ATI RN ASSESSMENT LEVEL 1 B
A01nurse01is01submitting01a01dietary01request01for01a01client01who01devoutly01follows01M
ormon01dietary01practices.01The01nurse01should01ask01the01client01if01they01would01like01
which01of01the01following01foods01or01beverages01excluded01from01meals?
A.01Bacon
B.01Coffee
C.01Shrimp
D.01Milk01-01answer--B.01Coffee
A01nurse01is01assessing01a01client01who01has01a01rash01on01their01hands01and01forearms
01after01working01in01a01garden.01The01nurse01should01identify01that01which01of01the01foll
owing01findings01indicates01contact01dermatitis?
A.01Pustules01in01a01scatter01pattern01across01the01erythematous01area
B.01Elevations01of01the01skin01with01darkened01areas01and01irregular01borders
C.01Well-defined01margins01of01the01erythematous01area
D.01Straight,01black,01threadlike01lesions01-01answer--C.01Well-
defined01margins01of01the01erythematous01area
A01home01health01nurse01is01teaching01a01client01about01fire01extinguishers.01Which01of0
1the01following01instructions01should01the01nurse01include01in01the01teaching?
A.01Store01a01fire01extinguisher01next01to01the01kitchen01stove.
B.01Call01the01fire01department01before01using01a01fire01extinguisher.
C.01Use01a01class01A01extinguisher01to01put01out01an01electrical01fire.
D.01Aim01the01hose01of01the01fire01extinguisher01toward01the01top01of01the01flames.01-
01answer--B.01Call01the01fire01department01before01using01a01fire01extinguisher.
A01nurse01is01performing01a01fall01risk01assessment01for01a01client.01Which01of01the01follo
wing01findings01should01the01nurse01identify01as01a01fall01risk?
A.01The01client01uses01a01raised01toilet01seat.
B.01The01client01takes01a01flaxseed01supplement.
C.01The01client01looks01at01the01ground01while01walking.
D.01The01client01has01a01history01of01urinary01frequency.01-01answer--
D.01The01client01has01a01history01of01urinary01frequency.
,A01client01who01has01a01history01of01urinary01frequency01is01at01risk01for01a01fall01due01to
01frequently01getting01out01of01bed01at01night01to01go01to01the01bathroom.01The01nurse01s
hould01place01a01commode01next01to01the01client's01bed01to01reduce01the01risk01for01injur
y
A01nurse01is01assessing01a0110-month-
old01infant01who01has01a01urinary01tract01infection01(UTI).01which01of01the01following01find
ings01should01the01nurse01expect?
A.01Decreased01appetite
B.01Generalized01rash
C.01Decreased01respiratory01rate
D.01Constipation01-01answer--A.01Decreased01appetite
Manifestations01of01a01UTI01in01an01infant01include01poor01feeding,01irritability,01fever,01a
nd01vomiting
A01nurse01is01preparing01to01administer01acetaminophen01drops016001mg01PO01to01an01i
nfant01who01has01a01fever.01The01amount01available01is01160mg/
501mL.01How01many01mL01should01the01nurse01administer?
01(Round01the01answer01to01the01nearest01tenth.01Use01a01leading01zero01if01it01applies.0
1Do01not01use01a01training01zero.)01-01answer--1.9mL
A01nurse01is01teaching01a01client01to01self-
administer01801units01of01NPH01insulin01and01201units01of01regular01insulin01in01the01sam
e01syringe.01Which01of01the01following01client01statements01indicates01an01understanding
01of01the01teaching?
A.01"I'll01draw01up01regular01insulin01into01the01syringe01before01the01NPH01insulin."
B.01"I'll01inject01air01into01the01regular01insulin01vial01before01the01NPH01vial."
C.01"I'll01inject011001units01of01air01into01the01regular01insulin01vial."
D.01"I'll01inject011001units01of01air01into01the01NPH01insulin01vial."01-01answer--
A.01"I'll01draw01up01regular01insulin01into01the01syringe01before01the01NPH01insulin."
A01nurse01on01a01mental01health01unit01is01planning01an01in-
service01for01a01newly01hired01staff01about01the01use01of01restraints.01Which01of01the01foll
owing01information01should01the01nurse01include?
A.01Document01a01client's01condition01every011501min01while01in01restraints.
B.01Request01a01prescription01for01PRN01restraints01for01a01client01who01has01a01history0
1of01violence.
C.01Restrain01a01client01as01a01consequence01of01not01following01rules01on01the01unit.
D.01Limit01the01time01an01adult01client01is01in01restraints01to01501hr.01-01answer--
A.01Document01a01client's01condition01every011501min01while01in01restraints.
, A01nurse01is01a01part01of01an01informatics01committee01to01improve01safety01with01medic
ations01administration.01Which01of01the01following01recommendations01should01the01nurs
e01make01to01decrease01the01risk01of01errors01at01the01bedside?
