ATI RN Assessment Level 1 B Questions and Answers
A charge nurse is planning a presentation about electronic health records (EHR) for a group of newly licensed
nurses. Which of the following information should the nurse include?
A. Maintaining security of client information is a concern with EHRs.
B. Determining trends in client data is difficult to do with EHRs.
C. Developing a new EHR can occur with a few hours of work.
D. Monitoring for medication interactions is not a feature of EHRs. - ansA. Maintaining security of client
information is a concern with EHRs.
A charge nurse is providing an educational session to a group of newly licensed nurses about the purpose of
the National Patient Safety Goals. Which of the following objectives should the nurse include as the component
of the National Patient Safety Goals?
A. Enhance performance using evidence-based practice.
B. Improve the facility's nurse-patient ratios.
C. Decrease errors related to invasive procedures.
D. Increase the facility's customer satisfaction ratings. - ansC. Decrease errors related to invasive procedures.
A charge nurse is supervising a newly licensed nurse who is caring for a group of clients. For which of the
following actions by the newly licensed nurse should the charge nurse intervene?
A. Raises all side rails on a bed when transporting a sedated client to another unit
B. Uses a square knot to attach a wrist restraint to a client
C. Applies mitten restraints to a client who is attempting to pull out the IV catheter
D. Administers a prescribed sedative to a preoperative client - ansB. Uses a square knot to attach a wrist
restraint to a client
A community health nurse is teaching a group of older adult clients at a senior center. Which of the following
,factors should the nurse include as an age-related changed that increases the risk for constipation in older
adult clients?
A. Decreased secretion of parathyroid hormones
B. Delayed gastric emptying
C. Heightened awareness of the urge to defecate
D. Increased extracellular fluid volume - ansB. Delayed gastric emptying
A home health nurse is making an initial visit to a client who reports fecal incontinence. Which of the following
actions should the nurse take first?
A. Encourage the client in their efforts to complete other self-care tasks.
B. Determine how the incontinence affects the client's socialization.
C. Ask questions about the client's typical dietary intake.
D. Review the procedure for perineal skin care with the client. - ansC. Ask questions about the client's typical
dietary intake.
A home health nurse is planning care for an older adult who lives alone and reports having difficulty adhering
to their medication regimen. The nurse should include with of the following interventions in the plan?
A. Provide medications in childproof containers.
B. Recommend using divided daily medication doses.
C. Organize daily medications in a divided pill box.
D. Place different medications in the same bottle. - ansC. Organize daily medications in a divided pill box.
A home health nurse is teaching a client about fire extinguishers. Which of the following instructions should the
nurse include in the teaching?
A. Store a fire extinguisher next to the kitchen stove.
,B. Call the fire department before using a fire extinguisher.
C. Use a class A extinguisher to put out an electrical fire.
D. Aim the hose of the fire extinguisher toward the top of the flames. - ansB. Call the fire department before
using a fire extinguisher.
A nurse at a mental health clinic is interviewing a client who has depressive disorder and identified as religious
during intake. Which of the following client statements should the nurse identify as indicating spiritual distress?
A. "I have no control over my life."
B. "I feel like I can't go on."
C. "I am not even sure why I exist."
D. "I feel like my thoughts get tangled in my head." - ansC. "I am not even sure why I exist."
A nurse discovers a medication omission from the previous shift and notifies the charge nurse. which of the
following statements should the charge nurse make?
A. "You should document in the client's medical record that an incident report has been completed."
B. "You should contact the nurse who neglected to administer the medication to complete the incident report."
C. "You should document why you think the omission occurred."
D. "You should monitor the client for injury." - ansD. "You should monitor the client for injury."
A nurse in a long-term care facility is performing an admission assessment on a client who reports that they are
currently observing Lent. Which of the following questions should the nurse ask the client to identify ways to
accommodate their religious practices in their plan of care?
A. "Would you like to abstain from meat on Fridays?"
B. "Do you plan to fast from sunrise to sunset during Lent?"
C. "Are you currently fasting on Sundays?"
D. "Will you be avoiding eating fish without scales during Lent?" - ansA. "Would you like to abstain from meat
, on Fridays?"
A nurse in a provider's office is caring for a client who has a new prescription for an opioid analgesic. the client
states that they are concerned about developing constipation. Which of the following should the nurse take
first?
A. Encourage the client to increase their fluid intake while taking opioids.
B. Identify the client's usual bowel elimination pattern.
C. Request a prescription for a stool softener from the provider.
D. Instruct the client to keep a record of their bowel movements. - ansB. Identify the client's usual bowel
elimination pattern.
A nurse in a provider's office is planning medications teaching for a client who has a urinary tract infection. The
nurse should prepare teaching for which of the following medications?
A. Propranolol
B. Esomeprazole
C. Nitrofurantoin
D. Sildenafil - ansC. Nitrofurantoin
A nurse is a part of an informatics committee to improve safety with medications administration. Which of the
following recommendations should the nurse make to decrease the risk of errors at the bedside?
A. Disable Internet access from computers used for medication administration.
B. Use an electronic medication administration record for documentation.
C. Create a computer-specific password that staff share for each computer on the unit.
D. Ask providers to handwrite prescriptions that are then scanned into the computer. - ansB. Use an electronic
medication administration record for documentation.
