ATI RN Level 3 Concept-Based Assessment |
Actual Exam Questions & Answers, Rationales &
Mastery Guide| The most tested Questions
Graded A+ |Newest Version!!!!
A nurse is providing family planning education for a client who
wishes to conceive. The client brings her calendar to the
appointment with her days of menses circled. The nurse should
identify that ovulation is expected to occur on which of the following
calendar dates?
CORRECT ANSWER:
Ovulation occurs 13-15 days after day one of menses.
A nurse in an acute care mental health facility is planning care for a
client who has bipolar disorder and who is experiencing acute
mania. Which of the following actions should the nurse plan to take?
CORRECT ANSWER:
Provide the client with finger foods to eat.
A nurse is caring for an infant who has Tetralogy of Fallot. The nurse
notes that the infant exhibits a sudden onset of cyanosis and is
hyperpneic. Which of the following actions should the nurse take?
CORRECT ANSWER:
Place the infant in a knee-chest position.
A nurse is providing discharge teaching to a client following gastric
bypass surgery for management of obesity. Which of the following
client statements indicates an understanding of the teaching?
CORRECT ANSWER:
,"I will remain in a reclining position for 30 minutes after I eat."
A nurse is teaching a client who has genital herpes simplex virus.
Which of the following statements should the nurse include in the
teaching about this sexually transmitted infection?
CORRECT ANSWER:
"You should cleanse the lesions with a saline solution twice each
day."
A nurse is caring for a client who has a terminal illness and is
approaching death. Which of the following actions should the nurse
take?
CORRECT ANSWER:
Apply a thin coating of lip balm to the client's lips.
A nurse in an emergency department is assessing a client who was
in a motor-vehicle crash. The client has a blood alcohol
concentration of 0.18% and states, "I would never drink and drive."
The nurse should identify that the client is demonstrating use of
which of the following defense mechanisms?
CORRECT ANSWER:
Denial
A nurse is caring for a newly-admitted client who is at 37 weeks
gestation and is experiencing moderate placental abruption. Which
of the following actions should the nurse take?
CORRECT ANSWER:
Insert a large-bore IV catheter.
The nurse should insert a 16- to 18-gauge IV catheter into the client's
brachial artery because fluid volume and blood replacement might
be necessary to correct defects in coagulation.
,A nurse is planning care for a client who has a benign chondroma of
the tibia. Which of the following interventions should the nurse plan
to include?
CORRECT ANSWER:
Palpate for changes in the muscle of the affected extremity.
The nurse should palpate the muscle of the affected extremity to
monitor for changes such as muscle spasm, atrophy, or swelling.
These manifestations indicate enlargement of the tumor
A nurse is caring for a client who is experiencing hypovolemic shock
due to postpartum hemorrhage. After notifying the provider, which
of the following actions should the nurse take next?
CORRECT ANSWER:
Massage the client's fundus.
The greatest risk to the client is hemorrhage. Therefore, the next
action the nurse should take is to massage the client's fundus to
expel clots and promote contractions.
An intensive care nurse is providing education about organ and
tissue donation to the parent of an adolescent who has died
following a motor-vehicle crash. Which of the following responses by
the parent indicates an understanding of the teaching?
CORRECT ANSWER:
"No one will notice the organs were donated if we have an open
casket at the funeral."
A nurse in an emergency department is creating a plan of care for a
client who reports a recent sexual assault. Which of the following
interventions should the nurse plan to include?
CORRECT ANSWER:
, Explain to the client the reason each procedure is conducted.
A community health nurse is assessing an older adult client. Which
of the following situations should the nurse identify as a possible
indication of undue influence?
CORRECT ANSWER:
The client's niece moves into her home to provide care.
Undue influence can occur when an older adult moves into
someone's home, or when someone moves into her home, under the
pretense of providing better care for the client. This allows the
abuser to have access and control to the client at all times, and
makes it easier for the abuser to influence the client's decisions
about medical care, property, and finances.
A nurse is preparing to administer immunizations to a 2-month-old
infant at a well-child visit. Which of the following immunizations
should the nurse plan to administer?
CORRECT ANSWER:
Haemophilus influenza type b (Hib)
This vaccine is administered in a series of three to four doses
starting at 2 months of age.
A nurse is discussing palliative care with the family of a client who is
terminally ill. Which of the following information should the nurse
include?
CORRECT ANSWER:
Palliative care includes a variety of therapies.
A nurse is creating a plan of care for a newborn who has a
myelomeningocele. Which of the following interventions should the
nurse include?
