ATI RN CONCEPT BASED ASSESSMENT
LEVEL 1 PROCTORED EXAM TESTBANK
/ACTUAL LATEST UPDATE EXAM WITH
300+ QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
1,000 mL/8 hr = - ANSWER-125 mL/hr
.120 mg x 0.8 mL/80 mg= - ANSWER-1.2 mL
.A charge nurse is educating unit staff about the cultural aspects of client care
following death. Which of the following statements by an assistive personnel
indicates an understanding of the teaching? - ANSWER-"The body of a client
who practices Islam is washed and wrapped in a cloth following death."
(The body of a client who practices Islam is washed, wrapped, prayed over, and
buried as soon as possible following death. The clients head should be turned
toward Mecca.)
.A charge nurse is observing a newly licensed nurse prepare medication for a
client. Which of the following actions by the newly licensed nurse adheres to
safe medication administration practices? - ANSWER-The nurse compares the
medication label with the clients medication administration record.
(When preparing medications for administration, safe practice includes
comparing the medication label with the clients medication administration
record a minimum of three times; prior to removing the medication from the
drawer, when removing medication from the drawer, and at the clients bedside
prior to administering the medication.)
,.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? - ANSWER-Use a new blood administration
tubing set for each blood bag infused.
(The nurse should use a new blood infusion tubing set for each component of
blood. A blood infusion set should not be reused, even for the same client.)
.A community health nurse is developing a brochure about the use of smokeless
tobacco. Which of the following information should the nurse plan to include? -
ANSWER-Smokeless tobacco provides a higher dose of nicotine than cigarettes.
(Smokeless tobacco is placed in the mouth, where nicotine is then absorbed
sublingually. A higher dose of nicotine is delivered with the use of smokeless
tobacco compared to smoking cigarettes, because heat destroys nicotine.)
.A community health nurse is participating in a task force initiative to reduce the
incidence of disease from injection drug use among the city's homeless
population. Which of the following plans should the nurse recommend as part
of tertiary prevention? - ANSWER-Start a needle-exchange program.
(Initiating a program for needle exchange and treating clients who are homeless
for any diseases they may have already acquired are examples of tertiary
prevention.)
.A community health nurse is planning interventions to promote Healthy People
2020 initiatives in the community. Which of the following actions should the
nurse plan to take first? - ANSWER-Determine the level of health equity groups
among groups in the community.
(Health equity among all groups in the community is a Healthy People 2020
initiative. Using the nursing process, the first action the nurse should take is to
assess the needs of the community. By identifying disparities in community
,health, the nurse can develop interventions targeted at the community's
specific needs.)
.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? - ANSWER-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.)
.A home health nurse is providing teaching to the parent of a child who is
receiving chemotherapy and experiencing nausea. Which of the following
statements should the nurse make? - ANSWER-"Have your child rest with his
head elevated after meals."
(The nurse should instruct the parent to have the child rest with his head
elevated after meals. This will allow for easier digestion and help to decrease
the nausea associated with eating.)
.A home health nurse manager is assisting in the implementation of an
electronic medical record system for client care. Which of the following actions
should the nurse manager take to promote interoperability? - ANSWER-
Recommend a single coding system for each department to use.
(The nurse manager should recommend a unified coding system for each
department to use when documenting in the EMR system. This use of a single
coding system ensures that data is shared accurately among interprofessional
departments and that each department's system is able to process that coded
information. This continuity of shared data and the ability to use the data is
referred to interoperability.)
, .A hospice nurse is planning care for a client who has terminal cancer. The client
tells the nurse that she practices Hindu religion. Which of the following
interventions should the nurse include in the plan of care to support the client's
religious beliefs? - ANSWER-Allow time for a family member to perform a ritual
bath after the client dies.
(The nurse should recognize a client who practices the Jewish, Muslim, or Hindu
religions might want a ritual bath after death. This ritual bath can be performed
by a family member or by certain members of the client's faith.)
.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? - ANSWER-"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.)
.A nurse at a provider's office is counseling a client who reports insomnia. Which
of the following statements should the nurse make to include the client's
preferences into a sleep promotion plan? - ANSWER-"Sleep in the location of
your home where you feel you rest best."
(The nurse should encourage the client to sleep wherever she feels she gets the
most rest, whether it be a bed, couch, or chair.)
