ATI RN Concept-Based Assessment Level 1 Online Practice A Questions and Answers
A charge nurse is educating unit staff about the cultural aspects of client care following death. What statement
by an assistive personnel indicates an understanding of the teaching?
1. "The body of a client who practices Islam is washed and wrapped in a cloth following death."
2. "The body of a client who practices Judaism is left alone for 24 hr following death."
3. "The youngest child of a client who is Chinese might want to stay with the body for 12 hr following death."
4. "The body of a client who practices Buddhism is prepared by the oldest female family member." - ans"The
body of a client who practices Judaism is left alone for 24 hr following death."
Rat: The body of a client who practices Islam is washed, wrapped, prayed over, and buried as soon as possible
following death. The client's head should be turned toward Mecca.
A charge nurse is observing a newly licensed nurse prepare medications for a client. What actions by the newly
licensed nurse adheres to safe medication administration practices?
The nurse breaks a non-scored caplet in half to administer a prescribed dose.
The nurse uses the client's room number as an identifier for medication administration.
The nurse compares the medication label with the client's medication administration record.
The nurse prepares to administer an antibiotic 1 hr prior to the scheduled time. - ansThe nurse compares the
medication label with the client's medication administration record.
When preparing medications for administration, safe practice includes comparing the medication label with the
client's medication administration record a minimum of three times: prior to removing the medication from the
drawer, when removing medication from the drawer, and at the client's bedside prior to administering the
medication.
,A charge nurse is teaching a group of newly licensed nurses how to prevent errors during administration of
blood transfusions. What actions should the nurse include?
Complete the administration of 1 unit of packed RBCs within 6 hr of initiation of the transfusion.
Infuse 500 mL of lactated Ringer's when administering whole blood.
Vigorously massage the blood bag to mix the cells prior to administration.
Use a new blood administration tubing set for each blood bag infused. - ansUse a new blood administration
tubing set for each blood bag infused.
Rat: The nurse should use a new blood infusion tubing set for each component of blood. A blood infusion set
should not be reused, even for the same client.
A community health nurse is developing a brochure about the use of smokeless tobacco. What information
should the nurse plan to include?
Smokeless tobacco provides a higher dose of nicotine than cigarettes.
Smokeless tobacco users are at an increased risk for lung cancer.
Smokeless tobacco is more addictive than cigarettes.
Smokeless tobacco users have a lower risk for developing stomach cancer. - ansSmokeless tobacco provides a
higher dose of nicotine than cigarettes.
Rat: Smokeless tobacco is placed in the mouth, where nicotine is then absorbed sublingually. A higher dose of
nicotine is delivered with the use of smokeless tobacco compared to smoking cigarettes, because heat destroys
,nicotine.
A community health nurse is participating in a task force initiative to reduce the incidence of disease from
injection drug use among the city's homeless population. What plan should the nurse recommend as part of
tertiary prevention?
Offer HIV testing.
Start a needle-exchange program.
Screen clients who are homeless for drug use.
Provide community education about needle sharing. - ansStart a needle-exchange program.
Rat: Initiating a program for needle exchange and treating clients who are homeless for any diseases they may
have already acquired are examples of tertiary prevention.
A community health nurse is planning interventions to promote Healthy People 2020 initiatives in the
community. What action should the nurse plan to take first?
Collaborate with community environmental resources to decrease pollutants.
Educate adolescents in the community about diseases caused by tobacco use.
Promote healthy development of infants and toddlers in the community.
Determine the level of health equity among groups in the community. - ansDetermine the level of health equity
among groups in the community.
Rat: Determine the level of health equity among groups in the community.
A community health nurse is planning prevention strategies for hypertension among members of her
, community. The nurse should identify which ethnic groups in the community is at greatest risk for developing
hypertension?
African Americans
Hispanic Americans
European Americans
Native Americans - ansAfrican Americans
Rat: Evidence-based practice indicates that individuals of African-American 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 home health nurse manager is assisting in the implementation of an electronic medical record (EMR) system
for client care. What actions should the nurse manager take the promote interoperability.
Scan each client's prescribed medications into the individual EMR.
Recommend a single coding system for each department to use.
Seek reimbursement opportunities for the use of an EMR system.
Establish a personal health record (PHR) for each client. - ansRecommend a single coding system for each
department to use.
Rat: The nurse manager should recommend a unified coding system for each department to use when
documenting in the EMR system. This use of a single coding system ensures that data is shared accurately
among interprofessional departments and that each department's system is able to process the coded
information. This continuity of shared data and the ability to use the data is referred to interoperability.