Actual Exam Questions & Answers, Rationales &
Mastery Guide| The most tested Questions
Graded A+ |Newest Version!!!!
A nurse is providing family planning education for a client who
wishes to conceive. The client brings her calendar to the
appointment with her days of menses circled. The nurse should
identify that ovulation is expected to occur on which of the following
calendar dates?
CORRECT ANSWER:
Ovulation occurs 13-15 days after day one of menses.
A nurse in an acute care mental health facility is planning care for a
client who has bipolar disorder and who is experiencing acute
mania. Which of the following actions should the nurse plan to take?
CORRECT ANSWER:
Provide the client with finger foods to eat.
A nurse is caring for an infant who has Tetralogy of Fallot. The nurse
notes that the infant exhibits a sudden onset of cyanosis and is
hyperpneic. Which of the following actions should the nurse take?
CORRECT ANSWER:
Place the infant in a knee-chest position.
A nurse is providing discharge teaching to a client following gastric
bypass surgery for management of obesity. Which of the following
client statements indicates an understanding of the teaching?
CORRECT ANSWER:
,"I will remain in a reclining position for 30 minutes after I eat."
A nurse is teaching a client who has genital herpes simplex virus.
Which of the following statements should the nurse include in the
teaching about this sexually transmitted infection?
CORRECT ANSWER:
"You should cleanse the lesions with a saline solution twice each
day."
A nurse is caring for a client who has a terminal illness and is
approaching death. Which of the following actions should the nurse
take?
CORRECT ANSWER:
Apply a thin coating of lip balm to the client's lips.
A nurse in an emergency department is assessing a client who was
in a motor-vehicle crash. The client has a blood alcohol
concentration of 0.18% and states, "I would never drink and drive."
The nurse should identify that the client is demonstrating use of
which of the following defense mechanisms?
CORRECT ANSWER:
Denial
A nurse is caring for a newly-admitted client who is at 37 weeks
gestation and is experiencing moderate placental abruption. Which
of the following actions should the nurse take?
CORRECT ANSWER:
Insert a large-bore IV catheter.
The nurse should insert a 16- to 18-gauge IV catheter into the client's
brachial artery because fluid volume and blood replacement might
be necessary to correct defects in coagulation.
,A nurse is planning care for a client who has a benign chondroma of
the tibia. Which of the following interventions should the nurse plan
to include?
CORRECT ANSWER:
Palpate for changes in the muscle of the affected extremity.
The nurse should palpate the muscle of the affected extremity to
monitor for changes such as muscle spasm, atrophy, or swelling.
These manifestations indicate enlargement of the tumor
A nurse is caring for a client who is experiencing hypovolemic shock
due to postpartum hemorrhage. After notifying the provider, which
of the following actions should the nurse take next?
CORRECT ANSWER:
Massage the client's fundus.
The greatest risk to the client is hemorrhage. Therefore, the next
action the nurse should take is to massage the client's fundus to
expel clots and promote contractions.
An intensive care nurse is providing education about organ and
tissue donation to the parent of an adolescent who has died
following a motor-vehicle crash. Which of the following responses by
the parent indicates an understanding of the teaching?
CORRECT ANSWER:
"No one will notice the organs were donated if we have an open
casket at the funeral."
A nurse in an emergency department is creating a plan of care for a
client who reports a recent sexual assault. Which of the following
interventions should the nurse plan to include?
CORRECT ANSWER:
, Explain to the client the reason each procedure is conducted.
A community health nurse is assessing an older adult client. Which
of the following situations should the nurse identify as a possible
indication of undue influence?
CORRECT ANSWER:
The client's niece moves into her home to provide care.
Undue influence can occur when an older adult moves into
someone's home, or when someone moves into her home, under the
pretense of providing better care for the client. This allows the
abuser to have access and control to the client at all times, and
makes it easier for the abuser to influence the client's decisions
about medical care, property, and finances.
A nurse is preparing to administer immunizations to a 2-month-old
infant at a well-child visit. Which of the following immunizations
should the nurse plan to administer?
CORRECT ANSWER:
Haemophilus influenza type b (Hib)
This vaccine is administered in a series of three to four doses
starting at 2 months of age.
A nurse is discussing palliative care with the family of a client who is
terminally ill. Which of the following information should the nurse
include?
CORRECT ANSWER:
Palliative care includes a variety of therapies.
A nurse is creating a plan of care for a newborn who has a
myelomeningocele. Which of the following interventions should the
nurse include?
