2024 ATI RN CONCEPT BASED ASSESSMENT LEVEL 1 PROCTORED EXAM ACTUAL EXAM TEST BANK

2024 ATI RN CONCEPT BASED
ASSESSMENT LEVEL 1 PROCTORED
EXAM ACTUAL EXAM TEST BANK



Anurseiscaringforaclientwhois2dayspostoperativefollowinganabove-the-
kneeamputation.Theclientstatesheisexperiencingadull,burningpaininthelegthatwasamputate
d.Whichofthefollowingactionsshouldthenursetaketotreattheclient'sneuropathicpain?-
Correctanswer~Administerabeta-blockingmedicationtotheclient.

(Thenurseshouldadministerabeta-
blockingmedicationtotheclient.Thisclassificationofmedicationhasbeenshowntorelievethepha
ntomlimbpainmanifestationsofconstantdullandburningtypepain.)



Anewlylicensednurseasksachargenursewheretofindinformationaboutscopeofpracticeforregis
terednurses.Whichofthefollowingresponsesshouldthechargenursemake?-
Correctanswer~"Thestateboardofnursingcanprovidethisinformation"

(eachstatedevelopsanursepracticeact,whichdefinesscopeofpracticefornursesinthatstate.This
practiceactisavailableontheboardofnursingwebsiteforeachstate.)



Anurseisplanningcaretopreventacatheter-
relatedbloodstreaminfectionforaclientwhoisreceivingIVfluidtherapy.Whichofthefollowinginte
rventionsshouldthenurseincludeintheplan?-
Correctanswer~PerformhandhygienebeforetouchingtheIVtubing.

(Thenurseshouldperformthoroughhandhygienebeforetouchinganypartoftheinfusionsystemor
theclienttoreducetheriskofcatheter-relatedbloodstreaminfections.)



Anurseiscreatingaplanofcareforaclientwhoisnon-
ambulatoryandhasbladderandbowelincontinence.Whichofthefollowinginterventionsshouldth
enurseincludetopreventskinbreakdown?-
Correctanswer~Offertheclientaglassofwatereverytwohourwhenrepositioning.

,(Thenurseshouldoffertheclientaglassofwatereverytwohoursontheclientsrepositioningschedul
e.Thishelpspreventdehydration,whichincreasestheriskofskinbreakdown.)



Anurseisteachingayoungadultfemaleclientabouthealthscreeningforbreastcancer.Whichofthef
ollowingstatementsbytheclientindicatesanunderstandingofbreastself-examination(BSE)?-
Correctanswer~"Ishouldexpecttofeelafirmridgealongthebottomcurveofeachbreast."

(Thenurseshouldinstructtheclientatafirmridgeisexpectedalongthebottomcurveofeachbreast.T
heclientshouldbeabletofeelthisareaduringtheBSE.PerformingaBSEpromotesbreastselfawaren
esssothattheclientknowshowherbreastnormallyfeel.Theawarenessincreasestheclientsabilityt
oidentifychangesthatrequirefurtherevaluation.)



Anurseiscaringforanadolescentwhoisincriticalconditionfollowingamotorvehiclecrashwhichhe
wasthepassenger.Theclientsparentshoutatthenurse,askingwhyhersonisdyinginsteadofthedriv
er.Whichofthefollowingactionsshouldthenursetaketoprovideemotionalsupporttotheparent?-
Correctanswer~Informtheparentthatangerisanaturalresponsewhendealingwithloss.

(Thenurseshouldidentifythattheparentisintheangerstageofgrief.Thenurseshouldassistthepare
nttounderstandthatangerisanaturalresponsetolossandencouragehertotalkaboutherfeelings.)



Anurseisteachinganolderadultclientaboutaccessingelectronicresourcesforhealthcareinformat
ionontheinternet.Whichofthefollowingstatementsshouldthenurseincludeintheteaching?-
Correctanswer~"Websitesendingin'.gov'arereliablesitesforobtaininghealthinformationfromg
overnmentagencies."

(Thenurseshouldteachtheclienthowtoselectreliableinternetwebsiteswhenresearchinghealthc
areinformation.Thenurseshouldidentifythatwebsitesendingin'.gov'and'.edu'areconsideredrel
iableandcrediblesourcesforhealthinformation.Websitesendingin'.com'shouldnotbeusedforre
searchingcrediblehealthcareinformation.)



Anurseentersaclientsroomandfindstheclientlyingonthefloor.Theclientstatesthatonthewaytoth
ebathroomher"kneelocked,"causinghertofall.Whichofthefollowingactionsshouldthenursetak
efirst?-Correctanswer~Checktheclientforinjuries.

(Thefirstactionthenurseshouldtakewhenusingthenursingprocessistoassesstheclient.Thenurse
shouldfirstchecktheclientforinjuriesandmeasurevitalsignstohelpdeterminephysiologicstabilit
y.Thenurseshouldalsoinformtheprovideroftheclientsfallandoftheassessmentfindings.)

, Anurseisteachingaclientwhohasrheumatoidarthritisaboutchronicpainmanagement.Whichoft
hefollowingstatementsbytheclientindicatesanunderstandingoftheteaching?-
Correctanswer~"Ishoulduseawarmparaffindipformyhandsandfeet."

(Thenurseshouldinstructtheclienttodipherhandsandfeetinwarmparaffintoalleviatepainandstif
fness.Theclientcanmoreeasilyperformhandandfingerexercisesfollowingthetreatment.)



Acommunityhealthnurseisplanningpreventionstrategiesforhypertensionamongmembersofhe
rcommunity.Thenurseshouldidentifythatwhichofthefollowingethnicgroupsinthecommunityis
atgreatestriskofdevelopinghypertension?-Correctanswer~AfricanAmerican

(Evidence-
basedpracticeindicatesthatindividualsofAAethnicityhavethehighestprevalenceofhypertensio
n.Therefore,thenurseshouldidentifycommunitymembersofthisethnicityareatgreatestriskofde
velopinghypertension.)



Anurseispreparingtoextinguishasmallfireinaclientsroom.Whichofthefollowingactionsshouldth
enursetakewhenusingthefireextinguisher?-
Correctanswer~Slidethepinontopofthefireextinguisherstraightout.

(Thenurseshouldpullthepinontopofthefireextinguishertoallowforusetoextinguishthefire.)



AnurseispreparingtoadministerintermittentexternalnutritionviaaclientsNGtube.Inwhichorder
shouldthenursetakethefollowingactions?-
Correctanswer~1.Assisttheclienttoanuprightposition.

2.Aspirate5mLofgastriccontents.

3.TestthepHofgastricaspirate.

4.Measuregastricresidualvolume.

5.FlushtheNGtubewith30mLofwater.

(First,thenurseshouldassisttheclientintohighFowler'spositionorraisetheHOBatleast30degrees
tohelppreventaspiration.Then,thenurseshouldverifythetubesplacementbyaspirating5mLofgas
triccontentsandthentestingthepH.Then,thenurseshouldcheckforgastricresidualvolume.Excess
iveGRVisanindicationofdelayedgastricemptying,whichplacestheclientatriskofaspirationifaddit
ionalformulaisgiven.Finally,thenurseshouldflushthetubingwith30mLofwatertoensurethetubei
sclearandpatent.)