A hospice nurse is planning care for a client who has terminal cancer. The client tells the nurse that she
A charge nurse is educating unit staff about the cultural aspects of client care following death. What statement
by an assistive personnel indicates an understanding of the teaching?
1. "The body of a client who practices Islam is washed and wrapped in a cloth following death."
2. "The body of a client who practices Judaism is left alone for 24 hr following death."
3. "The youngest child of a client who is Chinese might want to stay with the body for 12 hr following death."
4. "The body of a client who practices Buddhism is prepared by the oldest female family member." - ans"The
body of a client who practices Judaism is left alone for 24 hr following death."
Rat: The body of a client who practices Islam is washed, wrapped, prayed over, and buried as soon as possible
following death. The client's head should be turned toward Mecca.
A charge nurse is observing a newly licensed nurse prepare medications for a client. What actions by the newly
licensed nurse adheres to safe medication administration practices?
The nurse breaks a non-scored caplet in half to administer a prescribed dose.
The nurse uses the client's room number as an identifier for medication administration.
The nurse compares the medication label with the client's medication administration record.
The nurse prepares to administer an antibiotic 1 hr prior to the scheduled time. - ansThe nurse compares the
medication label with the client's medication administration record.
When preparing medications for administration, safe practice includes comparing the medication label with the
client's medication administration record a minimum of three times: prior to removing the medication from the
drawer, when removing medication from the drawer, and at the client's bedside prior to administering the
medication.
,A charge nurse is teaching a group of newly licensed nurses how to prevent errors during administration of
blood transfusions. What actions should the nurse include?
Complete the administration of 1 unit of packed RBCs within 6 hr of initiation of the transfusion.
Infuse 500 mL of lactated Ringer's when administering whole blood.
Vigorously massage the blood bag to mix the cells prior to administration.
Use a new blood administration tubing set for each blood bag infused. - ansUse a new blood administration
tubing set for each blood bag infused.
Rat: The nurse should use a new blood infusion tubing set for each component of blood. A blood infusion set
should not be reused, even for the same client.
A community health nurse is developing a brochure about the use of smokeless tobacco. What information
should the nurse plan to include?
Smokeless tobacco provides a higher dose of nicotine than cigarettes.
Smokeless tobacco users are at an increased risk for lung cancer.
Smokeless tobacco is more addictive than cigarettes.
Smokeless tobacco users have a lower risk for developing stomach cancer. - ansSmokeless tobacco provides a
higher dose of nicotine than cigarettes.
Rat: Smokeless tobacco is placed in the mouth, where nicotine is then absorbed sublingually. A higher dose of
nicotine is delivered with the use of smokeless tobacco compared to smoking cigarettes, because heat destroys
,nicotine.
A community health nurse is participating in a task force initiative to reduce the incidence of disease from
injection drug use among the city's homeless population. What plan should the nurse recommend as part of
tertiary prevention?
Offer HIV testing.
Start a needle-exchange program.
Screen clients who are homeless for drug use.
Provide community education about needle sharing. - ansStart a needle-exchange program.
Rat: Initiating a program for needle exchange and treating clients who are homeless for any diseases they may
have already acquired are examples of tertiary prevention.
A community health nurse is planning interventions to promote Healthy People 2020 initiatives in the
community. What action should the nurse plan to take first?
Collaborate with community environmental resources to decrease pollutants.
Educate adolescents in the community about diseases caused by tobacco use.
Promote healthy development of infants and toddlers in the community.
Determine the level of health equity among groups in the community. - ansDetermine the level of health equity
among groups in the community.
Rat: Determine the level of health equity among groups in the community.
A community health nurse is planning prevention strategies for hypertension among members of her
, community. The nurse should identify which ethnic groups in the community is at greatest risk for developing
hypertension?
African Americans
Hispanic Americans
European Americans
Native Americans - ansAfrican Americans
Rat: Evidence-based practice indicates that individuals of African-American 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 home health nurse manager is assisting in the implementation of an electronic medical record (EMR) system
for client care. What actions should the nurse manager take the promote interoperability.
Scan each client's prescribed medications into the individual EMR.
Recommend a single coding system for each department to use.
Seek reimbursement opportunities for the use of an EMR system.
Establish a personal health record (PHR) for each client. - ansRecommend a single coding system for each
department to use.
Rat: The nurse manager should recommend a unified coding system for each department to use when
documenting in the EMR system. This use of a single coding system ensures that data is shared accurately
among interprofessional departments and that each department's system is able to process the coded
information. This continuity of shared data and the ability to use the data is referred to interoperability.
A hospice nurse is planning care for a client who has terminal cancer. The client tells the nurse that she
