RN CONCEPT-BASED ASSESSMENT
LEVEL 1 ONLINE PRACTICE
A01nurse01manager01is01developing01a01faculty01policy01about01using01a01fax01machine01
to01communicate01information01from01a01client's01electronic01medical01record01(EMR).01
Which01of01the01following01actions01should01the01nurse01include01in01the01policy01-
01answer--Use01a01cover01sheet01when01sending01a01fax01from01the01health01care01unit.
A01nurse01is01caring01for01a01client01who01is01201days01postoperative01following01an01abo
ve-the-
01knee01amputation.01The01client01states01he01is01experience01in01a01dull,01burning01pain
01in01the01leg01that01was01amputated.01Which01of01the01following01should01the01nurse01ta
ke01to01treat01the01client's01neuropathic01pain.01-01answer--Administer01a01beta-
blocking01medication01to01the01client
A01nurse01is01assessing01a01client01who01has01fibromyalgia.01Which01of01the01following01
treatment01modality01prescriptions01should01the01nurse01expect01for01the01client's01mixe
d01pain.01-01answer--Pregabalin01PO01twice01daily
A01nurse01is01planning01the01menu01for01a01client01who01practices01Seventh-
day01Adventist.01Which01of01the01following01food01selections01should01the01nurse01make
?01-01answer--Scrambled01eggs
A01nurse01Is01providing01teaching01to01a01client01who01has01chronic01fatigue01syndrome.
01Which01of01the01following01statements01should01the01nurse01make.01-01answer--
Take01NSAIDs01for01body01aches01and01pains
A01nurse01is01using01therapeutic01communication01to01attempt01deescalation01with01a01cl
ient01who01is01yelling01at01staff01members.01Which01of01the01following01statements01sho
uld01the01nurse01make01-01answer--
Tell01me01what01is01causing01your01anger01at01this01moment
A01home01health01nurse01manager01is01assisting01in01the01implementation01of01an01elect
ronic01medical01record01(EMR)01system01for01client01care.01Which01of01the01following01a
ctions01should01the01nurse01manager01take01to01promote01interoperability?01-01answer--
Recommend01a01single01coding01system01for01each01department01to01use.
, A01nurse01is01planning01care01for01a01client01who01has01breast01cancer01and01is01schedu
led01for01chemotherapy.01The01client01reports01experiencing01chemothaerapy-
induced01nausea01and01vomiting01(CINV)01during01her01previous01round01of01treatment.0
1Which01of01the01following01interventions01should01the01nurse01include01in01the01clients01
plan01of01care?01-01answer--
Administer01ondansetron01to01the01client01prior01to01chemotherapy01administration
A01nurse01is01teaching01a01client01about01strategies01to01prevent01recurrent01constipatio
n.01Which01of01the01following01instruction01should01the01nurse01include?01-01answer--
Perform01moderate01exercise01daily
Add01more01whole01grains01to01your01diet
Increase01your01fluid01intake
A01nurse01is01documenting01an01assessment01in01a01clients01electronic01health01record01
when01an01assistive01personnel01(AP)01asks01to01enter01the01morning01blood01glucose01f
or01the01client.01Which01of01the01following01actions01should01the01nurse01take.01-
01answer--Request01the01AP01use01another01computer01to01enter01the01data.
A01nurse01is01performing01a01focused01assessment01on01a01client01who01has01chronic01p
ain01due01to01fibromyalgia.01Which01of01the01following01questions01should01the01nurse01a
sk01to01assess01the01quality01of01the01client's01pain?01-01answer--
Can01you01describe01what01the01pain01feels01like?
A01nurse01is01preparing01to01leave01the01room01of01a01client01who01is01on01isolation01pre
cautions.01Which01of01the01following01actions01should01the01nurse01take01when01removin
g01a01tied01surgical01mask?01-01answer--
Remove01the01mask01by01securely01holding01the01ties01and01moving01it01away01from01th
e01face
A01nurse01is01assessing01for01acute01pain01in01a01client01who01is01postoperative.01The01c
lient01has01dementia01and01is01nonverbal.01Which01of01the01following01fundings01should0
1the01nurse01identify01as01a01need01for01administration01of01a01PRN01pain01medication?
01-01answer--rapid01breathing
A01nurse01is01administering01ophthalmic01solution01to01a01client01who01has01bacterial01c
onjunctivitis.01Which01of01the01following01actions01should01the01nurse01take01-01answer--
Have01the01client01lie01supine.
A01nurse01is01preparing01a01client01for01an01elective01vaginal01hysterectomy01when01the0
1client01states,01"My01doctor01said01there01are01more01conservative01ways01to01treat01my
01problem.01I01realize01now01that01I01don't01want01this01surgery,01but01I01already01signed0
1that01consent01form."01Which01of01the01following01responses01should01the01nurse01mak
e?01-
01answer--"You01have01the01right01to01refuse01this01and01any01other01procedure,01even01
after01you01have01signed01the01consent01form."