A.01Disable01Internet01access01from01computers01used01for01medication01administration.
B.01Use01an01electronic01medication01administration01record01for01documentation.
C.01Create01a01computer-
specific01password01that01staff01share01for01each01computer01on01the01unit.
D.01Ask01providers01to01handwrite01prescriptions01that01are01then01scanned01into01the01c
omputer.01-01answer--
B.01Use01an01electronic01medication01administration01record01for01documentation.
A01nurse01is01discussing01informed01consent01with01a01group01of01newly01licensed01nurs
es.01Which01of01the01following01actions01is01the01responsibility01of01the01nurses01when01
obtaining01informed01consent?
A.01Answer01a01client's01questions01about01the01risks01of01a01procedure.
B.01Provide01information01about01alternative01treatment01options.
C.01Explain01the01steps01of01the01medical01procedure01documented01on01the01consent01f
orm.
D.01Verify01that01the01client01voluntarily01gave01consent01for01the01procedure.01-
01answer--D.01Verify01that01the01client01voluntarily01gave01consent01for01the01procedure
A01nurse01is01teaching01a01client01who01has01a01new01diagnosis01of01obstructive01sleep0
1apnea.01Which01of01the01following01statements01should01the01nurse01include?
A.01"Obstructive01sleep01apnea01occurs01when01you01stop01breathing01for01at01least0110
01seconds."
B.01"Obstructive01sleep01apnea01is01caused01by01a01dysfunction01in01the01brain."
C.01"Obstructive01sleep01apnea01increases01your01risk01for01developing01diabetes01mellit
us."
D.01"Obstructive01sleep01apnea01causes01excessive01episodes01of01deep01sleep."01-
01answer--
A.01"Obstructive01sleep01apnea01occurs01when01you01stop01breathing01for01at01least0110
01seconds."
A01nurse01is01teaching01the01parent01of01a015-month-
old01infant01who01is01breastfed01about01the01introductions01of01complementary01foods.01
Which01of01the01following01statements01should01the01nurse01make?
A.01"Wait01until01your01baby01is01801months01old01to01begin01solid01foods."
B.01"Start01by01spoon-feeding01your01baby01¼01cup01of01a01new01food."
C.01"Introduce01up01to01three01new01foods01to01your01baby01every01week."
D.01"Give01your01baby01iron-
fortified01infant01rice01cereals01before01starting01other01foods."01-01answer--
A01nurse01is01submitting01a01dietary01request01for01a01client01who01devoutly01follows01M
ormon01dietary01practices.01The01nurse01should01ask01the01client01if01they01would01like01
which01of01the01following01foods01or01beverages01excluded01from01meals?
A.01Bacon
B.01Coffee
C.01Shrimp
D.01Milk01-01answer--B.01Coffee
A01nurse01is01assessing01a01client01who01has01a01rash01on01their01hands01and01forearms
01after01working01in01a01garden.01The01nurse01should01identify01that01which01of01the01foll
owing01findings01indicates01contact01dermatitis?
A.01Pustules01in01a01scatter01pattern01across01the01erythematous01area
B.01Elevations01of01the01skin01with01darkened01areas01and01irregular01borders
C.01Well-defined01margins01of01the01erythematous01area
D.01Straight,01black,01threadlike01lesions01-01answer--C.01Well-
defined01margins01of01the01erythematous01area
A01home01health01nurse01is01teaching01a01client01about01fire01extinguishers.01Which01of0
1the01following01instructions01should01the01nurse01include01in01the01teaching?
A.01Store01a01fire01extinguisher01next01to01the01kitchen01stove.
B.01Call01the01fire01department01before01using01a01fire01extinguisher.
C.01Use01a01class01A01extinguisher01to01put01out01an01electrical01fire.
D.01Aim01the01hose01of01the01fire01extinguisher01toward01the01top01of01the01flames.01-
01answer--B.01Call01the01fire01department01before01using01a01fire01extinguisher.
A01nurse01is01performing01a01fall01risk01assessment01for01a01client.01Which01of01the01follo
wing01findings01should01the01nurse01identify01as01a01fall01risk?
A.01The01client01uses01a01raised01toilet01seat.
B.01The01client01takes01a01flaxseed01supplement.
C.01The01client01looks01at01the01ground01while01walking.
D.01The01client01has01a01history01of01urinary01frequency.01-01answer--
D.01The01client01has01a01history01of01urinary01frequency.
,A01client01who01has01a01history01of01urinary01frequency01is01at01risk01for01a01fall01due01to
01frequently01getting01out01of01bed01at01night01to01go01to01the01bathroom.01The01nurse01s
hould01place01a01commode01next01to01the01client's01bed01to01reduce01the01risk01for01injur
y
A01nurse01is01assessing01a0110-month-
old01infant01who01has01a01urinary01tract01infection01(UTI).01which01of01the01following01find
ings01should01the01nurse01expect?
