse should assess the client's need for urinary catheterization and
should follow evidence-based practice to prevent or reduce the risk of
CAUTI development. This includes securing the catheter tubing to the
client's leg so that the catheter does not move, reducing the risk of urethral
trauma and introduction of bacteria into the urinary system.)
A nurse is caring for a 2-year-old toddler who is immediately postoperative.
Which of the following pain scales should the nurse use to access the
toddler's pain level? ---------CORRECT ANSWER-----------------FLACC scale
(The nurse should use the FLACC scale to assess pain for a 2-year-old
child. The FLACC scale assesses facial expression, leg movement, activity,
cry, and consolability in children 2 months to 7 years of age. The nurse
assigns a score of 0 to 2 for each area.)
A nurse is caring for a client who has cancer and is planning discharge to
home with hospice care. Which of the following statements by the client
indicates that he is experiencing spiritual distress? ---------CORRECT
ANSWER-----------------"I wish God had not allowed this cancer to invade
my body."
(The nurse should identify that this statement indicates the client is
experiencing spiritual distress, which occurs when there is a disturbance in
a client's belief system. This client is expressing spiritual anger and not
accepting his condition.)
, A nurse is planning care for a client who has breast cancer and is
scheduled for chemotherapy. The client reports experiencing
chemotherapy-induced nausea and vomiting (CINV) during her previous
round of treatment. Which of the following interventions should the nurse
include in the client's plan of care? ---------CORRECT ANSWER---------------
--Administer ondansetron to the client prior to chemotherapy administration.
(The nurse should incorporate evidence-based practice interventions into
the client's plan of care to prevent and treat CINV. Evidence-based
research indicates that prevention of CINV is best achieved when
antiemetics, such as ondansetron, are given prior to the administration of
chemotherapy.)
A nurse in a long-term care facility is admitting a new client following a brief
stay in acute care. In adherence with the Joint Commission National
Patient Safety Goals regarding medication administration, which of the
following actions should the nurse take? ---------CORRECT ANSWER--------
---------Compare a list of the client's current medications with the ones he
will take in long-term care.
(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 and resolve any discrepancies by comparing the
client's list of current medications with the medications he will take in the
long-term care facility and addressing any duplications, omissions, or
interactions.)
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 a tripod cane for ambulation. Which of the following actions
should the nurse take when using this test? ---------CORRECT ANSWER----
-------------Observe the client ambulating a distance of 3 m (10 feet) during
the TUG test.
(The nurse should mark a spot 3 m (10 feet) away from the client's sitting
location. The nurse should instruct the client to stand, ambulate to the
marked spot, turn, ambulate back to the chair, and sit down. The nurse
should observe the client's ability to perform the test and use a stopwatch
