ATI RN Concept-Based Assessment Level 1 Online Practice EXAM 150
QUESTIONS AND CORRECT ANSWERS WITH RATIONALES COVERING
THE RECENT TESTED QUESTIONS GUARANTEE A+ GRADE
A nurse is assessing a preschooler who has a urinary tract infection (UTI). Which of the following findings
should the nurse expect?
1. Diarrhea
2. Abdominal pain
3. Increased thirst
4. Skin rash - correct answer -Abdominal Pain
Rat : The nurse should expect a preschooler who has a UTI to experience abdominal pain. Other
manifestations include constipation, dysuria, foul-smelling urine, and fever.
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?
1. Observe the client ambulating a distance of 3 m (10 feet) during the TUG test.
2. Instruct the client to perform the TUG test without the use of the cane.
3. Assist the client to stand up from the chair when starting the TUG test.
4. Advise the client to use the arms of the chair to stand when starting the TUG test. - correct answer
Observe the client ambulating a distance of 3 m (10 feet) during the TUG test.
Rat :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 to time the
client. The nurse should identify that the client is at increased risk of falls if it takes longer than 14
seconds to complete the test.
A nurse in an emergency is caring for an infant who requires emergency surgery. The infant is
accompanied by his 16-year-old mother and his maternal grandfather. Which of the following actions
should the nurse take when assisting with informed consent?
1. Witness consent obtained from the infant's mother.
2. Inform the family that informed consent is not needed due to emergency surgery.
,3. Notify the maternal grandfather that he is required to give informed consent.
4. Request that a court-appointed representative provide informed consent. - correct answer -Witness
consent obtained from the infant's mother.
Rat : The nurse should assist in obtaining informed consent from the infant's mother by witnessing her
signature. Statutory guidelines indicate that a minor, even if unemancipated, can provide consent for
her infant. Unemancipated minors can also legally provide informed consent for STI treatment,
substance use treatment, and care related to pregnancy in some states.
A nurse is planning care to prevent a catheter-related blood stream infection for a client who is receiving
IV fluid therapy. Which of the following interventions should the nurse include in the plan?
1. Change bags of IV solution every 72 hr.
2. Perform hand hygiene before touching the IV tubing.
3. Use hydrogen peroxide to cleanse the IV insertion site.
4. Assess the IV insertion site every 12 hr for redness. - correct answer -Perform hand hygiene before
touching the IV tubing.
Rat : 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 caring for an adolescent client who is in critical condition following a motor vehicle crash in
which he was the passenger. The clients parents shouts 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
patient?
1. Encourage the parent to speak with the family of the driver of the car.
2. Inform the parent that anger is a natural response when dealing with loss.
3. Ask the parent to leave and come back later after she has calmed down.
4. Contact a clergy member to come and speak with the parent. - correct answer -Inform the parent that
anger is a natural response when dealing with loss.
Rat : 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 about advice directives with an older adult client who has a terminal illness. Which of
the following statements should the nurse make?
1. "Having advance directives means that you don't want to receive CPR."
,2. "Your next of kin can amend your advance directives for you if you are unconscious."
3. "Advance directives are verbal or written instructions."
4. "Your advance directives can designate a friend to make your health care decisions." - correct answer
-"Your advance directives can designate a friend to make your health care decisions."
Rat : The nurse should inform the client that he may include a health care proxy or durable power of
attorney for health care as part of his advance directives. This form designates a person of the client's
choosing to make health care decisions for him if he becomes unable to do so for himself. This may be a
relative, personal friend, or anyone the client designates. The nurse should ensure that this form is
witnessed or notarized according to state law.
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?
1. "I should stop participating in my bowling league."
2. "I should take a cool shower in the morning to relieve stiffness."
3. "I should decrease my intake of foods containing purine."
4. "I should use a warm paraffin dip for my hands and feet." - correct answer -"I should use a warm
paraffin dip for my hands and feet."
Rat : 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 nurse is caring for a child who has contact dermatitis due to poison ivy. The parent asks the nurse how
to prevent further reactions. Which of the following responses should the nurse make?
1. "Rinse your child's skin with hot water within 30 min of contact with the poison ivy plant."
2. "Wash your child's exposed clothing with hot water and detergent."