A.01Decreased01appetite
B.01Generalized01rash
C.01Decreased01respiratory01rate
D.01Constipation01-01answer--A.01Decreased01appetite
Manifestations01of01a01UTI01in01an01infant01include01poor01feeding,01irritability,01fever,01a
nd01vomiting
A01nurse01is01preparing01to01administer01acetaminophen01drops016001mg01PO01to01an01i
nfant01who01has01a01fever.01The01amount01available01is01160mg/
501mL.01How01many01mL01should01the01nurse01administer?
01(Round01the01answer01to01the01nearest01tenth.01Use01a01leading01zero01if01it01applies.0
1Do01not01use01a01training01zero.)01-01answer--1.9mL
A01nurse01is01teaching01a01client01to01self-
administer01801units01of01NPH01insulin01and01201units01of01regular01insulin01in01the01sam
e01syringe.01Which01of01the01following01client01statements01indicates01an01understanding
01of01the01teaching?
A.01"I'll01draw01up01regular01insulin01into01the01syringe01before01the01NPH01insulin."
B.01"I'll01inject01air01into01the01regular01insulin01vial01before01the01NPH01vial."
C.01"I'll01inject011001units01of01air01into01the01regular01insulin01vial."
D.01"I'll01inject011001units01of01air01into01the01NPH01insulin01vial."01-01answer--
A.01"I'll01draw01up01regular01insulin01into01the01syringe01before01the01NPH01insulin."
A01nurse01on01a01mental01health01unit01is01planning01an01in-
service01for01a01newly01hired01staff01about01the01use01of01restraints.01Which01of01the01foll
owing01information01should01the01nurse01include?
A.01Document01a01client's01condition01every011501min01while01in01restraints.
B.01Request01a01prescription01for01PRN01restraints01for01a01client01who01has01a01history0
1of01violence.
C.01Restrain01a01client01as01a01consequence01of01not01following01rules01on01the01unit.
D.01Limit01the01time01an01adult01client01is01in01restraints01to01501hr.01-01answer--
A.01Document01a01client's01condition01every011501min01while01in01restraints.
, A01nurse01is01a01part01of01an01informatics01committee01to01improve01safety01with01medic
ations01administration.01Which01of01the01following01recommendations01should01the01nurs
e01make01to01decrease01the01risk01of01errors01at01the01bedside?
A.01Disable01Internet01access01from01computers01used01for01medication01administration.
B.01Use01an01electronic01medication01administration01record01for01documentation.
C.01Create01a01computer-
specific01password01that01staff01share01for01each01computer01on01the01unit.
D.01Ask01providers01to01handwrite01prescriptions01that01are01then01scanned01into01the01c
omputer.01-01answer--
B.01Use01an01electronic01medication01administration01record01for01documentation.
A01nurse01is01discussing01informed01consent01with01a01group01of01newly01licensed01nurs
es.01Which01of01the01following01actions01is01the01responsibility01of01the01nurses01when01
obtaining01informed01consent?
A.01Answer01a01client's01questions01about01the01risks01of01a01procedure.
B.01Provide01information01about01alternative01treatment01options.
C.01Explain01the01steps01of01the01medical01procedure01documented01on01the01consent01f
orm.
D.01Verify01that01the01client01voluntarily01gave01consent01for01the01procedure.01-
01answer--D.01Verify01that01the01client01voluntarily01gave01consent01for01the01procedure
A01nurse01is01teaching01a01client01who01has01a01new01diagnosis01of01obstructive01sleep0
1apnea.01Which01of01the01following01statements01should01the01nurse01include?
A.01"Obstructive01sleep01apnea01occurs01when01you01stop01breathing01for01at01least0110
01seconds."
B.01"Obstructive01sleep01apnea01is01caused01by01a01dysfunction01in01the01brain."
C.01"Obstructive01sleep01apnea01increases01your01risk01for01developing01diabetes01mellit
us."
D.01"Obstructive01sleep01apnea01causes01excessive01episodes01of01deep01sleep."01-
01answer--
A.01"Obstructive01sleep01apnea01occurs01when01you01stop01breathing01for01at01least0110
01seconds."
A01nurse01is01teaching01the01parent01of01a015-month-
old01infant01who01is01breastfed01about01the01introductions01of01complementary01foods.01
Which01of01the01following01statements01should01the01nurse01make?
A.01"Wait01until01your01baby01is01801months01old01to01begin01solid01foods."
B.01"Start01by01spoon-feeding01your01baby01¼01cup01of01a01new01food."
C.01"Introduce01up01to01three01new01foods01to01your01baby01every01week."
D.01"Give01your01baby01iron-
fortified01infant01rice01cereals01before01starting01other01foods."01-01answer--