LEVEL 1 ONLINE PRACTICE
A01nurse01manager01is01developing01a01faculty01policy01about01using01a01fax01machine01
to01communicate01information01from01a01client's01electronic01medical01record01(EMR).01
Which01of01the01following01actions01should01the01nurse01include01in01the01policy01-
01answer--Use01a01cover01sheet01when01sending01a01fax01from01the01health01care01unit.
A01nurse01is01caring01for01a01client01who01is01201days01postoperative01following01an01abo
ve-the-
01knee01amputation.01The01client01states01he01is01experience01in01a01dull,01burning01pain
01in01the01leg01that01was01amputated.01Which01of01the01following01should01the01nurse01ta
ke01to01treat01the01client's01neuropathic01pain.01-01answer--Administer01a01beta-
blocking01medication01to01the01client
A01nurse01is01assessing01a01client01who01has01fibromyalgia.01Which01of01the01following01
treatment01modality01prescriptions01should01the01nurse01expect01for01the01client's01mixe
d01pain.01-01answer--Pregabalin01PO01twice01daily
A01nurse01is01planning01the01menu01for01a01client01who01practices01Seventh-
day01Adventist.01Which01of01the01following01food01selections01should01the01nurse01make
?01-01answer--Scrambled01eggs
A01nurse01Is01providing01teaching01to01a01client01who01has01chronic01fatigue01syndrome.
01Which01of01the01following01statements01should01the01nurse01make.01-01answer--
Take01NSAIDs01for01body01aches01and01pains
A01nurse01is01using01therapeutic01communication01to01attempt01deescalation01with01a01cl
ient01who01is01yelling01at01staff01members.01Which01of01the01following01statements01sho
uld01the01nurse01make01-01answer--
Tell01me01what01is01causing01your01anger01at01this01moment
A01home01health01nurse01manager01is01assisting01in01the01implementation01of01an01elect
ronic01medical01record01(EMR)01system01for01client01care.01Which01of01the01following01a
ctions01should01the01nurse01manager01take01to01promote01interoperability?01-01answer--
Recommend01a01single01coding01system01for01each01department01to01use.
, A01nurse01is01planning01care01for01a01client01who01has01breast01cancer01and01is01schedu
led01for01chemotherapy.01The01client01reports01experiencing01chemothaerapy-
induced01nausea01and01vomiting01(CINV)01during01her01previous01round01of01treatment.0
1Which01of01the01following01interventions01should01the01nurse01include01in01the01clients01
plan01of01care?01-01answer--
Administer01ondansetron01to01the01client01prior01to01chemotherapy01administration
A01nurse01is01teaching01a01client01about01strategies01to01prevent01recurrent01constipatio
n.01Which01of01the01following01instruction01should01the01nurse01include?01-01answer--
Perform01moderate01exercise01daily
Add01more01whole01grains01to01your01diet
Increase01your01fluid01intake
A01nurse01is01documenting01an01assessment01in01a01clients01electronic01health01record01
when01an01assistive01personnel01(AP)01asks01to01enter01the01morning01blood01glucose01f
or01the01client.01Which01of01the01following01actions01should01the01nurse01take.01-
01answer--Request01the01AP01use01another01computer01to01enter01the01data.
A01nurse01is01performing01a01focused01assessment01on01a01client01who01has01chronic01p
ain01due01to01fibromyalgia.01Which01of01the01following01questions01should01the01nurse01a
sk01to01assess01the01quality01of01the01client's01pain?01-01answer--
Can01you01describe01what01the01pain01feels01like?
A01nurse01is01preparing01to01leave01the01room01of01a01client01who01is01on01isolation01pre
cautions.01Which01of01the01following01actions01should01the01nurse01take01when01removin
g01a01tied01surgical01mask?01-01answer--
Remove01the01mask01by01securely01holding01the01ties01and01moving01it01away01from01th
e01face
A01nurse01is01assessing01for01acute01pain01in01a01client01who01is01postoperative.01The01c
lient01has01dementia01and01is01nonverbal.01Which01of01the01following01fundings01should0
1the01nurse01identify01as01a01need01for01administration01of01a01PRN01pain01medication?
01-01answer--rapid01breathing
A01nurse01is01administering01ophthalmic01solution01to01a01client01who01has01bacterial01c
onjunctivitis.01Which01of01the01following01actions01should01the01nurse01take01-01answer--
Have01the01client01lie01supine.
A01nurse01is01preparing01a01client01for01an01elective01vaginal01hysterectomy01when01the0
1client01states,01"My01doctor01said01there01are01more01conservative01ways01to01treat01my
01problem.01I01realize01now01that01I01don't01want01this01surgery,01but01I01already01signed0
1that01consent01form."01Which01of01the01following01responses01should01the01nurse01mak
e?01-
01answer--"You01have01the01right01to01refuse01this01and01any01other01procedure,01even01
after01you01have01signed01the01consent01form."
