2024 ATI RN CONCEPT BASED ASSESSMENT LEVEL 1 PROCTORED EXAM ACTUAL EXAM TEST BANK

2024 ATI RN CONCEPT BASED
ASSESSMENT LEVEL 1
PROCTORED EXAM ACTUAL EXAM
TEST BANK



Anurseiscaringforaclientwhois2dayspostoperativefollowinganabove-the-
kneeamputation.Theclientstatesheisexperiencingadull,burningpaininthelegthatwasamputated.Whichof
thefollowingactionsshouldthenursetaketotreattheclient'sneuropathicpain?-
(CorrectAnswer)`Administerabeta-blockingmedicationtotheclient.
(Thenurseshouldadministerabeta-
blockingmedicationtotheclient.Thisclassificationofmedicationhasbeenshowntorelievethephantomlimbp
ainmanifestationsofconstantdullandburningtypepain.)

Anewlylicensednurseasksachargenursewheretofindinformationaboutscopeofpracticeforregisterednurs
es.Whichofthefollowingresponsesshouldthechargenursemake?-
(CorrectAnswer)`"Thestateboardofnursingcanprovidethisinformation"
(eachstatedevelopsanursepracticeact,whichdefinesscopeofpracticefornursesinthatstate.Thispracticea
ctisavailableontheboardofnursingwebsiteforeachstate.)

Anurseisplanningcaretopreventacatheter-
relatedbloodstreaminfectionforaclientwhoisreceivingIVfluidtherapy.Whichofthefollowinginterventionssh
ouldthenurseincludeintheplan?-(CorrectAnswer)`PerformhandhygienebeforetouchingtheIVtubing.
(Thenurseshouldperformthoroughhandhygienebeforetouchinganypartoftheinfusionsystemortheclientto
reducetheriskofcatheter-relatedbloodstreaminfections.)

Anurseiscreatingaplanofcareforaclientwhoisnon-
ambulatoryandhasbladderandbowelincontinence.Whichofthefollowinginterventionsshouldthenurseincl
udetopreventskinbreakdown?-
(CorrectAnswer)`Offertheclientaglassofwatereverytwohourwhenrepositioning.
(Thenurseshouldoffertheclientaglassofwatereverytwohoursontheclientsrepositioningschedule.Thishelp
spreventdehydration,whichincreasestheriskofskinbreakdown.)

Anurseisteachingayoungadultfemaleclientabouthealthscreeningforbreastcancer.Whichofthefollowingst
atementsbytheclientindicatesanunderstandingofbreastself-examination(BSE)?-
(CorrectAnswer)`"Ishouldexpecttofeelafirmridgealongthebottomcurveofeachbreast."
(Thenurseshouldinstructtheclientatafirmridgeisexpectedalongthebottomcurveofeachbreast.Theclients
houldbeabletofeelthisareaduringtheBSE.PerformingaBSEpromotesbreastselfawarenesssothattheclien
tknowshowherbreastnormallyfeel.Theawarenessincreasestheclientsabilitytoidentifychangesthatrequir
efurtherevaluation.)

Anurseiscaringforanadolescentwhoisincriticalconditionfollowingamotorvehiclecrashwhichhewasthepas
senger.Theclientsparentshoutatthenurse,askingwhyhersonisdyinginsteadofthedriver.Whichofthefollow

, ingactionsshouldthenursetaketoprovideemotionalsupporttotheparent?-
(CorrectAnswer)`Informtheparentthatangerisanaturalresponsewhendealingwithloss.
(Thenurseshouldidentifythattheparentisintheangerstageofgrief.Thenurseshouldassisttheparenttounder
standthatangerisanaturalresponsetolossandencouragehertotalkaboutherfeelings.)

Anurseisteachinganolderadultclientaboutaccessingelectronicresourcesforhealthcareinformationonthei
nternet.Whichofthefollowingstatementsshouldthenurseincludeintheteaching?-
(CorrectAnswer)`"Websitesendingin'.gov'arereliablesitesforobtaininghealthinformationfromgovernmen
tagencies."
(Thenurseshouldteachtheclienthowtoselectreliableinternetwebsiteswhenresearchinghealthcareinform
ation.Thenurseshouldidentifythatwebsitesendingin'.gov'and'.edu'areconsideredreliableandcrediblesou
rcesforhealthinformation.Websitesendingin'.com'shouldnotbeusedforresearchingcrediblehealthcareinf
ormation.)

Anurseentersaclientsroomandfindstheclientlyingonthefloor.Theclientstatesthatonthewaytothebathroo
mher"kneelocked,"causinghertofall.Whichofthefollowingactionsshouldthenursetakefirst?-
(CorrectAnswer)`Checktheclientforinjuries.
(Thefirstactionthenurseshouldtakewhenusingthenursingprocessistoassesstheclient.Thenurseshouldfir
stchecktheclientforinjuriesandmeasurevitalsignstohelpdeterminephysiologicstability.Thenurseshouldal
soinformtheprovideroftheclientsfallandoftheassessmentfindings.)

Anurseisteachingaclientwhohasrheumatoidarthritisaboutchronicpainmanagement.Whichofthefollowing
statementsbytheclientindicatesanunderstandingoftheteaching?-
(CorrectAnswer)`"Ishoulduseawarmparaffindipformyhandsandfeet."
(Thenurseshouldinstructtheclienttodipherhandsandfeetinwarmparaffintoalleviatepainandstiffness.Thec
lientcanmoreeasilyperformhandandfingerexercisesfollowingthetreatment.)

Acommunityhealthnurseisplanningpreventionstrategiesforhypertensionamongmembersofhercommunit
y.Thenurseshouldidentifythatwhichofthefollowingethnicgroupsinthecommunityisatgreatestriskofdevelo
pinghypertension?-(CorrectAnswer)`AfricanAmerican
(Evidence-
basedpracticeindicatesthatindividualsofAAethnicityhavethehighestprevalenceofhypertension.Therefor
e,thenurseshouldidentifycommunitymembersofthisethnicityareatgreatestriskofdevelopinghypertension
.)

Anurseispreparingtoextinguishasmallfireinaclientsroom.Whichofthefollowingactionsshouldthenursetak
ewhenusingthefireextinguisher?-(CorrectAnswer)`Slidethepinontopofthefireextinguisherstraightout.
(Thenurseshouldpullthepinontopofthefireextinguishertoallowforusetoextinguishthefire.)

AnurseispreparingtoadministerintermittentexternalnutritionviaaclientsNGtube.Inwhichordershouldthen
ursetakethefollowingactions?-(CorrectAnswer)`1.Assisttheclienttoanuprightposition.
2.Aspirate5mLofgastriccontents.
3.TestthepHofgastricaspirate.
4.Measuregastricresidualvolume.
5.FlushtheNGtubewith30mLofwater.
(First,thenurseshouldassisttheclientintohighFowler'spositionorraisetheHOBatleast30degreestohelppre
ventaspiration.Then,thenurseshouldverifythetubesplacementbyaspirating5mLofgastriccontentsandthe
ntestingthepH.Then,thenurseshouldcheckforgastricresidualvolume.ExcessiveGRVisanindicationofdel
ayedgastricemptying,whichplacestheclientatriskofaspirationifadditionalformulaisgiven.Finally,thenurse
shouldflushthetubingwith30mLofwatertoensurethetubeisclearandpatent.)