.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? - ANSWER-Check the
client for injuries.
LEVEL 1 PROCTORED EXAM TESTBANK
/ACTUAL LATEST UPDATE EXAM WITH
300+ QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
1,000 mL/8 hr = - ANSWER-125 mL/hr
.120 mg x 0.8 mL/80 mg= - ANSWER-1.2 mL
.A charge nurse is educating unit staff about the cultural aspects of client care
following death. Which of the following statements by an assistive personnel
indicates an understanding of the teaching? - ANSWER-"The body of a client
who practices Islam is washed and wrapped in a cloth following death."
(The body of a client who practices Islam is washed, wrapped, prayed over, and
buried as soon as possible following death. The clients head should be turned
toward Mecca.)
.A charge nurse is observing a newly licensed nurse prepare medication for a
client. Which of the following actions by the newly licensed nurse adheres to
safe medication administration practices? - ANSWER-The nurse compares the
medication label with the clients medication administration record.
(When preparing medications for administration, safe practice includes
comparing the medication label with the clients medication administration
record a minimum of three times; prior to removing the medication from the
drawer, when removing medication from the drawer, and at the clients bedside
prior to administering the medication.)
,.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? - ANSWER-Use a new blood administration
tubing set for each blood bag infused.
(The nurse should use a new blood infusion tubing set for each component of
blood. A blood infusion set should not be reused, even for the same client.)
.A community health nurse is developing a brochure about the use of smokeless
tobacco. Which of the following information should the nurse plan to include? -
ANSWER-Smokeless tobacco provides a higher dose of nicotine than cigarettes.
(Smokeless tobacco is placed in the mouth, where nicotine is then absorbed
sublingually. A higher dose of nicotine is delivered with the use of smokeless
tobacco compared to smoking cigarettes, because heat destroys nicotine.)
.A community health nurse is participating in a task force initiative to reduce the
incidence of disease from injection drug use among the city's homeless
population. Which of the following plans should the nurse recommend as part
of tertiary prevention? - ANSWER-Start a needle-exchange program.
(Initiating a program for needle exchange and treating clients who are homeless
for any diseases they may have already acquired are examples of tertiary
prevention.)
.A community health nurse is planning interventions to promote Healthy People
2020 initiatives in the community. Which of the following actions should the
nurse plan to take first? - ANSWER-Determine the level of health equity groups
among groups in the community.
(Health equity among all groups in the community is a Healthy People 2020
initiative. Using the nursing process, the first action the nurse should take is to
assess the needs of the community. By identifying disparities in community
,health, the nurse can develop interventions targeted at the community's
specific needs.)
.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? - ANSWER-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.)
.A home health nurse is providing teaching to the parent of a child who is
receiving chemotherapy and experiencing nausea. Which of the following
statements should the nurse make? - ANSWER-"Have your child rest with his
head elevated after meals."
(The nurse should instruct the parent to have the child rest with his head
elevated after meals. This will allow for easier digestion and help to decrease
the nausea associated with eating.)
.A home health nurse manager is assisting in the implementation of an
electronic medical record system for client care. Which of the following actions
should the nurse manager take to promote interoperability? - ANSWER-
Recommend a single coding system for each department to use.
(The nurse manager should recommend a unified coding system for each
department to use when documenting in the EMR system. This use of a single
coding system ensures that data is shared accurately among interprofessional
departments and that each department's system is able to process that coded
information. This continuity of shared data and the ability to use the data is
referred to interoperability.)
, .A hospice nurse is planning care for a client who has terminal cancer. The client
tells the nurse that she practices Hindu religion. Which of the following
interventions should the nurse include in the plan of care to support the client's
religious beliefs? - ANSWER-Allow time for a family member to perform a ritual
bath after the client dies.
(The nurse should recognize a client who practices the Jewish, Muslim, or Hindu
religions might want a ritual bath after death. This ritual bath can be performed
by a family member or by certain members of the client's faith.)
.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? - ANSWER-"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.)
.A nurse at a provider's office is counseling a client who reports insomnia. Which
of the following statements should the nurse make to include the client's
preferences into a sleep promotion plan? - ANSWER-"Sleep in the location of
your home where you feel you rest best."
(The nurse should encourage the client to sleep wherever she feels she gets the
most rest, whether it be a bed, couch, or chair.)
.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? - ANSWER-Check the
client for injuries.
