RN CONCEPT BASED ASSESSMENT LEVEL COMPLETE 100
QUESTIONS AND CORRECT ANSWERS|AGRADE
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? -
ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: The 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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). - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER:
Administer the medication in the clients abdomen.
QUESTIONS AND CORRECT ANSWERS|AGRADE
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? -
ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: The 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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). - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER:
Administer the medication in the clients abdomen.
