ATI RN Concept Based Assessment
Level 1 Exam Questions With Correct
Answers 100% Verified
1. A nurse is caring for a client who is 2 days postoperative following an
above-the-knee amputation. The client states he is experiencing a dull, burning
pain in the leg that was amputated. Which of the following actions should the
nurse take to treat the client's neuropathic pain?: Administer a beta-blocking medication to
the client.
(The nurse should administer a beta-blocking medication to the client. This classification of
medication has been shown
to relieve the phantom limb pain manifestations of constant dull and burning type pain.)
2. A newly licensed nurse asks a charge nurse where to find information about
scope of practice for registered nurses. Which of the following responses
should the charge nurse make?: "The state board of nursing can provide this information"
(each state develops a nurse practice act, which defines scope of practice for nurses in that state.
This practice act is
available on the board of nursing website for each state.)
3. A nurse is planning care to prevent a catheter-related bloodstream infection
for a client who is receiving IV fluid therapy. Which of the following interventions should the
nurse include in the plan?: Perform hand hygiene before touching the IV tubing.
(The nurse should perform thorough hand hygiene before touching any part of the infusion
system or the client to
reduce the risk of catheter-related blood stream infections.)
4. A nurse is creating a plan of care for a client who is non-ambulatory and has
bladder and bowel incontinence. Which of the following interventions should
the nurse include to prevent skin breakdown?: Offer the client a glass of water every two hour
,when repositioning.
(The nurse should offer the client a glass of water every two hours on the clients repositioning
schedule. This helps
prevent dehydration, which increases the risk of skin breakdown.)
5. A nurse is teaching a young adult female client about health screening for
breast cancer. Which of the following statements by the client indicates an
understanding of breast self-examination (BSE)?: "I should expect to feel a firm ridge along
the bottom curve of each breast."
(The nurse should instruct the client at a firm ridge is expected along the bottom curve of each
breast. The client should
be able to feel this area during the BSE. Performing a BSE promotes breast self awareness so
that the client knows how
her breast normally feel. The awareness increases the clients ability to identify changes that
require further evaluation.)
6. A nurse is caring for an adolescent who is in critical condition following a
motor vehicle crash which he was the passenger. The clients parent shout at the
ATI RN Concept Based Assessment Level 1
Study online at https://quizlet.com/_eon42m
nurse, asking why her son is dying instead of the driver. Which of the following
actions should the nurse take to provide emotional support to the parent?: Inform
the parent that anger is a natural response when dealing with loss.
(The nurse should identify that the parent is in the anger stage of grief. The nurse should assist
the parent to understand
that anger is a natural response to loss and encourage her to talk about her feelings.)
7. A nurse is teaching an older adult client about accessing electronic resources
for healthcare information on the internet. Which of the following statements
should the nurse include in the teaching?: "Websites ending in '.gov' are reliable sites for
obtaining health information from government agencies."
,(The nurse should teach the client how to select reliable internet websites when researching
health care information.
The nurse should identify that websites ending in '.gov' and '.edu' are considered reliable and
credible sources for
health information. Websites ending in '.com' should not be used for researching credible
healthcare information.)
8. A nurse enters a clients room and finds the client lying on the floor. The client
states that on the way to the bathroom her "knee locked," causing her to fall.
Which of the following actions should the nurse take first?: Check the client for injuries.
(The first action the nurse should take when using the nursing process is to assess the client. The
nurse should first
check the client for injuries and measure vital signs to help determine physiologic stability. The
nurse should also inform
the provider of the clients fall and of the assessment findings.)
9. A nurse is teaching a client who has rheumatoid arthritis about chronic pain
management. Which of the following statements by the client indicates an
understanding of the teaching?: "I should use a warm paraffin dip for my hands and feet."
(The nurse should instruct the client to dip her hands and feet in warm paraffin to alleviate pain
and stiffness. The client
can more easily perform hand and finger exercises following the treatment.)
