proctored exam for level 1|Test Bank|
ATI:/RN8Concept-Based8Assessment8Level81
A8nurse8is8admitting8a8client8who8has8pulmonary8tuberculosis8which8of8the8following8transmission8based
8precautions8should8the8nurse8initiate
{{Correct8Ans-8Airborne
A8nurse8in8a8mental8health8facility8is8preparing8an8educational8program8for8a8group8of8staff8nurses8
about8the8proper8use8of8restraints8which8of8the8following8information8should8the8nurse8plan8to8incl
ude
{{Correct8Ans-8An8adult8client8may8be8in8mechanical8restraint8for8up8to8four8hours
A8nurse8is8teaching8sleep8hygiene8to8a8client8who8has8insomnia8which8of8the8following8statements8s
hould8the8nurse8make
{{Correct8Ans-8Exercise8in8the8morning8after8araising
A8nurse8is8preparing8to8leave8the8room8of8a8client8who8is8on8isolation8precautions8which8of8the8foll
owing8actions8should8the8nurse8take8when8removing8a8tight8surgical8Mask
{{Correct8Ans-8Remove8the8mask8by8securely8holding8the8ties8and8moving8it8away8from8the8face
A8nurse8is8caring8for8an8adolescent8client8who8is8in8critical8condition8following8a8motor8vehicle8cras
h8in8which8he8was8a8passenger.8the8clients8parent8Shouts8at8the8Nurse8asking8why8her8son8is8dying
8instead8of8the8driver8which8of8the8following8actions8should8the8nurse8take8to8provide8emotional8s
upport8to8the8parent
{{Correct8Ans-8Inform8the8parent8that8anger8is8a8natural8response8when8dealing8with8loss
A8community8health8nurse8is8planning8prevention8strategies8for8hypertension8among8members8of
8our8community8the8nurse8should8identify8that8which8of8the8following8ethnic8groups8in8the8comm
unity8is8at8great8risk8for8developing8hypertension
{{Correct8Ans-8African8Americans
A8community8health8nurse8is8planning8interventions8to8promote8healthy8people820208initiatives8i
n8the8community8which8of8the8following8actions8should8the8nurse8plan8to8take8first
{{Correct8Ans-8Determine8the8level8of8health8equity8among8groups8in8the8community
A8nurse8is8reviewing8a8clients8new8prescriptions8that8were8just8documented8in8the8clients8medical8r
ecord8by8the8provider8which8of8the8following8abbreviation8should8the8nurse8clarify8with8the8provid
er
,{{Correct8Ans-8Enoxaparin8408mg8sq8qd
A8nurse8is8talking8with8a8client8who8has8major8depressive8disorder8the8client8states8nobody8cares8if
8I'm8around8or8not8which8of8the8following8responses8should8the8nurse8night
{{Correct8Ans-8It8sounds8as8though8you're8feeling8hopeless
A8nurse8is8preparing8to8administer8a8unit8of8packed8red8blood8cells8to8a8client8in8adherence8with8the8joi
nt8commission8national8patient8safety8goals8regarding8blood8administration8which8of8the8following8actio
ns8should8the8nurse8plan8to8take
{{Correct8Ans-8Verify8the8client8and8blood8component8using8a8two8person8process
The8nurse8on8a8medical8surgical8unit8is8caring8for8a8group8of8clients8which8of8the8following8clients8s
hould8the8nurse8monitor8for8the8development8of8reflex8urinary8incontinence
{{Correct8Ans-8A8client8who8has8a8T8128spinal8cord8injury
A8nurse8is8documenting8and8assessment8in8a8clients8electronica8health8record8when8an8assistive8pe
rsonnel8asked8to8enter8the8morning8blood8glucose8by8the8client8which8of8the8following8actions8sho
uld8the8nurse8take