A charge nurse is planning a presentation about electronic health records (EHR) for a group of newly licensed
nurses. Which of the following information should the nurse include?
A. Maintaining security of client information is a concern with EHRs.
B. Determining trends in client data is difficult to do with EHRs.
C. Developing a new EHR can occur with a few hours of work.
D. Monitoring for medication interactions is not a feature of EHRs. - ansA. Maintaining security of client
information is a concern with EHRs.
A charge nurse is providing an educational session to a group of newly licensed nurses about the purpose of
the National Patient Safety Goals. Which of the following objectives should the nurse include as the component
of the National Patient Safety Goals?
A. Enhance performance using evidence-based practice.
B. Improve the facility's nurse-patient ratios.
C. Decrease errors related to invasive procedures.
D. Increase the facility's customer satisfaction ratings. - ansC. Decrease errors related to invasive procedures.
A charge nurse is supervising a newly licensed nurse who is caring for a group of clients. For which of the
following actions by the newly licensed nurse should the charge nurse intervene?
A. Raises all side rails on a bed when transporting a sedated client to another unit
B. Uses a square knot to attach a wrist restraint to a client
C. Applies mitten restraints to a client who is attempting to pull out the IV catheter
D. Administers a prescribed sedative to a preoperative client - ansB. Uses a square knot to attach a wrist
restraint to a client
A community health nurse is teaching a group of older adult clients at a senior center. Which of the following
,factors should the nurse include as an age-related changed that increases the risk for constipation in older
adult clients?
A. Decreased secretion of parathyroid hormones
B. Delayed gastric emptying
C. Heightened awareness of the urge to defecate
D. Increased extracellular fluid volume - ansB. Delayed gastric emptying
A home health nurse is making an initial visit to a client who reports fecal incontinence. Which of the following
actions should the nurse take first?
A. Encourage the client in their efforts to complete other self-care tasks.
B. Determine how the incontinence affects the client's socialization.
C. Ask questions about the client's typical dietary intake.
D. Review the procedure for perineal skin care with the client. - ansC. Ask questions about the client's typical
dietary intake.
A home health nurse is planning care for an older adult who lives alone and reports having difficulty adhering
to their medication regimen. The nurse should include with of the following interventions in the plan?
A. Provide medications in childproof containers.
B. Recommend using divided daily medication doses.
C. Organize daily medications in a divided pill box.
D. Place different medications in the same bottle. - ansC. Organize daily medications in a divided pill box.
A home health nurse is teaching a client about fire extinguishers. Which of the following instructions should the
nurse include in the teaching?
A. Store a fire extinguisher next to the kitchen stove.
,B. Call the fire department before using a fire extinguisher.
C. Use a class A extinguisher to put out an electrical fire.
D. Aim the hose of the fire extinguisher toward the top of the flames. - ansB. Call the fire department before
using a fire extinguisher.
A nurse at a mental health clinic is interviewing a client who has depressive disorder and identified as religious
during intake. Which of the following client statements should the nurse identify as indicating spiritual distress?
A. "I have no control over my life."
B. "I feel like I can't go on."
C. "I am not even sure why I exist."
D. "I feel like my thoughts get tangled in my head." - ansC. "I am not even sure why I exist."
A nurse discovers a medication omission from the previous shift and notifies the charge nurse. which of the
following statements should the charge nurse make?
A. "You should document in the client's medical record that an incident report has been completed."
B. "You should contact the nurse who neglected to administer the medication to complete the incident report."
C. "You should document why you think the omission occurred."
D. "You should monitor the client for injury." - ansD. "You should monitor the client for injury."
A nurse in a long-term care facility is performing an admission assessment on a client who reports that they are
currently observing Lent. Which of the following questions should the nurse ask the client to identify ways to
accommodate their religious practices in their plan of care?
A. "Would you like to abstain from meat on Fridays?"
B. "Do you plan to fast from sunrise to sunset during Lent?"
C. "Are you currently fasting on Sundays?"
D. "Will you be avoiding eating fish without scales during Lent?" - ansA. "Would you like to abstain from meat
, on Fridays?"
A nurse in a provider's office is caring for a client who has a new prescription for an opioid analgesic. the client
states that they are concerned about developing constipation. Which of the following should the nurse take
first?
A. Encourage the client to increase their fluid intake while taking opioids.
B. Identify the client's usual bowel elimination pattern.
C. Request a prescription for a stool softener from the provider.
D. Instruct the client to keep a record of their bowel movements. - ansB. Identify the client's usual bowel
elimination pattern.
A nurse in a provider's office is planning medications teaching for a client who has a urinary tract infection. The
nurse should prepare teaching for which of the following medications?
A. Propranolol
B. Esomeprazole
C. Nitrofurantoin
D. Sildenafil - ansC. Nitrofurantoin
A nurse is a part of an informatics committee to improve safety with medications administration. Which of the
following recommendations should the nurse make to decrease the risk of errors at the bedside?
A. Disable Internet access from computers used for medication administration.
B. Use an electronic medication administration record for documentation.
C. Create a computer-specific password that staff share for each computer on the unit.
D. Ask providers to handwrite prescriptions that are then scanned into the computer. - ansB. Use an electronic
medication administration record for documentation.