3. "Scrub your child's exposed skin with warm water and antibacterial soap."
4. "Don't allow your child to have contact with other children who have poison ivy." - correct answer
"Wash your child's exposed clothing with hot water and detergent."
Rat : The nurse should instruct the parent to wash the child's clothing in hot water and detergent after
exposure to the poison ivy plant. This will remove the oil, urushiol, which causes the skin reaction.
A nurse is providing change-of-shift report about a group of clients to the oncoming nurse at the end of
the shift. Which of the following statements should the nurse include?
1. "The client received a PRN dose of pain medication this morning."
, 2. "The client has been very tearful since finding out he has diabetes mellitus."
3. "The client's routine vital signs were obtained at 0700, 1100, and 1500."
4. "The client's husband visited during lunch as he has done each day." - correct answer -"The client has
been very tearful since finding out he has diabetes mellitus."
Rat : The nurse should include significant information such as a new diagnosis in the change-of-shift
report. The nurse should also identify changes in the client's emotional status that might indicate a need
for additional client support and teaching.
A nurse is planning care for a newly-admitted school-age child who has rubeola. Which of the following
isolation precautions should the nurse plan to initiate?
1. Droplet
2. Airborne
3. Contact
4. Protective environment - correct answer -Airborne
Rat : The nurse should initiate airborne precautions for a client who has varicella, measles (rubeola), or
pulmonary tuberculosis. Airborne precautions include a private room with negative pressure airflow,
with 6 to 12 air exchanges/hr via a high-efficiency particulate air (HEPA) filtRat ion system.
A nurse is preparing to leave the room of a client who is on isolation precautions. Which of the following
actions should the nurse take when removing a tied surgical mask?
1. Take the mask off immediately after leaving the client's room.
2. Perform hand hygiene prior to removing the mask.
3. Untie the top strings of the mask and then untie the lower strings.
4. Remove the mask by securely holding the ties and moving it away from the face. - correct answer
Remove the mask by securely holding the ties and moving it away from the face.
Rat : 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 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?
1. "I am thankful for what I have, because things could be worse."
2. "I wish God had not allowed this cancer to invade my body."
QUESTIONS AND CORRECT ANSWERS WITH RATIONALES COVERING
THE RECENT TESTED QUESTIONS GUARANTEE A+ GRADE
A nurse is assessing a preschooler who has a urinary tract infection (UTI). Which of the following findings
should the nurse expect?
1. Diarrhea
2. Abdominal pain
3. Increased thirst
4. Skin rash - correct answer -Abdominal Pain
Rat : The nurse should expect a preschooler who has a UTI to experience abdominal pain. Other
manifestations include constipation, dysuria, foul-smelling urine, and fever.
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?
1. Observe the client ambulating a distance of 3 m (10 feet) during the TUG test.
2. Instruct the client to perform the TUG test without the use of the cane.
3. Assist the client to stand up from the chair when starting the TUG test.
4. Advise the client to use the arms of the chair to stand when starting the TUG test. - correct answer
Observe the client ambulating a distance of 3 m (10 feet) during the TUG test.
Rat :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 to time the
client. The nurse should identify that the client is at increased risk of falls if it takes longer than 14
seconds to complete the test.
A nurse in an emergency is caring for an infant who requires emergency surgery. The infant is
accompanied by his 16-year-old mother and his maternal grandfather. Which of the following actions
should the nurse take when assisting with informed consent?
1. Witness consent obtained from the infant's mother.
2. Inform the family that informed consent is not needed due to emergency surgery.
,3. Notify the maternal grandfather that he is required to give informed consent.
4. Request that a court-appointed representative provide informed consent. - correct answer -Witness
consent obtained from the infant's mother.
Rat : The nurse should assist in obtaining informed consent from the infant's mother by witnessing her
signature. Statutory guidelines indicate that a minor, even if unemancipated, can provide consent for
her infant. Unemancipated minors can also legally provide informed consent for STI treatment,
substance use treatment, and care related to pregnancy in some states.
A nurse is planning care to prevent a catheter-related blood stream infection for a client who is receiving
IV fluid therapy. Which of the following interventions should the nurse include in the plan?
