ATI RN Concept Based Assessment Level 1, Exam
Questions & Answers
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 was amputated. Which of the following actions should the nurse take to treat
the client's neuropathic pain?
- Administer a beta-blocking medication to the client.
(The nurse should administer a beta-blocking medication to the client. This
classification of medication has been shown to relieve the phantom limb pain
manifestations of constant dull and burning type pain.)
A newly licensed nurse asks a charge nurse where to find information about scope
of practice for registered nurses. Which of the following responses should the
charge nurse make?
- "The state board of nursing can provide this information"
(each state develops a nurse practice act, which defines scope of practice for nurses
in that state. This practice act is available on the board of nursing website for each
state.)
A nurse is planning care to prevent a catheter-related bloodstream infection for a
client who is receiving IV fluid therapy. Which of the following interventions
should the nurse include in the plan?
- Perform hand hygiene before touching the IV tubing.
(The nurse should perform thorough hand hygiene before touching any part of the
infusion system or the client to reduce the risk of catheter-related blood stream
infections.)
A nurse is creating a plan of care for a client who is non-ambulatory and has
bladder and bowel incontinence. Which of the following interventions should the
nurse include to prevent skin breakdown?
- Offer the client a glass of water every two hour when repositioning.
,(The nurse should offer the client a glass of water every two hours on the clients
repositioning schedule. This helps prevent dehydration, which increases the risk of
skin breakdown.)
A nurse is teaching a young adult female client about health screening for breast
cancer. Which of the following statements by the client indicates an understanding
of breast self-examination (BSE)?
- "I should expect to feel a firm ridge along the bottom curve of each breast."
(The nurse should instruct the client at a firm ridge is expected along the bottom
curve of each breast. The client should be able to feel this area during the BSE.
Performing a BSE promotes breast self awareness so that the client knows how her
breast normally feel. The awareness increases the clients ability to identify changes
that require further evaluation.)
A nurse is caring for an adolescent who is in critical condition following a motor
vehicle crash which he was the passenger. The clients parent shout at the nurse,
asking why her son is dying instead of the driver. Which of the following actions
should the nurse take to provide emotional support to the parent?
- Inform the parent that anger is a natural response when dealing with loss.
(The nurse should identify that the parent is in the anger stage of grief. The nurse
should assist the parent to understand that anger is a natural response to loss and
encourage her to talk about her feelings.)
A nurse is teaching an older adult client about accessing electronic resources for
healthcare information on the internet. Which of the following statements should
the nurse include in the teaching?
- "Websites ending in '.gov' are reliable sites for obtaining health information from
government agencies."
(The nurse should teach the client how to select reliable internet websites when
researching health care information. The nurse should identify that websites ending
in '.gov' and '.edu' are considered reliable and credible sources for health
information. Websites ending in '.com' should not be used for researching credible
healthcare information.)
, A nurse enters a clients room and finds the client lying on the floor. The client
states that on the way to the bathroom her "knee locked," causing her to fall.
Which of the following actions should the nurse take first?
- Check the client for injuries.
(The first action the nurse should take when using the nursing process is to assess
the client. The nurse should first check the client for injuries and measure vital
signs to help determine physiologic stability. The nurse should also inform the
provider of the clients fall and of the assessment findings.)
A nurse is teaching a client who has rheumatoid arthritis about chronic pain
management. Which of the following statements by the client indicates an
understanding of the teaching?
- "I should use a warm paraffin dip for my hands and feet."
(The nurse should instruct the client to dip her hands and feet in warm paraffin to
alleviate pain and stiffness. The client can more easily perform hand and finger
exercises following the treatment.)
A community health nurse is planning prevention strategies for hypertension
among members of her community. The nurse should identify that which of the
following ethnic groups in the community is at greatest risk of developing
hypertension?
- African American
(Evidence-based practice indicates that individuals of AA ethnicity have the
highest prevalence of hypertension. Therefore, the nurse should identify
community members of this ethnicity are at greatest risk of developing
hypertension.)
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?
- Slide the pin on top of the fire extinguisher straight out.
(The nurse should pull the pin on top of the fire extinguisher to allow for use to
extinguish the fire.)
A nurse is preparing to administer intermittent external nutrition via a clients NG
tube. In which order should the nurse take the following actions?
