ATI RN Concept - Based Assessment Level 4
A nurse is teaching a client who has
been newly diagnosed with systemic lu-
"I should inspect my skin daily for cuts
pus erythematosus (SLE). Which state-
and rashes"
ment by the client indicates an under-
standing of the teaching?
Instruct the client to perform
range-of-motion exercises
A nurse is caring for a client who has
Parkinson's disease. Which of the follow- - The nurse should instruct the client to
ing actions should the nurse take to pro- perform stretching and range-of-motion
mote the client's mobility? exercises to promote mobility. exercising
and walking help to delay the progres-
sion of the disease.
A nurse is caring for a client who has had Pulmonary Congestion
a myocardial infarction and suspects car-
diogenic shock. The nurse should moni- -Pulmonary congestion is a result of de-
tor for which of the following manifesta- creased cardiac output due to damage to
tions? 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 Respect the client's preferences.
the client. Which action should the nurse
take?
A nurse manager is teaching a group of
Sets standards for hazardous exposures
nurses about OSHA. What information
in the workplace.
should the nurse include?
Possible reasons for the medication
errors.
A nurse manager identifies that the num-
-------------------------------------------------
ber of client medication administration
The nurse manager should identify and
errors on the unit has increased. When
include possible reasons for the
creating a cause-and-effect chart, which
occurrence of medication errors when
of the following information should the
creating a cause and effect chart. This
nurse manger include?
data assists in the prevention of future
medication errors.
involve staff nurses in budge planning.
, ATI RN Concept - Based Assessment Level 4
A nurse manager notices that he has
-this promotes awareness of the costs of
exceeded the amount of money allocat-
staffing a unit and encourages cost-ef-
ed for labor costs for the quarter. Which
fective care.
action should the nurse manager take?
"Avoid leaning forward when attempting
A nurse is providing teaching to a client
to stand."
who has a halo device applied to prevent
further cervical spinal cord injury follow-
-the weight of the halo device can alter
ing a diving accident. What info should
balance. leaning forward could cause the
the nurse include?
client to fall.
A nurse is working on an interprofession-
al collaboration plan of care for a client
who has a stage 3 pressure ulcer. Which
Administer pain medication
action should the nurse recognize as
the. role of the licensed practical nurse
(LPN)?
A nurse manager is facilitating conflict
Offer self to constructively facilitate com-
resolution between two nurses who dis-
munication.
agree about the need to make a re-
ferral to a social worker. Which con-
-The nurse manager will be the impartial
flict management strategies should the
third party in this communication
nurse manager use?
The charge nurse
A nurse is having a disagreement with
a coworker about a client assignment. - When following the chain of command,
When following the chain of command, the nurse should communicate with his
which of the following individuals should immediate supervisor about any ques-
the nurse contact to discuss the conflict? tions and concerns he has, including a
conflict with a coworkers.
A client who is exhibiting manifestations
A triage nurse is prioritizing clients fol- of shock.
lowing a mass casualty disaster. Which
of the following clients should the nurse -a client exhibiting manifestations of
treat first? shock requires immediate intervention
for survival.
Monitor the client's WBC.
, ATI RN Concept - Based Assessment Level 4
A nurse is caring for a client who has a
-A drop in the WBC count can be an
partial-thickness burn and a prescription
indication of an allergic reaction to the
for a silver sulfadiazine cream. Which in-
silver sulfadiazine cream
tervention should the nurse take?
1) Cleanse the client's skin and allow it to
dry
A nurse is preparing to administer nitro- 2) Apply a thin layer of medication oint-
glycerin topical ointment to a client who ment to the dosing paper.
had a myocardial infarction. Which action 3) Spread the medication over a 6.4 by
should the nurse plan to take? (move 8.9 cm area of skin
steps in order) 4) Cover the medication site with plastic
wrap
5) Remove the medication in 6 hr.
Administering heparin to a client who is
undergoing a lumbar puncture.
A nurse manager is teaching a group
of nurses about professional negligence.
A nurse who administers heparin to client
Which of the following situations should
who is undergoing a lumbar puncture is
the nurse manager include as an exam-
an example of negligence. Anticoagulant
ple?
medication can cause bleeding in the
lumbar area
A nurse is teaching a client who has
An increase in nosebleeds
deep-vein thrombosis and is receiving
heparin injections. The nurse should in-
-increase in nosebleeds or bruising can
struct the client to report which of the
be indications of a hemorrhage, which is
following manifestations as an adverse
an adverse effect of heparin
effect of this medication?
A community health nurse is teaching Outpatient counseling clinic
a newly licensed nurse about the types
of psychiatric health care settings avail- -primary care setting clinics provide
able in the community. Which should the strategies for clients to prevent or delay
nurse identify as a primary care setting? mental health issues
Failure to identify an infiltrated IV
A nurse manager is informed that the -------------------------------------------------------
family of a client is preparing to file a mal- The nurse manager should identify that
practice lawsuit. The nurse should iden- failure to provide reasonable care, such
as identifying IV infiltration, can
A nurse is teaching a client who has
been newly diagnosed with systemic lu-
"I should inspect my skin daily for cuts
pus erythematosus (SLE). Which state-
and rashes"
ment by the client indicates an under-
standing of the teaching?