1. Change bags of IV solution every 72 hr.
2. Perform hand hygiene before touching the IV tubing.
3. Use hydrogen peroxide to cleanse the IV insertion site.
4. Assess the IV insertion site every 12 hr for redness. - correct answer -Perform hand hygiene before
touching the IV tubing.
Rat : 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 caring for an adolescent client who is in critical condition following a motor vehicle crash in
which he was the passenger. The clients parents shouts 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
patient?
1. Encourage the parent to speak with the family of the driver of the car.
2. Inform the parent that anger is a natural response when dealing with loss.
3. Ask the parent to leave and come back later after she has calmed down.
4. Contact a clergy member to come and speak with the parent. - correct answer -Inform the parent that
anger is a natural response when dealing with loss.
Rat : 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 about advice directives with an older adult client who has a terminal illness. Which of
the following statements should the nurse make?
1. "Having advance directives means that you don't want to receive CPR."
,2. "Your next of kin can amend your advance directives for you if you are unconscious."
3. "Advance directives are verbal or written instructions."
4. "Your advance directives can designate a friend to make your health care decisions." - correct answer
-"Your advance directives can designate a friend to make your health care decisions."
Rat : The nurse should inform the client that he may include a health care proxy or durable power of
attorney for health care as part of his advance directives. This form designates a person of the client's
choosing to make health care decisions for him if he becomes unable to do so for himself. This may be a
relative, personal friend, or anyone the client designates. The nurse should ensure that this form is
witnessed or notarized according to state law.
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?
1. "I should stop participating in my bowling league."
2. "I should take a cool shower in the morning to relieve stiffness."
3. "I should decrease my intake of foods containing purine."
4. "I should use a warm paraffin dip for my hands and feet." - correct answer -"I should use a warm
paraffin dip for my hands and feet."
Rat : 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 nurse is caring for a child who has contact dermatitis due to poison ivy. The parent asks the nurse how
to prevent further reactions. Which of the following responses should the nurse make?
1. "Rinse your child's skin with hot water within 30 min of contact with the poison ivy plant."
2. "Wash your child's exposed clothing with hot water and detergent."
3. "Scrub your child's exposed skin with warm water and antibacterial soap."
4. "Don't allow your child to have contact with other children who have poison ivy." - correct answer
"Wash your child's exposed clothing with hot water and detergent."
Rat : The nurse should instruct the parent to wash the child's clothing in hot water and detergent after
exposure to the poison ivy plant. This will remove the oil, urushiol, which causes the skin reaction.
A nurse is providing change-of-shift report about a group of clients to the oncoming nurse at the end of
the shift. Which of the following statements should the nurse include?
1. "The client received a PRN dose of pain medication this morning."
, 2. "The client has been very tearful since finding out he has diabetes mellitus."
3. "The client's routine vital signs were obtained at 0700, 1100, and 1500."
4. "The client's husband visited during lunch as he has done each day." - correct answer -"The client has
been very tearful since finding out he has diabetes mellitus."
Rat : The nurse should include significant information such as a new diagnosis in the change-of-shift
report. The nurse should also identify changes in the client's emotional status that might indicate a need
for additional client support and teaching.
A nurse is planning care for a newly-admitted school-age child who has rubeola. Which of the following
isolation precautions should the nurse plan to initiate?
1. Droplet
2. Airborne
3. Contact
4. Protective environment - correct answer -Airborne
Rat : The nurse should initiate airborne precautions for a client who has varicella, measles (rubeola), or
pulmonary tuberculosis. Airborne precautions include a private room with negative pressure airflow,
with 6 to 12 air exchanges/hr via a high-efficiency particulate air (HEPA) filtRat ion system.
A nurse is preparing to leave the room of a client who is on isolation precautions. Which of the following
actions should the nurse take when removing a tied surgical mask?
1. Take the mask off immediately after leaving the client's room.
2. Perform hand hygiene prior to removing the mask.
3. Untie the top strings of the mask and then untie the lower strings.
4. Remove the mask by securely holding the ties and moving it away from the face. - correct answer
Remove the mask by securely holding the ties and moving it away from the face.
Rat : 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 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?
1. "I am thankful for what I have, because things could be worse."
2. "I wish God had not allowed this cancer to invade my body."