Questions & Answers
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 was amputated. Which of the following actions should the nurse take to treat
the client's neuropathic pain?
- Administer a beta-blocking medication to the client.
(The nurse should administer a beta-blocking medication to the client. This
classification of medication has been shown to relieve the phantom limb pain
manifestations of constant dull and burning type pain.)
A newly licensed nurse asks a charge nurse where to find information about scope
of practice for registered nurses. Which of the following responses should the
charge nurse make?
- "The state board of nursing can provide this information"
(each state develops a nurse practice act, which defines scope of practice for nurses
in that state. This practice act is available on the board of nursing website for each
state.)
A nurse is planning care to prevent a catheter-related bloodstream infection for a
client who is receiving IV fluid therapy. Which of the following interventions
should the nurse include in the plan?
- Perform hand hygiene before touching the IV tubing.
(The nurse should perform thorough hand hygiene before touching any part of the
infusion system or the client to reduce the risk of catheter-related blood stream
infections.)
A nurse is creating a plan of care for a client who is non-ambulatory and has
bladder and bowel incontinence. Which of the following interventions should the
nurse include to prevent skin breakdown?
- Offer the client a glass of water every two hour when repositioning.
,(The nurse should offer the client a glass of water every two hours on the clients
repositioning schedule. This helps prevent dehydration, which increases the risk of
skin breakdown.)
A nurse is teaching a young adult female client about health screening for breast
cancer. Which of the following statements by the client indicates an understanding
of breast self-examination (BSE)?
- "I should expect to feel a firm ridge along the bottom curve of each breast."
(The nurse should instruct the client at a firm ridge is expected along the bottom
curve of each breast. The client should be able to feel this area during the BSE.
Performing a BSE promotes breast self awareness so that the client knows how her
breast normally feel. The awareness increases the clients ability to identify changes
that require further evaluation.)
A nurse is caring for an adolescent who is in critical condition following a motor
vehicle crash which he was the passenger. The clients parent shout at the nurse,
asking why her son is dying instead of the driver. Which of the following actions
should the nurse take to provide emotional support to the parent?
- Inform the parent that anger is a natural response when dealing with loss.
(The nurse should identify that the parent is in the anger stage of grief. The nurse
should assist the parent to understand that anger is a natural response to loss and
encourage her to talk about her feelings.)
A nurse is teaching an older adult client about accessing electronic resources for
healthcare information on the internet. Which of the following statements should
the nurse include in the teaching?
- "Websites ending in '.gov' are reliable sites for obtaining health information from
government agencies."
(The nurse should teach the client how to select reliable internet websites when
researching health care information. The nurse should identify that websites ending
in '.gov' and '.edu' are considered reliable and credible sources for health
information. Websites ending in '.com' should not be used for researching credible
healthcare information.)
, A nurse enters a clients room and finds the client lying on the floor. The client
states that on the way to the bathroom her "knee locked," causing her to fall.
Which of the following actions should the nurse take first?
- Check the client for injuries.
(The first action the nurse should take when using the nursing process is to assess
the client. The nurse should first check the client for injuries and measure vital
signs to help determine physiologic stability. The nurse should also inform the
provider of the clients fall and of the assessment findings.)
A nurse is teaching a client who has rheumatoid arthritis about chronic pain
management. Which of the following statements by the client indicates an
understanding of the teaching?
- "I should use a warm paraffin dip for my hands and feet."
(The nurse should instruct the client to dip her hands and feet in warm paraffin to
alleviate pain and stiffness. The client can more easily perform hand and finger
exercises following the treatment.)
A community health nurse is planning prevention strategies for hypertension
among members of her community. The nurse should identify that which of the
following ethnic groups in the community is at greatest risk of developing
hypertension?
- African American
(Evidence-based practice indicates that individuals of AA ethnicity have the
highest prevalence of hypertension. Therefore, the nurse should identify
community members of this ethnicity are at greatest risk of developing
hypertension.)
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?
- Slide the pin on top of the fire extinguisher straight out.
(The nurse should pull the pin on top of the fire extinguisher to allow for use to
extinguish the fire.)
A nurse is preparing to administer intermittent external nutrition via a clients NG
tube. In which order should the nurse take the following actions?
