ATI Concept-Based Assessment Level 3
Practice A
A nurse is providing family planning education for a client who wishes to conceive. The
client brings her calendar to the appointment with her days of menses circled. The
nurse should identify that ovulation is expected to occur on which of the following
calendar dates? - answer Ovulation occurs 13-15 days after day one of menses.
A nurse in an acute care mental health facility is planning care for a client who has
bipolar disorder and who is experiencing acute mania. Which of the following actions
should the nurse plan to take? - answer Provide the client with finger foods to eat.
A nurse is caring for an infant who has Tetralogy of Fallot. The nurse notes that the
infant exhibits a sudden onset of cyanosis and is hyperpnea. Which of the following
actions should the nurse take? - answer Place the infant in a knee-chest position.
A nurse is providing discharge teaching to a client following gastric bypass surgery for
management of obesity. Which of the following client statements indicates an
understanding of the teaching? - answer “I will remain in a reclining position for 30
minutes after I eat."
A nurse is teaching a client who has genital herpes simplex virus. Which of the following
statements should the nurse include in the teaching about this sexually transmitted
infection? - answer"You should cleanse the lesions with a saline solution twice each
day."
A nurse is caring for a client who has a terminal illness and is approaching death. Which
of the following actions should the nurse take? - answerApply a thin coating of lip balm
to the client's lips.
A nurse in an emergency department is assessing a client who was in a motor-vehicle
crash. The client has a blood alcohol concentration of 0.18% and states, "I would never
drink and drive." The nurse should identify that the client is demonstrating use of which
of the following defense mechanisms? - answerDenial
A nurse is caring for a newly-admitted client who is at 37 weeks gestation and is
experiencing moderate placental abruption. Which of the following actions should the
nurse take? - answerInsert a large-bore IV catheter.
The nurse should insert a 16- to 18-gauge IV catheter into the client's brachial artery
because fluid volume and blood replacement might be necessary to correct defects in
coagulation.
, A nurse is planning care for a client who has a benign chondroma of the tibia. Which of
the following interventions should the nurse plan to include? - answerPalpate for
changes in the muscle of the affected extremity.
The nurse should palpate the muscle of the affected extremity to monitor for changes
such as muscle spasm, atrophy, or swelling. These manifestations indicate enlargement
of the tumor
A nurse is caring for a client who is experiencing hypovolemic shock due to postpartum
hemorrhage. After notifying the provider, which of the following actions should the nurse
take next? - answerMassage the client's fundus.
The greatest risk to the client is hemorrhage. Therefore, the next action the nurse
should take is to massage the client's fundus to expel clots and promote contractions.
An intensive care nurse is providing education about organ and tissue donation to the
parent of an adolescent who has died following a motor-vehicle crash. Which of the
following responses by the parent indicates an understanding of the teaching? -
answer"No one will notice the organs were donated if we have an open casket at the
funeral."
A nurse in an emergency department is creating a plan of care for a client who reports a
recent sexual assault. Which of the following interventions should the nurse plan to
include? - answerExplain to the client the reason each procedure is conducted.
A community health nurse is assessing an older adult client. Which of the following
situations should the nurse identify as a possible indication of undue influence? -
answerThe client's niece moves into her home to provide care.
Undue influence can occur when an older adult moves into someone's home, or when
someone moves into her home, under the pretense of providing better care for the
client. This allows the abuser to have access and control to the client at all times, and
makes it easier for the abuser to influence the client's decisions about medical care,
property, and finances.
A nurse is preparing to administer immunizations to a 2-month-old infant at a well-child
visit. Which of the following immunizations should the nurse plan to administer? -
answerHaemophilus influenza type b (Hib)
This vaccine is administered in a series of three to four doses starting at 2 months of
age.
A nurse is discussing palliative care with the family of a client who is terminally ill. Which
of the following information should the nurse include? - answerPalliative care includes a
variety of therapies.
Practice A
A nurse is providing family planning education for a client who wishes to conceive. The
client brings her calendar to the appointment with her days of menses circled. The
nurse should identify that ovulation is expected to occur on which of the following
calendar dates? - answer Ovulation occurs 13-15 days after day one of menses.
A nurse in an acute care mental health facility is planning care for a client who has
bipolar disorder and who is experiencing acute mania. Which of the following actions
should the nurse plan to take? - answer Provide the client with finger foods to eat.
A nurse is caring for an infant who has Tetralogy of Fallot. The nurse notes that the
infant exhibits a sudden onset of cyanosis and is hyperpnea. Which of the following
actions should the nurse take? - answer Place the infant in a knee-chest position.
A nurse is providing discharge teaching to a client following gastric bypass surgery for
management of obesity. Which of the following client statements indicates an
understanding of the teaching? - answer “I will remain in a reclining position for 30
minutes after I eat."
A nurse is teaching a client who has genital herpes simplex virus. Which of the following
statements should the nurse include in the teaching about this sexually transmitted
infection? - answer"You should cleanse the lesions with a saline solution twice each
day."
A nurse is caring for a client who has a terminal illness and is approaching death. Which
of the following actions should the nurse take? - answerApply a thin coating of lip balm
to the client's lips.
A nurse in an emergency department is assessing a client who was in a motor-vehicle
crash. The client has a blood alcohol concentration of 0.18% and states, "I would never
drink and drive." The nurse should identify that the client is demonstrating use of which
of the following defense mechanisms? - answerDenial
A nurse is caring for a newly-admitted client who is at 37 weeks gestation and is
experiencing moderate placental abruption. Which of the following actions should the
nurse take? - answerInsert a large-bore IV catheter.
The nurse should insert a 16- to 18-gauge IV catheter into the client's brachial artery
because fluid volume and blood replacement might be necessary to correct defects in
coagulation.
, A nurse is planning care for a client who has a benign chondroma of the tibia. Which of
the following interventions should the nurse plan to include? - answerPalpate for
changes in the muscle of the affected extremity.
The nurse should palpate the muscle of the affected extremity to monitor for changes
such as muscle spasm, atrophy, or swelling. These manifestations indicate enlargement
of the tumor
A nurse is caring for a client who is experiencing hypovolemic shock due to postpartum
hemorrhage. After notifying the provider, which of the following actions should the nurse
take next? - answerMassage the client's fundus.
The greatest risk to the client is hemorrhage. Therefore, the next action the nurse
should take is to massage the client's fundus to expel clots and promote contractions.
An intensive care nurse is providing education about organ and tissue donation to the
parent of an adolescent who has died following a motor-vehicle crash. Which of the
following responses by the parent indicates an understanding of the teaching? -
answer"No one will notice the organs were donated if we have an open casket at the
funeral."
A nurse in an emergency department is creating a plan of care for a client who reports a
recent sexual assault. Which of the following interventions should the nurse plan to
include? - answerExplain to the client the reason each procedure is conducted.
A community health nurse is assessing an older adult client. Which of the following
situations should the nurse identify as a possible indication of undue influence? -
answerThe client's niece moves into her home to provide care.
Undue influence can occur when an older adult moves into someone's home, or when
someone moves into her home, under the pretense of providing better care for the
client. This allows the abuser to have access and control to the client at all times, and
makes it easier for the abuser to influence the client's decisions about medical care,
property, and finances.
A nurse is preparing to administer immunizations to a 2-month-old infant at a well-child
visit. Which of the following immunizations should the nurse plan to administer? -
answerHaemophilus influenza type b (Hib)
This vaccine is administered in a series of three to four doses starting at 2 months of
age.
A nurse is discussing palliative care with the family of a client who is terminally ill. Which
of the following information should the nurse include? - answerPalliative care includes a
variety of therapies.