10. A community health nurse is planning prevention strategies for hypertension among members
of her community. The nurse should identify that which
of the following ethnic groups in the community is at greatest risk of developing
hypertension?: African American
(Evidence-based practice indicates that individuals of AA ethnicity have the highest prevalence
of hypertension. Therefore, the nurse should identify community members of this ethnicity are at
greatest risk of developing hypertension.)
11. A nurse is preparing to extinguish a small fire in a clients room. Which of the
following actions should the nurse take when using the fire extinguisher?: Slide
, the pin on top of the fire extinguisher straight out.
(The nurse should pull the pin on top of the fire extinguisher to allow for use to extinguish the
fire.)
12. A nurse is preparing to administer intermittent external nutrition via a clients
NG tube. In which order should the nurse take the following actions?: 1. Assist the
client to an upright position.
2. Aspirate 5 mL of gastric contents.
3. Test the pH of gastric aspirate.
4. Measure gastric residual volume.
5. Flush the NG tube with 30 mL of water.
(First, the nurse should assist the client into high Fowler's position or raise the HOB at least 30
degrees to help prevent
aspiration. Then, the nurse should verify the tubes placement by aspirating 5 mL of gastric
contents and then testing
the pH. Then, the nurse should check for gastric residual volume. Excessive GRV is an indication
of delayed gastric
emptying, which places the client at risk of aspiration if additional formula is given. Finally, the
nurse should flush the
tubing with 30 mL of water to ensure the tube is clear and patent.)
13. A nurse is caring for a 47-year-old female client who had urinary incontinence. Which of the
following actions should the nurse take first?: Obtain a specimen
from the client for culture.
(The first action the nurse should take when using the nursing process is assessment. The nurse
should obtain a urine
specimen from the client to rule out a UTI. If it is a determined the client has RBC's and WBC's
in the urine, the specimen
will require a culture. If it is determined that the client has a UTI, this will require treatment
before any further assessment
of incontinence would be indicated.)
14. A nurse is talking with a client who has a major depressive disorder. The client
Level 1 Exam Questions With Correct
Answers 100% Verified
1. A nurse is caring for a client who is 2 days postoperative following an
above-the-knee amputation. The client states he is experiencing a dull, burning
pain in the leg that was amputated. Which of the following actions should the
nurse take to treat the client's neuropathic pain?: Administer a beta-blocking medication to
the client.
(The nurse should administer a beta-blocking medication to the client. This classification of
medication has been shown
to relieve the phantom limb pain manifestations of constant dull and burning type pain.)
2. A newly licensed nurse asks a charge nurse where to find information about
scope of practice for registered nurses. Which of the following responses
should the charge nurse make?: "The state board of nursing can provide this information"
(each state develops a nurse practice act, which defines scope of practice for nurses in that state.
This practice act is
available on the board of nursing website for each state.)
3. A nurse is planning care to prevent a catheter-related bloodstream infection
for a client who is receiving IV fluid therapy. Which of the following interventions should the
nurse include in the plan?: Perform hand hygiene before touching the IV tubing.
(The nurse should perform thorough hand hygiene before touching any part of the infusion
system or the client to
reduce the risk of catheter-related blood stream infections.)
4. A nurse is creating a plan of care for a client who is non-ambulatory and has
bladder and bowel incontinence. Which of the following interventions should
the nurse include to prevent skin breakdown?: Offer the client a glass of water every two hour
,when repositioning.
(The nurse should offer the client a glass of water every two hours on the clients repositioning
schedule. This helps
prevent dehydration, which increases the risk of skin breakdown.)
5. A nurse is teaching a young adult female client about health screening for
breast cancer. Which of the following statements by the client indicates an
understanding of breast self-examination (BSE)?: "I should expect to feel a firm ridge along
the bottom curve of each breast."
(The nurse should instruct the client at a firm ridge is expected along the bottom curve of each
breast. The client should
be able to feel this area during the BSE. Performing a BSE promotes breast self awareness so
that the client knows how
her breast normally feel. The awareness increases the clients ability to identify changes that
require further evaluation.)