{{Correct8Ans-8Request8that8AP8to8use8another8computer8to8enter8the8data
A8nurse8is8preparing8to8administer8acetaminophen81208mg8PO8to8a8toddler8Available8is8acetaminop
hen8drops8808mg/0.88ML.8How8many8ML8Should8the8nurse8administer?8Round8to8nearest8tenth
{{Correct8Ans-81.2ml
A8nurse8is8preparing8to8administer80.9%8sodium8chloride810008ML8over8eight8hours8IV8to8a8client8t
he8nurse8should8say8the8infusion8infusion8pump8to8deliver8how8many8ML8per8hour8round8the8answ
er8to8the8nearest8whole8number
{{Correct8Ans-8125ml/hr
A8nurse8is8providing8teaching8about8nutrition8management8to8the8parent8of8an8188month8old8toddl
er8who8has8phenylketonuria8which8of8the8following8foods8should8the8nurse8recommend
{{Correct8Ans-8Baked8potato
A8nurse8is8preparing8to8extinguish8a8small8fire8in8a8clients8room8which8of8the8following8actions8shou
ld8the8nurse8take8when8using8a8fire8extinguisher
{{Correct8Ans-8Slide8the8pin8on8top8of8the8fire8extinguisher8to8allow8for8use8to8extinguish8the8fire
A8nurse8is8planning8meals8for8a8client8who8practices8Judaism8and8reports8that8she8strictly8adhere's8t
o8Orthodox8dietary8laws8the8nurse8should8recognize8that8which8of8the8following8dietary8practices8ap
plies8to8the8clients8beliefs
{{Correct8Ans-8The8client8is8permitted8to8eat8fish8That8have8scales
,A8nurse8is8caring8for8a8client8who8has8CDF8infection8and8is8incontinent8of8stool8following8long-
term8antibiotic8therapy.8Which8of8the8following8actions8should8the8nurse8take?
{{Correct8Ans-8Wear8a8gown8when8providing8care8for8the8client
A8nurse8is8planning8the8menu8for8a8client8who8practices8seventh8day8Adventism8which8of8the8follow
ing8food8selections8should8the8nurse8make
{{Correct8Ans-8Scrambled8eggs
A8nurse8in8a8long-
term8facility8discovers8a8small8fire8in8a8clients8trashcan8after8moving8the8client8to8safety8which8of8the8fo
llowing8actions8should8the8nurse8take8next
{{Correct8Ans-8Pull8the8alarm8to8notify8emergency8services
A8community8health8nurse8is8developing8brochure8about8the8use8of8smokeless8tobacco8which8of8th
e8following8information8should8the8nurse8plan8to8include
{{Correct8Ans-8Smokeless8tobacco8provide8a8higher8dose8of8nicotine8than8cigarettes
A8nurse8is8preparing8to8administer8three8medications8to8a8client8who8has8an8NG8tube8a8levothyroxi
ne8tablet8and8ibuprofen8gel8cap8and8a8delayed8release8omeprazole8capsule8which8of8the8following8
actions8should8the8nurse8take
{{Correct8Ans-
8Chrush8the8levo8thyroxine8tablet8into8a8powder8and8dissolve8it8in8308ML's8of8of8warm8sterile8water
A8nurse8is8caring8for8a8child8who8has8contact8dermatitis8due8to8poison8ivy8the8parent8asked8the8nu
rse8how8to8prevent8further8reactions8which8of8the8following8responses8should8the8nurse8make
{{Correct8Ans-8Wash8your8child's8exposed8clothing8with8hot8water8and8detergent
A8nurse8is8planning8care8for8a8client8who8has8an8indwelling8urinary8catheter8which8of8the8following8inte
rventions8should8the8nurse8include8in8the8plan8to8prevent8the8development8of8a8catheter8associated8uri
nary8tract8infection
{{Correct8Ans-8Secure8the8catheter8tubing8to8the8clients8leg
A8nurse8in8a8long-
term8care8facility8is8admitting8a8new8client8following8a8brief8stay8in8acute8care8in8adherence8with8t
