ATI Content Mastery Series RN Concept-Based Assessment
Questions With Complete Solutions
A charge nurse is assigning client care for four clients. Which of
the following tasks should the nurse assign to a PN?
A. Creating a plan of care for a client who is recovering
following a stroke.
B. Assessing a pressure injury on the client who is on bed rest.
C. Providing nasopharyngeal suctioning for a client who has
pneumonia.
D. Teaching a client who has asthma to use a metered-dose
inhaler (MDI). Correct Answer C- Correct: Providing
nasopharyngeal suctioning is within the scope of practice of the
PN.
A, B, D- Incorrect: Creating a plan of care, Assessing a pressure
injury, and Teaching clients requires professional nursing
knowledge, skills, and judgement of an RN.
A charge nurse is observing a newly licensed nurse care for a
client who reports pain. The nurse checked the client's MAR and
noted that the last dose of pain medication was 6hrs ago. The
prescription reads every 4hr PRN for pain. The nurse
administered the medication and checked with the client 40 mins
later, when the client reported improvement. The newly licensed
nurse left out which of the following steps of the nursing
process?
A.. Assessment
B. Planning
,C. Intervention
D. Evaluation Correct Answer A- Correct: The newly licensed
nurse should have used the assessment step of the nursing
process by asking the client to evaluate the severity of pain on a
0 to 10 pain scale. The nurse also should have asked about the
characteristics of the pain and assessed for any changes that
might have contributed to worsening of the pain.
B- Incorrect: The newly licensed nurse used the planning step of
the nursing process when deciding that it was the right time to
administer the medication.
C- Incorrect: The newly licensed nurse used the implementation
step of the nursing process when administering the medication.
D- Incorrect: The newly licensed nurse used the evaluation step
of the nursing process when checking the effectiveness of the
pain medication.
A charge nurse is reviewing documentation with a group of
newly licensed nurses. Which of the following legal guidelines
should be followed when documenting in a client's record?
(Select all that apply.)
A. Cover errors with correction fluid, and write in the correct
information.
B. Put the date and time on all entries.
C. Document objective data, leaving out opinions.
D. Use as many abbreviations as possible.
E. Wait until the end of the shift to document. Correct Answer
B, C- Correct: Documentation must confirm correct sequence of
events for day and time and be factual, descriptive, and
objective, without opinions or criticism.
,A- Incorrect: Correction fluid implies that the nurse might have
tried to hide the previous documentation or deface the medical
record.
D- Incorrect: Too many abbreviations can make the entry
difficult to understand. Nurses should minimize use of
abbreviations, and use only those the facility approves.
E- Incorrect: Documentation should be current. Waiting until the
end of the shift can result in data omission.
A charge nurse is reviewing the steps of the nursing process
with a group of nurses. Which of the following data should the
charge nurse identify as objective data? (Select all that apply.)
A. Respiratory rate is 22/min with even, unlabored respirations
B. The client's partner states, "They said they hurt after walking
about 10 mins."
C. The client's pain rating is 3 on a scale of 0 to 10.
D. The client's skin is pink, warm, and dry.
E. The assistive personnel reports that the client walked with a
limp. Correct Answer A, D, E- Correct: Objective data includes
information that can be measured or observed (seen).
B, C- Incorrect: Subjective data includes a client's reported
manifestations, even if a secondary source gave the nurse the
information.
A charge nurse is reviewing with a newly hired nurse the
difference in manifestations of localized versus a systemic
infection. Which of the following are manifestations of a
systemic infection? (Select all that apply.)
, A. Fever
B. Malaise
C. Edema
D. Pain or tenderness
E. Increase in pulse and respiratory rate Correct Answer A, B,
E- Correct: Fever, Malaise, and Increase in pulse and respiratory
rate indicates that the infection is affecting the whole body, and
therefore systemic.
C, D- Incorrect: Edema, pain or tenderness are manifestations of
localized infection.
A charge nurse is talking with a newly licensed nurse and is
reviewing nursing interventions that do not require a provider's
prescription. Which of the following interventions should the
charge nurse include? (Select all that apply.)
A. Writing a prescription for morphine sulfate as needed for
pain
B. Inserting a nasogastric (NG) tube to relieve gastric distention
C. Showing a client how to use progressive muscle relaxation
D. Performing a daily bath after the evening meal
E. Repositioning a client every 2 hrs to reduce pressure injury
risk Correct Answer C, D, E- Correct: Muscle relaxation is an
appropriate nursing-initiated intervention for stress relief,
bathing is a routine nursing care procedure, and repositioning is
an appropriate nursing- initiated intervention. Unless there is a
contraindication for a specific client.