6. A nurse is caring for an adolescent who is in critical condition following a
motor vehicle crash which he was the passenger. The clients parent shout at the
ATI RN Concept Based Assessment Level 1
Study online at https://quizlet.com/_eon42m
nurse, asking why her son is dying instead of the driver. Which of the following
actions should the nurse take to provide emotional support to the parent?: Inform
the parent that anger is a natural response when dealing with loss.
(The nurse should identify that the parent is in the anger stage of grief. The nurse should assist
the parent to understand
that anger is a natural response to loss and encourage her to talk about her feelings.)
7. A nurse is teaching an older adult client about accessing electronic resources
for healthcare information on the internet. Which of the following statements
should the nurse include in the teaching?: "Websites ending in '.gov' are reliable sites for
obtaining health information from government agencies."
,(The nurse should teach the client how to select reliable internet websites when researching
health care information.
The nurse should identify that websites ending in '.gov' and '.edu' are considered reliable and
credible sources for
health information. Websites ending in '.com' should not be used for researching credible
healthcare information.)
8. A nurse enters a clients room and finds the client lying on the floor. The client
states that on the way to the bathroom her "knee locked," causing her to fall.
Which of the following actions should the nurse take first?: Check the client for injuries.
(The first action the nurse should take when using the nursing process is to assess the client. The
nurse should first
check the client for injuries and measure vital signs to help determine physiologic stability. The
nurse should also inform
the provider of the clients fall and of the assessment findings.)
9. A nurse is teaching a client who has rheumatoid arthritis about chronic pain
management. Which of the following statements by the client indicates an
understanding of the teaching?: "I should use a warm paraffin dip for my hands and feet."
(The nurse should instruct the client to dip her hands and feet in warm paraffin to alleviate pain
and stiffness. The client
can more easily perform hand and finger exercises following the treatment.)
10. A community health nurse is planning prevention strategies for hypertension among members
of her community. The nurse should identify that which
of the following ethnic groups in the community is at greatest risk of developing
hypertension?: African American
(Evidence-based practice indicates that individuals of AA ethnicity have the highest prevalence
of hypertension. Therefore, the nurse should identify community members of this ethnicity are at
greatest risk of developing hypertension.)
11. A nurse is preparing to extinguish a small fire in a clients room. Which of the
following actions should the nurse take when using the fire extinguisher?: Slide
, the pin on top of the fire extinguisher straight out.
(The nurse should pull the pin on top of the fire extinguisher to allow for use to extinguish the
fire.)
12. A nurse is preparing to administer intermittent external nutrition via a clients
NG tube. In which order should the nurse take the following actions?: 1. Assist the
client to an upright position.
2. Aspirate 5 mL of gastric contents.
3. Test the pH of gastric aspirate.
4. Measure gastric residual volume.
5. Flush the NG tube with 30 mL of water.
(First, the nurse should assist the client into high Fowler's position or raise the HOB at least 30
degrees to help prevent
aspiration. Then, the nurse should verify the tubes placement by aspirating 5 mL of gastric
contents and then testing
the pH. Then, the nurse should check for gastric residual volume. Excessive GRV is an indication
of delayed gastric
emptying, which places the client at risk of aspiration if additional formula is given. Finally, the
nurse should flush the
tubing with 30 mL of water to ensure the tube is clear and patent.)
13. A nurse is caring for a 47-year-old female client who had urinary incontinence. Which of the
following actions should the nurse take first?: Obtain a specimen
from the client for culture.
(The first action the nurse should take when using the nursing process is assessment. The nurse
should obtain a urine
specimen from the client to rule out a UTI. If it is a determined the client has RBC's and WBC's
in the urine, the specimen
will require a culture. If it is determined that the client has a UTI, this will require treatment
before any further assessment
of incontinence would be indicated.)
14. A nurse is talking with a client who has a major depressive disorder. The client