he8joint8commission8national8patient8safety8goals8regarding8medication8administration8which8of8the
8following8actions8should8the8nurse8take
{{Correct8Ans-8Compare8a8list8of8the8clients8current8medications8with8the8ones8he8will8take8in8long-
term8care
A8nurse8is8creating8a8plan8of8care8for8a8client8who8is8non-
ambulatory8and8has8bladder8and8bowel8incontinence8which8of8the8following8interventions8should8th
e8nurse8include8to8prevent8skin8breakdown
{{Correct8Ans-8Offered8the8client8a8glass8of8water8every8two8hours8when8repositioning
, A8home8health8nurse8is8providing8teaching8to8the8parent8of8a8child8who8is8receiving8chemotherapy8and8
experiencing8nausea8which8of8the8following8statements8shit8the8nurse8make
{{Correct8Ans-8Have8your8child8rest8with8his8head8elevated8after8meals
A8nurse8is8caring8for8a8client8who8has8cancer8and8is8planning8discharge8to8home8with8hospice8care8
which8of8the8following8statements8by8the8client8indicates8that8he8is8experiencing8spiritual8distress
{{Correct8Ans-8I8wish8God8had8not8allowed8this8cancer8to8invade8my8body
A8nurse8is8beginning8nutrition8counseling8with8a8client8who8has8a8BMI8of834.28which8of8the8followi
ng8questions8should8the8nurse8asked8first8to8address8the8clients8excessive8nutrition8and8obesity
{{Correct8Ans-8Are8you8ready8to8make8a8lifelong8commitment8to8a8healthier8lifestyle
A8nurse8is8administering8Enoxaparin8subcutaneously8to8a8client8who8is8post8operative8and8is8at8risk8of8th
romboembolic8event8which8of8the8following8actions8should8the8nurse8take
{{Correct8Ans-8Pull8up8a8small8amount8of8skin8using8the8thumb8and8forefinger8of8the8non-dominant8hand
A8nurse8is8searching8electronic8data8bases8for8clinical8research8about8behavioral8indicators8of8pain8i
n8an8infant8which8of8the8following8online8sources8should8the8nurse8late8to8research8this8infant8care
8issue
{{Correct8Ans-8Cumulative8index8to8nursing8and8allied8health8literature
A8nurse8is8planning8to8use8an8interpreter8to8assist8her8when8interviewing8a8client8who8does8not8speak8t
he8same8language8as8the8nurse8which8of8the8following8actions8should8the8nurse8plan8to8take
{{Correct8Ans-8Ensure8the8client8and8the8interpreter8are8compatible
A8nurse8is8planning8a8community8health8program8about8substance8use8disorders8which8of8the8follo
wing8information8should8the8nurse8include8when8discussing8the8guidelines8for8safety8limits8of8alcoh
ol8consumption
{{Correct8Ans-8A8healthy8woman8of8any8age8should8consume8no8more8than8seven8drinks8in8a8week
A8nurse8is8caring8for8a8client8who8is8two8day's8post8operative8following8an8above8the8knee8amputa
tion8the8client8states8he8is8experiencing8a8dull8burning8pain8in8the8leg8that8was8amputated8which8
of8the8following8actions8should8the8nurse8take8to8treat8the8clients8neuropathic8pain
{{Correct8Ans-8And8minister8of8Beto8blocking8medication8to8the8client
A8nurse8is8developing8a8plan8of8care8for8an8older8adult8client8who8is8experiencing8functional8incontinenc
e8following8hip8arthroplasty8which8of8the8following8intervention8should8the8nurse8include
{{Correct8Ans-8Please8grab8bars8by8the8toilet
Which8of8the8following8statements8shows8understanding8of8the8breast8self-exam
{{Correct8Ans-8I8should8expect8to8feel8a8firm8ridge8along8the8bottom8curve8of8each8breast