ATI RN Concept - Based Assessment Level 4 Online Practice A
1. A nurse is teaching a client who has been newly diagnosed with systemic lupus
erythematosus (SLE).Which statement by the client indicates an under- standing of
the teaching Ans: "I should inspect my skin daily for cuts and rashes"
2. A nurse is caring for a client who has Parkinson's disease. Which of the fol- lowing
actions should the nurse take to promote the client's mobility Ans: Instruct the client to
perform range-of-motion exercises
- The nurse should instruct the client to perform stretching and range-of-motion exercises
to promote mobility. exercising and walking help to delay the progression of the disease.
3. A nurse is caring for a client who has had a myocardial infarction and sus- pects
cardiogenic shock. The nurse should monitor for which of the following manifestations
Ans: Pulmonary Congestion
-Pulmonary congestion is a result of decreased cardiac output due to damage to the cardiac
muscle
4. A nurse is assessing a client who has a DNR order and has stopped breathing.
The family asks the nurse to resuscitate the client. Which action should the nurse
take Ans: Respect the client's preferences.
5. A nurse manager is teaching a group of nurses about OSHA. What informa- tion
,should the nurse include Ans: Sets standards for hazardous exposures in the workplace.
6. A nurse manager identifies that the number of client medication administra- tion
errors on the unit has increased. When creating a cause-and-effect chart, which of the
following information should the nurse manger include Ans: Possible reasons for the
medication errors. ------------------------------------------------- The nurse manager should
identify and include possible reasons for the occurrence of medica- tion errors when creating
a cause and effect chart.This data assists in the prevention of future medication errors.
7. A nurse manager notices that he has exceeded the amount of money allo- cated for
labor costs for the quarter. Which action should the nurse manager take Ans:
involve staff nurses in budge planning.
-this promotes awareness of the costs of staffing a unit and encourages cost-effec- tive care.
8. A nurse is providing teaching to a client who has a halo device applied to prevent
further cervical spinal cord injury following a diving accident. What info should the
nurse include Ans: "Avoid leaning forward when attempting to stand."
,-the weight of the halo device can alter balance. leaning forward could cause the client to fa
9. A nurse is working on an interprofessional collaboration plan of care for a client
who has a stage 3 pressure ulcer. Which action should the nurse recognize as the.
role of the licensed practical nurse (LPN) Ans: Administer pain medication
10. A nurse manager is facilitating conflict resolution between two nurses who
disagree about the need to make a referral to a social worker. Which conflict
management strategies should the nurse manager use Ans: Offer self to
constructively facilitate communication.
-The nurse manager will be the impartial third party in this communication
11. A nurse is having a disagreement with a coworker about a client assign- ment.
When following the chain of command, which of the following individu- als should the
nurse contact to discuss the conflict Ans: The charge nurse
- When following the chain of command, the nurse should communicate with his
immediate supervisor about any questions and concerns he has, including a conflict with a
coworkers.
12. A triage nurse is prioritizing clients following a mass casualty disaster. Which
of the following clients should the nurse treat first Ans: A client who is exhibiting
manifestations of shock.
, -a client exhibiting manifestations of shock requires immediate intervention for survival.
13. A nurse is caring for a client who has a partial-thickness burn and a
prescription for a silver sulfadiazine cream. Which intervention should the nurse
take Ans: Monitor the client's WBC.
-A drop in the WBC count can be an indication of an allergic reaction to the silver
sulfadiazine cream
14. A nurse is preparing to administer nitroglycerin topical ointment to a client who
had a myocardial infarction. Which action should the nurse plan to take? (move steps
in order): 1) Cleanse the client's skin and allow it to dry
2) Apply a thin layer of medication ointment to the dosing paper.
3) Spread the medication over a 6.4 by 8.9 cm area of skin
4) Cover the medication site with plastic wrap
5) Remove the medication in 6 hr.
1. A nurse is teaching a client who has been newly diagnosed with systemic lupus
erythematosus (SLE).Which statement by the client indicates an under- standing of
the teaching Ans: "I should inspect my skin daily for cuts and rashes"
2. A nurse is caring for a client who has Parkinson's disease. Which of the fol- lowing
actions should the nurse take to promote the client's mobility Ans: Instruct the client to
perform range-of-motion exercises
- The nurse should instruct the client to perform stretching and range-of-motion exercises
to promote mobility. exercising and walking help to delay the progression of the disease.
3. A nurse is caring for a client who has had a myocardial infarction and sus- pects
cardiogenic shock. The nurse should monitor for which of the following manifestations
Ans: Pulmonary Congestion
-Pulmonary congestion is a result of decreased cardiac output due to damage to the cardiac
muscle
4. A nurse is assessing a client who has a DNR order and has stopped breathing.
The family asks the nurse to resuscitate the client. Which action should the nurse
take Ans: Respect the client's preferences.
5. A nurse manager is teaching a group of nurses about OSHA. What informa- tion
,should the nurse include Ans: Sets standards for hazardous exposures in the workplace.
6. A nurse manager identifies that the number of client medication administra- tion
errors on the unit has increased. When creating a cause-and-effect chart, which of the
following information should the nurse manger include Ans: Possible reasons for the
medication errors. ------------------------------------------------- The nurse manager should
identify and include possible reasons for the occurrence of medica- tion errors when creating
a cause and effect chart.This data assists in the prevention of future medication errors.
7. A nurse manager notices that he has exceeded the amount of money allo- cated for
labor costs for the quarter. Which action should the nurse manager take Ans:
involve staff nurses in budge planning.
-this promotes awareness of the costs of staffing a unit and encourages cost-effec- tive care.
8. A nurse is providing teaching to a client who has a halo device applied to prevent
further cervical spinal cord injury following a diving accident. What info should the
nurse include Ans: "Avoid leaning forward when attempting to stand."
,-the weight of the halo device can alter balance. leaning forward could cause the client to fa
9. A nurse is working on an interprofessional collaboration plan of care for a client
who has a stage 3 pressure ulcer. Which action should the nurse recognize as the.
role of the licensed practical nurse (LPN) Ans: Administer pain medication
10. A nurse manager is facilitating conflict resolution between two nurses who
disagree about the need to make a referral to a social worker. Which conflict
management strategies should the nurse manager use Ans: Offer self to
constructively facilitate communication.
-The nurse manager will be the impartial third party in this communication
11. A nurse is having a disagreement with a coworker about a client assign- ment.
When following the chain of command, which of the following individu- als should the
nurse contact to discuss the conflict Ans: The charge nurse
- When following the chain of command, the nurse should communicate with his
immediate supervisor about any questions and concerns he has, including a conflict with a
coworkers.
12. A triage nurse is prioritizing clients following a mass casualty disaster. Which
of the following clients should the nurse treat first Ans: A client who is exhibiting
manifestations of shock.
, -a client exhibiting manifestations of shock requires immediate intervention for survival.
13. A nurse is caring for a client who has a partial-thickness burn and a
prescription for a silver sulfadiazine cream. Which intervention should the nurse
take Ans: Monitor the client's WBC.
-A drop in the WBC count can be an indication of an allergic reaction to the silver
sulfadiazine cream
14. A nurse is preparing to administer nitroglycerin topical ointment to a client who
had a myocardial infarction. Which action should the nurse plan to take? (move steps
in order): 1) Cleanse the client's skin and allow it to dry
2) Apply a thin layer of medication ointment to the dosing paper.
3) Spread the medication over a 6.4 by 8.9 cm area of skin
4) Cover the medication site with plastic wrap
5) Remove the medication in 6 hr.
