2024 ATI RN Concept-Based
Assessment Level 1 Proctored Exam:
The Complete Actual Exam Test Bank
with Verified Questions, Detailed
Answers, and Comprehensive
Rationales
A nurse is talking with a client who reports difficulty adjusting to the death
of her partner. Which of the following responses by the nurse demonstrates
the therapeutic communication technique of reflecting? – answer "What do
you think would help you cope with your loss?"
(The nurse uses the technique of reflecting when asking this question.
Reflecting encourages the client to explore her personal thoughts about a
situation so that a plan can be developed to meet the clients individual
needs.)
A community health nurse is developing a brochure about the use of
smokeless tobacco. Which of the following information should the nurse
plan to include? - answerSmokeless tobacco provides a higher dose of
nicotine than cigarettes.
(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 nurse is preparing to administer an immunization via IM injection into an
adults clients deltoid muscle. Which of the following actions should the
nurse take? - answerSelect a 1-inch needle for the injection.
(The nurse should select a 1-inch needle for an IM injection into the deltoid
muscle. Depending on the clients weight, the nurse might need to use a 1
1/2 inch needle to ensure injection of the vaccine into the muscle.)
,A charge nurse is observing a newly licensed nurse prepare medication for
a client. Which of the following actions by the newly licensed nurse adheres
to safe medication administration practices? - answerThe nurse compares
the medication label with the clients medication administration record.
(When preparing medications for administration, safe practice includes
comparing the medication label with the clients 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 clients
bedside prior to administering the medication.)
A nurse is preparing to administer a medication via IV bolus to a client who
is receiving a continuous infusion via an infusion pump. The client's IV fluid
solution is incompatible with the bolus. Which of the following actions
should the nurse plan to take first? - answerStop the continuous IV
infusion.
(According to evidence-based practice, the nurse should first stop the
continuous IV infusion. This action prevents the solution from flowing
through the tubing while the nurse administers the mediation. An infusion
will alarm if the tubing is clamped before the pump is stopped.)
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? -
answerAdminister 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? - 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? - answerPerform 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? - answerOffer 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? - answerInform 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
Assessment Level 1 Proctored Exam:
The Complete Actual Exam Test Bank
with Verified Questions, Detailed
Answers, and Comprehensive
Rationales
A nurse is talking with a client who reports difficulty adjusting to the death
of her partner. Which of the following responses by the nurse demonstrates
the therapeutic communication technique of reflecting? – answer "What do
you think would help you cope with your loss?"
(The nurse uses the technique of reflecting when asking this question.
Reflecting encourages the client to explore her personal thoughts about a
situation so that a plan can be developed to meet the clients individual
needs.)
A community health nurse is developing a brochure about the use of
smokeless tobacco. Which of the following information should the nurse
plan to include? - answerSmokeless tobacco provides a higher dose of
nicotine than cigarettes.
(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 nurse is preparing to administer an immunization via IM injection into an
adults clients deltoid muscle. Which of the following actions should the
nurse take? - answerSelect a 1-inch needle for the injection.
(The nurse should select a 1-inch needle for an IM injection into the deltoid
muscle. Depending on the clients weight, the nurse might need to use a 1
1/2 inch needle to ensure injection of the vaccine into the muscle.)
,A charge nurse is observing a newly licensed nurse prepare medication for
a client. Which of the following actions by the newly licensed nurse adheres
to safe medication administration practices? - answerThe nurse compares
the medication label with the clients medication administration record.
(When preparing medications for administration, safe practice includes
comparing the medication label with the clients 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 clients
bedside prior to administering the medication.)
A nurse is preparing to administer a medication via IV bolus to a client who
is receiving a continuous infusion via an infusion pump. The client's IV fluid
solution is incompatible with the bolus. Which of the following actions
should the nurse plan to take first? - answerStop the continuous IV
infusion.
(According to evidence-based practice, the nurse should first stop the
continuous IV infusion. This action prevents the solution from flowing
through the tubing while the nurse administers the mediation. An infusion
will alarm if the tubing is clamped before the pump is stopped.)
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? -
answerAdminister 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? - 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? - answerPerform 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? - answerOffer 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? - answerInform 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