Questions With Complete Solutions
A charge nurse is assigning client care for four clients. Which of
the following tasks should the nurse assign to a PN?
A. Creating a plan of care for a client who is recovering
following a stroke.
B. Assessing a pressure injury on the client who is on bed rest.
C. Providing nasopharyngeal suctioning for a client who has
pneumonia.
D. Teaching a client who has asthma to use a metered-dose
inhaler (MDI). Correct Answer C- Correct: Providing
nasopharyngeal suctioning is within the scope of practice of the
PN.
A, B, D- Incorrect: Creating a plan of care, Assessing a pressure
injury, and Teaching clients requires professional nursing
knowledge, skills, and judgement of an RN.
A charge nurse is observing a newly licensed nurse care for a
client who reports pain. The nurse checked the client's MAR and
noted that the last dose of pain medication was 6hrs ago. The
prescription reads every 4hr PRN for pain. The nurse
administered the medication and checked with the client 40 mins
later, when the client reported improvement. The newly licensed
nurse left out which of the following steps of the nursing
process?
A.. Assessment
B. Planning
,C. Intervention
D. Evaluation Correct Answer A- Correct: The newly licensed
nurse should have used the assessment step of the nursing
process by asking the client to evaluate the severity of pain on a
0 to 10 pain scale. The nurse also should have asked about the
characteristics of the pain and assessed for any changes that
might have contributed to worsening of the pain.
B- Incorrect: The newly licensed nurse used the planning step of
the nursing process when deciding that it was the right time to
administer the medication.
C- Incorrect: The newly licensed nurse used the implementation
step of the nursing process when administering the medication.
D- Incorrect: The newly licensed nurse used the evaluation step
of the nursing process when checking the effectiveness of the
pain medication.
A charge nurse is reviewing documentation with a group of
newly licensed nurses. Which of the following legal guidelines
should be followed when documenting in a client's record?
(Select all that apply.)
A. Cover errors with correction fluid, and write in the correct
information.
B. Put the date and time on all entries.
C. Document objective data, leaving out opinions.
D. Use as many abbreviations as possible.
E. Wait until the end of the shift to document. Correct Answer
B, C- Correct: Documentation must confirm correct sequence of
events for day and time and be factual, descriptive, and
objective, without opinions or criticism.
,A- Incorrect: Correction fluid implies that the nurse might have
tried to hide the previous documentation or deface the medical
record.
D- Incorrect: Too many abbreviations can make the entry
difficult to understand. Nurses should minimize use of
abbreviations, and use only those the facility approves.
E- Incorrect: Documentation should be current. Waiting until the
end of the shift can result in data omission.
A charge nurse is reviewing the steps of the nursing process
with a group of nurses. Which of the following data should the
charge nurse identify as objective data? (Select all that apply.)
A. Respiratory rate is 22/min with even, unlabored respirations
B. The client's partner states, "They said they hurt after walking
about 10 mins."
C. The client's pain rating is 3 on a scale of 0 to 10.
D. The client's skin is pink, warm, and dry.
E. The assistive personnel reports that the client walked with a
limp. Correct Answer A, D, E- Correct: Objective data includes
information that can be measured or observed (seen).
B, C- Incorrect: Subjective data includes a client's reported
manifestations, even if a secondary source gave the nurse the
information.
A charge nurse is reviewing with a newly hired nurse the
difference in manifestations of localized versus a systemic
infection. Which of the following are manifestations of a
systemic infection? (Select all that apply.)
, A. Fever
B. Malaise
C. Edema
D. Pain or tenderness
E. Increase in pulse and respiratory rate Correct Answer A, B,
E- Correct: Fever, Malaise, and Increase in pulse and respiratory
rate indicates that the infection is affecting the whole body, and
therefore systemic.
C, D- Incorrect: Edema, pain or tenderness are manifestations of
localized infection.
A charge nurse is talking with a newly licensed nurse and is
reviewing nursing interventions that do not require a provider's
prescription. Which of the following interventions should the
charge nurse include? (Select all that apply.)
A. Writing a prescription for morphine sulfate as needed for
pain
B. Inserting a nasogastric (NG) tube to relieve gastric distention
C. Showing a client how to use progressive muscle relaxation
D. Performing a daily bath after the evening meal
E. Repositioning a client every 2 hrs to reduce pressure injury
risk Correct Answer C, D, E- Correct: Muscle relaxation is an
appropriate nursing-initiated intervention for stress relief,
bathing is a routine nursing care procedure, and repositioning is
an appropriate nursing- initiated intervention. Unless there is a
contraindication for a specific client.
