ATI RN CONCEPT-BASED ASSESSMENT EXAM |
NEWEST ACTUAL EXAM COMPREHENSIVE
QUESTIONS AND ANSWERS
A nurse on a pediatric unit is admitting an infant who has pertussis. Which of
the
following isolation precautions should the nurse initiate? - ✔✔✔-Droplet
(The nurse should initiate droplet precautions for an infant who has
pertussis. The
nurse should initiate droplet precautions for micro-organisms that are
transmitted
via droplets larger than 5 microns, including rubella, streptococcal
pharyngitis,
and diphtheria. Droplet precautions include a private room and a mask or
respirator.)
A nurse is assessing a preschooler who has a UTI. Which of the following
findings
should the nurse expect? - ✔✔✔-Abdominal pain
(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 is teaching about advance directives with an older adult client who
has a
terminal illness. Which of the following statements should the nurse make? -
✔✔✔-"Your advance directives can designate a grind to make your health
care
,decisions."
(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 designated a person of the clients 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 preparing a client for an elective vaginal hysterectomy when the
client
states, "My doctor said there are more conservative ways to treat my
problem. I
realize now that I don't want this surgery, but I already signed that consent
form."
Which of the following responses should the nurse make? - ✔✔✔-"You have
the
right to refuse this and any other procedure, even after you have signed the
consent form."
(The client has the right to refuse treatment, even after signing the informed
consent document. The nurse should inform the client of that right, notify the
surgeon about the refusal to continue with the procedure, and document the
refusal in the client's medical record.)
A nurse is planning a community health program about substance use
disorders.
Which of the following information should the nurse include when discussing
the
,guidelines for safe limits of alcohol consumption? - ✔✔✔-A healthy women of
any
age should consume no more than seven drinks in a week.
(Recommendations for safe limits of alcohol consumption for a healthy
woman
include consuming no more than seven drinks in a week.)
A nurse is assessing the spiritual well-being and development of a
preschooler.
The nurse asks the preschooler, "Why is it wrong to kick your baby sister?"
Which
of the following responses should the nurse expect? - ✔✔✔-"It's wrong
because
my dad said I can't kick her."
(The nurse should expect the preschooler to be motivated to choose right
from
wrong because of rules taught to him by his parents. The nurse should
understand
that, even though the preschooler might know the rules, he is not yet able to
understand the rationale for the rules.)
A nurse is providing change-of-shift report about a group of clients to the
incoming nurse at the end of the shift. Which of the following statements
should
the nurse include? - ✔✔✔-"The client has been very tearful since finding out
he
has diabetes mellitus."
(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 clients
emotional status that might indicate a need for additional client support and
, teaching.)
A nurse is caring for an older adult client who has osteoarthritis and plans to
go to
an assisted living facility due to decrease mobility. Which of the following
actions
should the nurse take when acting in the role of client advocate? - ✔✔✔-
Research
facilities for the client that best meet her special needs.
(The nurse is acting in the role of a client advocate when identifying the
clients
specific needs and then advocating for those needs by researching assisted
living
facilities that best meet those needs. The nurses research findings support
the
clients autonomy by providing her with information needed to make an
informed
decision when selecting a facility.)
A charge nurse is educating unit staff about the cultural aspects of client
care
following death. Which of the following statements by an assistive personnel
indicates an understanding of the teaching? - ✔✔✔-"The body of a client who
practices Islam is washed and wrapped in a cloth following death."
(The body of a client who practices Islam is washed, wrapped, prayed over,
and
buried as soon as possible following death. The clients head should be
turned
toward Mecca.)
A nurse is admitting a client who has pulmonary tuberculosis. Which of the
following transmission-based precautions should the nurse initiate? - ✔✔✔-
NEWEST ACTUAL EXAM COMPREHENSIVE
QUESTIONS AND ANSWERS
A nurse on a pediatric unit is admitting an infant who has pertussis. Which of
the
following isolation precautions should the nurse initiate? - ✔✔✔-Droplet
(The nurse should initiate droplet precautions for an infant who has
pertussis. The
nurse should initiate droplet precautions for micro-organisms that are
transmitted
via droplets larger than 5 microns, including rubella, streptococcal
pharyngitis,
and diphtheria. Droplet precautions include a private room and a mask or
respirator.)
A nurse is assessing a preschooler who has a UTI. Which of the following
findings
should the nurse expect? - ✔✔✔-Abdominal pain
(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 is teaching about advance directives with an older adult client who
has a
terminal illness. Which of the following statements should the nurse make? -
✔✔✔-"Your advance directives can designate a grind to make your health
care
,decisions."
(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 designated a person of the clients 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 preparing a client for an elective vaginal hysterectomy when the
client
states, "My doctor said there are more conservative ways to treat my
problem. I
realize now that I don't want this surgery, but I already signed that consent
form."
Which of the following responses should the nurse make? - ✔✔✔-"You have
the
right to refuse this and any other procedure, even after you have signed the
consent form."
(The client has the right to refuse treatment, even after signing the informed
consent document. The nurse should inform the client of that right, notify the
surgeon about the refusal to continue with the procedure, and document the
refusal in the client's medical record.)
A nurse is planning a community health program about substance use
disorders.
Which of the following information should the nurse include when discussing
the
,guidelines for safe limits of alcohol consumption? - ✔✔✔-A healthy women of
any
age should consume no more than seven drinks in a week.
(Recommendations for safe limits of alcohol consumption for a healthy
woman
include consuming no more than seven drinks in a week.)
A nurse is assessing the spiritual well-being and development of a
preschooler.
The nurse asks the preschooler, "Why is it wrong to kick your baby sister?"
Which
of the following responses should the nurse expect? - ✔✔✔-"It's wrong
because
my dad said I can't kick her."
(The nurse should expect the preschooler to be motivated to choose right
from
wrong because of rules taught to him by his parents. The nurse should
understand
that, even though the preschooler might know the rules, he is not yet able to
understand the rationale for the rules.)
A nurse is providing change-of-shift report about a group of clients to the
incoming nurse at the end of the shift. Which of the following statements
should
the nurse include? - ✔✔✔-"The client has been very tearful since finding out
he
has diabetes mellitus."
(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 clients
emotional status that might indicate a need for additional client support and
, teaching.)
A nurse is caring for an older adult client who has osteoarthritis and plans to
go to
an assisted living facility due to decrease mobility. Which of the following
actions
should the nurse take when acting in the role of client advocate? - ✔✔✔-
Research
facilities for the client that best meet her special needs.
(The nurse is acting in the role of a client advocate when identifying the
clients
specific needs and then advocating for those needs by researching assisted
living
facilities that best meet those needs. The nurses research findings support
the
clients autonomy by providing her with information needed to make an
informed
decision when selecting a facility.)
A charge nurse is educating unit staff about the cultural aspects of client
care
following death. Which of the following statements by an assistive personnel
indicates an understanding of the teaching? - ✔✔✔-"The body of a client who
practices Islam is washed and wrapped in a cloth following death."
(The body of a client who practices Islam is washed, wrapped, prayed over,
and
buried as soon as possible following death. The clients head should be
turned
toward Mecca.)
A nurse is admitting a client who has pulmonary tuberculosis. Which of the
following transmission-based precautions should the nurse initiate? - ✔✔✔-
