ATI RN Concept - Based Assessment
Level 4 Online Practice A
A nurse is teaching a client who has been newly diagnosed with systemic lupus
erythematosus (SLE). Which statement by the client indicates an understanding of the
teaching? - answer"I should inspect my skin daily for cuts and rashes"
A nurse is caring for a client who has Parkinson's disease. Which of the following
actions should the nurse take to promote the client's mobility? - answer Instruct the
client to perform range-of-motion exercises
- The nurse should instruct the client to perform stretching and range-of-motion
exercises to promote mobility. exercising and walking help to delay the progression of
the disease.
A nurse is caring for a client who has had a myocardial infarction and suspects
cardiogenic shock. The nurse should monitor for which of the following manifestations?
- answer Pulmonary Congestion
-Pulmonary congestion is a result of decreased cardiac output due to damage to the
cardiac muscle
A nurse is assessing a client who has a DNR order and has stopped breathing. The
family asks the nurse to resuscitate the client. Which action should the nurse take? -
answerRespect the client's preferences.
A nurse manager is teaching a group of nurses about OSHA. What information should
the nurse include? - answerSets standards for hazardous exposures in the workplace.
A nurse manager identifies that the number of client medication administration errors on
the unit has increased. When creating a cause-and-effect chart, which of the following
information should the nurse manger include? - answerPossible reasons for the
medication errors. ------------------------------------------------- The nurse manager should
identify and include possible reasons for the occurrence of medication errors when
creating a cause and effect chart. This data assists in the prevention of future
medication errors.
A nurse manager notices that he has exceeded the amount of money allocated for labor
costs for the quarter. Which action should the nurse manager take? - answerinvolve
staff nurses in budge planning.
,-this promotes awareness of the costs of staffing a unit and encourages cost-effective
care.
A nurse is providing teaching to a client who has a halo device applied to prevent further
cervical spinal cord injury following a diving accident. What info should the nurse
include? - answer"Avoid leaning forward when attempting to stand."
-the weight of the halo device can alter balance. leaning forward could cause the client
to fall.
A nurse is working on an interprofessional collaboration plan of care for a client who has
a stage 3 pressure ulcer. Which action should the nurse recognize as the. role of the
licensed practical nurse (LPN)? - answerAdminister pain medication
A nurse manager is facilitating conflict resolution between two nurses who disagree
about the need to make a referral to a social worker. Which conflict management
strategies should the nurse manager use? - answerOffer self to constructively facilitate
communication.
-The nurse manager will be the impartial third party in this communication
A nurse is having a disagreement with a coworker about a client assignment. When
following the chain of command, which of the following individuals should the nurse
contact to discuss the conflict? - answerThe charge nurse
- When following the chain of command, the nurse should communicate with his
immediate supervisor about any questions and concerns he has, including a conflict
with a coworkers.
A triage nurse is prioritizing clients following a mass casualty disaster. Which of the
following clients should the nurse treat first? - answerA client who is exhibiting
manifestations of shock.
-a client exhibiting manifestations of shock requires immediate intervention for survival.
A nurse is caring for a client who has a partial-thickness burn and a prescription for a
silver sulfadiazine cream. Which intervention should the nurse take? - answerMonitor
the client's WBC.
-A drop in the WBC count can be an indication of an allergic reaction to the silver
sulfadiazine cream
A nurse is preparing to administer nitroglycerin topical ointment to a client who had a
myocardial infarction. Which action should the nurse plan to take? (move steps in order)
- answer1) Cleanse the client's skin and allow it to dry
2) Apply a thin layer of medication ointment to the dosing paper.
, 3) Spread the medication over a 6.4 by 8.9 cm area of skin
4) Cover the medication site with plastic wrap
5) Remove the medication in 6 hr.
A nurse manager is teaching a group of nurses about professional negligence. Which of
the following situations should the nurse manager include as an example? -
answerAdministering heparin to a client who is undergoing a lumbar puncture.
A nurse who administers heparin to client who is undergoing a lumbar puncture is an
example of negligence. Anticoagulant medication can cause bleeding in the lumbar area
A nurse is teaching a client who has deep-vein thrombosis and is receiving heparin
injections. The nurse should instruct the client to report which of the following
manifestations as an adverse effect of this medication? - answerAn increase in
nosebleeds
-increase in nosebleeds or bruising can be indications of a hemorrhage, which is an
adverse effect of heparin
A community health nurse is teaching a newly licensed nurse about the types of
psychiatric health care settings available in the community. Which should the nurse
identify as a primary care setting? - answerOutpatient counseling clinic
-primary care setting clinics provide strategies for clients to prevent or delay mental
health issues
A nurse manager is informed that the family of a client is preparing to file a malpractice
lawsuit. The nurse should identify which of the following situations as potential
malpractice? - answerFailure to identify an infiltrated IV
------------------------------------------------------- The nurse manager should identify that failure
to provide reasonable care, such as identifying IV infiltration, can contribute to
malpractice. The nurse should provide care that a reasonably prudent nurse would
provide under the same circumstances.
A community health nurse is planning a public health presentation aimed at minimizing
health care disparities. Which of the following age groups should the nurse identify as
the priority for increasing health literacy? - answerOlder Adults
- Evidence-based practice indicates that the nurse should target older adults because
this age group has the lowest level of health literacy compared to other groups.
A charge nurse is planning care for a group of clients. Which task should the nurse
delegate to the LPN? - answerObtain a blood glucose level from a client who has type 1
diabetes mellitus. -------------------------------------------------------- Obtaining a blood glucose
level from a client who has type 1 diabetes mellitus is within the scope of practice of the
LPN.
