RN concept-based assessment level 1 practice A | Exam
Questions With Correct Answers 100% Verified
A nurse in a mental health facility is caring for a client who is exhibiting violent behavior and
has been placed in seclusion. Which of the following actions should the nurse take?
Document the client's status every 15 min
A nurse in a long term care facility discovers a small fire in a clients trash can. After moving the
client to safety which of the following actions should the nurse take?
Pull the alarm to notify emergency service.
A nurse is assessing a client who has fibromyalgia. Which of the following treatment modality
prescriptions should the nurse expect for the client's mixed pain?
Pregabalin PO twice daily
A nurse in an orthopedic clinic is documenting data about several clients. Which of the following
actions should the nurse take to comply with the regulations of the HIPAA?
lock of log off computers whenever he leaves the area
A nurse manager is developing a facility policy about the use of a fax machine to communicate
information from a clients EMR. Which of the following actions should the nurse include in the
policy?
use a cover sheet when sending a fax from the health care unit
,A charge nurse is teaching a group of newly licensed nurses how to prevent errors during
administration of blood transfusions. Which of the following actions should the nurse include?
Use a new blood administration tubing set for each blood bag infused
A nurse in an emergency room is caring for an infant who requires emergency surgery. The infant
is accompanied by his 16-year-old mother and his maternal grandfather. Which of the following
actions should the nurse take when assisting with informed consent?
Witness consent obtained from the infant's mother.
A nurse is performing a focused assessment on a client who has chronic pain die to fibromyalgia.
What should the nurse ask to assess the quality of the client's pain?
Can you describe what your pain feels like?
A nurse is caring for a 2-year old toddler who is immediately postoperative. What pain scale
should the nurse use to assess the toddler's pain level?
FLACC scale
A nurse is developing a plan of care for an older adult client who is at risk of falling. What fall
prevention measures should the nurse include in the plan?
Ask the client to demonstrate how to use a call light.
A nurse is teaching the parent of a toddler about home injury prevention. When discussing
snacks, what statements by the parent indicates an understanding of the teaching?
"I can give her watermelon pieces after I remove the seeds."
, A charge nurse is educating unit staff about the cultural aspects of client care following death.
What statement 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."
A nurse is caring for a child who has celiac disease. What item should the nurse remove from the
child's meal tray?
Oatmeal with raisins.
A nurse is caring for a client who has dysphagia following a stroke. What action should the nurse
take to facilitate safe swallowing and decrease the risk of aspiration.
Delay the client's meal-time if he is fatigued.
A nurse is providing dietary teaching to a client who has diarrhea. What instructions should the
nurse include?
"Increase your intake if potassium-rich foods when you are experiencing diarrhea"
A nurse is planning to implement bladder retraining for a client who has urge urinary
incontinence. What actions should the nurse plan to take?
Gradually lengthen the time between the client's scheduled voids.
A nurse is provider's office is counseling a client who reports insomnia. What statements should
the nurse make to include the client's preferences into a sleep promotion plan?
Questions With Correct Answers 100% Verified
A nurse in a mental health facility is caring for a client who is exhibiting violent behavior and
has been placed in seclusion. Which of the following actions should the nurse take?
Document the client's status every 15 min
A nurse in a long term care facility discovers a small fire in a clients trash can. After moving the
client to safety which of the following actions should the nurse take?
Pull the alarm to notify emergency service.
A nurse is assessing a client who has fibromyalgia. Which of the following treatment modality
prescriptions should the nurse expect for the client's mixed pain?
Pregabalin PO twice daily
A nurse in an orthopedic clinic is documenting data about several clients. Which of the following
actions should the nurse take to comply with the regulations of the HIPAA?
lock of log off computers whenever he leaves the area
A nurse manager is developing a facility policy about the use of a fax machine to communicate
information from a clients EMR. Which of the following actions should the nurse include in the
policy?
use a cover sheet when sending a fax from the health care unit
,A charge nurse is teaching a group of newly licensed nurses how to prevent errors during
administration of blood transfusions. Which of the following actions should the nurse include?
Use a new blood administration tubing set for each blood bag infused
A nurse in an emergency room is caring for an infant who requires emergency surgery. The infant
is accompanied by his 16-year-old mother and his maternal grandfather. Which of the following
actions should the nurse take when assisting with informed consent?
Witness consent obtained from the infant's mother.
A nurse is performing a focused assessment on a client who has chronic pain die to fibromyalgia.
What should the nurse ask to assess the quality of the client's pain?
Can you describe what your pain feels like?
A nurse is caring for a 2-year old toddler who is immediately postoperative. What pain scale
should the nurse use to assess the toddler's pain level?
FLACC scale
A nurse is developing a plan of care for an older adult client who is at risk of falling. What fall
prevention measures should the nurse include in the plan?
Ask the client to demonstrate how to use a call light.
A nurse is teaching the parent of a toddler about home injury prevention. When discussing
snacks, what statements by the parent indicates an understanding of the teaching?
"I can give her watermelon pieces after I remove the seeds."
, A charge nurse is educating unit staff about the cultural aspects of client care following death.
What statement 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."
A nurse is caring for a child who has celiac disease. What item should the nurse remove from the
child's meal tray?
Oatmeal with raisins.
A nurse is caring for a client who has dysphagia following a stroke. What action should the nurse
take to facilitate safe swallowing and decrease the risk of aspiration.
Delay the client's meal-time if he is fatigued.
A nurse is providing dietary teaching to a client who has diarrhea. What instructions should the
nurse include?
"Increase your intake if potassium-rich foods when you are experiencing diarrhea"
A nurse is planning to implement bladder retraining for a client who has urge urinary
incontinence. What actions should the nurse plan to take?
Gradually lengthen the time between the client's scheduled voids.
A nurse is provider's office is counseling a client who reports insomnia. What statements should
the nurse make to include the client's preferences into a sleep promotion plan?