Instruct the client to perform
range-of-motion exercises
A nurse is caring for a client who has
Parkinson's disease. Which of the follow- - The nurse should instruct the client to
ing actions should the nurse take to pro- perform stretching and range-of-motion
mote the client's mobility? exercises to promote mobility. exercising
and walking help to delay the progres-
sion of the disease.
A nurse is caring for a client who has had Pulmonary Congestion
a myocardial infarction and suspects car-
diogenic shock. The nurse should moni- -Pulmonary congestion is a result of de-
tor for which of the following manifesta- creased cardiac output due to damage to
tions? 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 Respect the client's preferences.
the client. Which action should the nurse
take?
A nurse manager is teaching a group of
Sets standards for hazardous exposures
nurses about OSHA. What information
in the workplace.
should the nurse include?
Possible reasons for the medication
errors.
A nurse manager identifies that the num-
-------------------------------------------------
ber of client medication administration
The nurse manager should identify and
errors on the unit has increased. When
include possible reasons for the
creating a cause-and-effect chart, which
occurrence of medication errors when
of the following information should the
creating a cause and effect chart. This
nurse manger include?
data assists in the prevention of future
medication errors.
involve staff nurses in budge planning.
, ATI RN Concept - Based Assessment Level 4
A nurse manager notices that he has
-this promotes awareness of the costs of
exceeded the amount of money allocat-
staffing a unit and encourages cost-ef-
ed for labor costs for the quarter. Which
fective care.
action should the nurse manager take?
"Avoid leaning forward when attempting
A nurse is providing teaching to a client
to stand."
who has a halo device applied to prevent
further cervical spinal cord injury follow-
-the weight of the halo device can alter
ing a diving accident. What info should
balance. leaning forward could cause the
the nurse include?
client to fall.
A nurse is working on an interprofession-
al collaboration plan of care for a client
who has a stage 3 pressure ulcer. Which
Administer pain medication
action should the nurse recognize as
the. role of the licensed practical nurse
(LPN)?
A nurse manager is facilitating conflict
Offer self to constructively facilitate com-
resolution between two nurses who dis-
munication.
agree about the need to make a re-
ferral to a social worker. Which con-
-The nurse manager will be the impartial
flict management strategies should the
third party in this communication
nurse manager use?
The charge nurse
A nurse is having a disagreement with
a coworker about a client assignment. - When following the chain of command,
When following the chain of command, the nurse should communicate with his
which of the following individuals should immediate supervisor about any ques-
the nurse contact to discuss the conflict? tions and concerns he has, including a
conflict with a coworkers.
A client who is exhibiting manifestations
A triage nurse is prioritizing clients fol- of shock.
lowing a mass casualty disaster. Which
of the following clients should the nurse -a client exhibiting manifestations of
treat first? shock requires immediate intervention
for survival.
Monitor the client's WBC.
, ATI RN Concept - Based Assessment Level 4
A nurse is caring for a client who has a
-A drop in the WBC count can be an
partial-thickness burn and a prescription
indication of an allergic reaction to the
for a silver sulfadiazine cream. Which in-
silver sulfadiazine cream
tervention should the nurse take?
1) Cleanse the client's skin and allow it to
dry
A nurse is preparing to administer nitro- 2) Apply a thin layer of medication oint-
glycerin topical ointment to a client who ment to the dosing paper.
had a myocardial infarction. Which action 3) Spread the medication over a 6.4 by
should the nurse plan to take? (move 8.9 cm area of skin
steps in order) 4) Cover the medication site with plastic
wrap
5) Remove the medication in 6 hr.
Administering heparin to a client who is
undergoing a lumbar puncture.
A nurse manager is teaching a group
of nurses about professional negligence.
A nurse who administers heparin to client
Which of the following situations should
who is undergoing a lumbar puncture is
the nurse manager include as an exam-
an example of negligence. Anticoagulant
ple?
medication can cause bleeding in the
lumbar area
A nurse is teaching a client who has
An increase in nosebleeds
deep-vein thrombosis and is receiving
heparin injections. The nurse should in-
-increase in nosebleeds or bruising can
struct the client to report which of the
be indications of a hemorrhage, which is
following manifestations as an adverse
an adverse effect of heparin
effect of this medication?
A community health nurse is teaching Outpatient counseling clinic
a newly licensed nurse about the types
of psychiatric health care settings avail- -primary care setting clinics provide
able in the community. Which should the strategies for clients to prevent or delay
nurse identify as a primary care setting? mental health issues
Failure to identify an infiltrated IV
A nurse manager is informed that the -------------------------------------------------------
family of a client is preparing to file a mal- The nurse manager should identify that
practice lawsuit. The nurse should iden- failure to provide reasonable care, such
as identifying IV infiltration, can
