RN ATI CONCEPT BASED ASSESSMENT
LEVEL 3 EXAM 3 VERSION A B AND C
CERTIFICATION EVALUATION EXAMS
VERIFIED QUESTIONS AND FULL
SOLUTION GRADED A+
⩥ 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?
Answer: "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?
Answer: 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?
Answer: 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)?
Answer: "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?
,Answer: 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?
Answer: "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?
Answer: 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?
Answer: "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?
Answer: 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?
Answer: 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.)
LEVEL 3 EXAM 3 VERSION A B AND C
CERTIFICATION EVALUATION EXAMS
VERIFIED QUESTIONS AND FULL
SOLUTION GRADED A+
⩥ 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?
Answer: "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?
Answer: 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?
Answer: 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)?
Answer: "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?
,Answer: 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?
Answer: "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?
Answer: 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?
Answer: "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?
Answer: 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?
Answer: 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.)