Level 4 Online Practice A
A nurse is teaching a client who has been newly diagnosed with systemic lupus
erythematosus (SLE). Which statement by the client indicates an understanding of the
teaching? - answer"I should inspect my skin daily for cuts and rashes"
A nurse is caring for a client who has Parkinson's disease. Which of the following
actions should the nurse take to promote the client's mobility? - answer Instruct the
client to perform range-of-motion exercises
- The nurse should instruct the client to perform stretching and range-of-motion
exercises to promote mobility. exercising and walking help to delay the progression of
the disease.
A nurse is caring for a client who has had a myocardial infarction and suspects
cardiogenic shock. The nurse should monitor for which of the following manifestations?
- answer Pulmonary Congestion
-Pulmonary congestion is a result of decreased cardiac output due to damage to the
cardiac muscle
A nurse is assessing a client who has a DNR order and has stopped breathing. The
family asks the nurse to resuscitate the client. Which action should the nurse take? -
answerRespect the client's preferences.
A nurse manager is teaching a group of nurses about OSHA. What information should
the nurse include? - answerSets standards for hazardous exposures in the workplace.
A nurse manager identifies that the number of client medication administration errors on
the unit has increased. When creating a cause-and-effect chart, which of the following
information should the nurse manger include? - answerPossible reasons for the
medication errors. ------------------------------------------------- The nurse manager should
identify and include possible reasons for the occurrence of medication errors when
creating a cause and effect chart. This data assists in the prevention of future
medication errors.
A nurse manager notices that he has exceeded the amount of money allocated for labor
costs for the quarter. Which action should the nurse manager take? - answerinvolve
staff nurses in budge planning.
,-this promotes awareness of the costs of staffing a unit and encourages cost-effective
care.
A nurse is providing teaching to a client who has a halo device applied to prevent further
cervical spinal cord injury following a diving accident. What info should the nurse
include? - answer"Avoid leaning forward when attempting to stand."
-the weight of the halo device can alter balance. leaning forward could cause the client
to fall.
A nurse is working on an interprofessional collaboration plan of care for a client who has
a stage 3 pressure ulcer. Which action should the nurse recognize as the. role of the
licensed practical nurse (LPN)? - answerAdminister pain medication
A nurse manager is facilitating conflict resolution between two nurses who disagree
about the need to make a referral to a social worker. Which conflict management
strategies should the nurse manager use? - answerOffer self to constructively facilitate
communication.
-The nurse manager will be the impartial third party in this communication
A nurse is having a disagreement with a coworker about a client assignment. When
following the chain of command, which of the following individuals should the nurse
contact to discuss the conflict? - answerThe charge nurse
- When following the chain of command, the nurse should communicate with his
immediate supervisor about any questions and concerns he has, including a conflict
with a coworkers.
A triage nurse is prioritizing clients following a mass casualty disaster. Which of the
following clients should the nurse treat first? - answerA client who is exhibiting
manifestations of shock.
-a client exhibiting manifestations of shock requires immediate intervention for survival.
A nurse is caring for a client who has a partial-thickness burn and a prescription for a
silver sulfadiazine cream. Which intervention should the nurse take? - answerMonitor
the client's WBC.
-A drop in the WBC count can be an indication of an allergic reaction to the silver
sulfadiazine cream
A nurse is preparing to administer nitroglycerin topical ointment to a client who had a
myocardial infarction. Which action should the nurse plan to take? (move steps in order)
- answer1) Cleanse the client's skin and allow it to dry
2) Apply a thin layer of medication ointment to the dosing paper.
, 3) Spread the medication over a 6.4 by 8.9 cm area of skin
4) Cover the medication site with plastic wrap
5) Remove the medication in 6 hr.
A nurse manager is teaching a group of nurses about professional negligence. Which of
the following situations should the nurse manager include as an example? -
answerAdministering heparin to a client who is undergoing a lumbar puncture.
A nurse who administers heparin to client who is undergoing a lumbar puncture is an
example of negligence. Anticoagulant medication can cause bleeding in the lumbar area
A nurse is teaching a client who has deep-vein thrombosis and is receiving heparin
injections. The nurse should instruct the client to report which of the following
manifestations as an adverse effect of this medication? - answerAn increase in
nosebleeds
-increase in nosebleeds or bruising can be indications of a hemorrhage, which is an
adverse effect of heparin
A community health nurse is teaching a newly licensed nurse about the types of
psychiatric health care settings available in the community. Which should the nurse
identify as a primary care setting? - answerOutpatient counseling clinic
-primary care setting clinics provide strategies for clients to prevent or delay mental
health issues
A nurse manager is informed that the family of a client is preparing to file a malpractice
lawsuit. The nurse should identify which of the following situations as potential
malpractice? - answerFailure to identify an infiltrated IV
------------------------------------------------------- The nurse manager should identify that failure
to provide reasonable care, such as identifying IV infiltration, can contribute to
malpractice. The nurse should provide care that a reasonably prudent nurse would
provide under the same circumstances.
A community health nurse is planning a public health presentation aimed at minimizing
health care disparities. Which of the following age groups should the nurse identify as
the priority for increasing health literacy? - answerOlder Adults
- Evidence-based practice indicates that the nurse should target older adults because
this age group has the lowest level of health literacy compared to other groups.
A charge nurse is planning care for a group of clients. Which task should the nurse
delegate to the LPN? - answerObtain a blood glucose level from a client who has type 1
diabetes mellitus. -------------------------------------------------------- Obtaining a blood glucose
level from a client who has type 1 diabetes mellitus is within the scope of practice of the
LPN.
