ATI RN Concept - Based Assessment Level 4 Online Practice A Questions with
Verified Answers
A nurse is teaching a client who has been newly diag-
nosed with systemic lupus erythematosus (SLE). Which
"I should inspect my skin daily for cuts and rashes"
statement by the client indicates an understanding of the
teaching?
Instruct the client to perform range-of-motion exercises
A nurse is caring for a client who has Parkinson's disease.
- The nurse should instruct the client to perform stretching
Which of the following actions should the nurse take to
and range-of-motion exercises to promote mobility. exer-
promote the client's mobility?
cising and walking help to delay the progression of the
disease.
Pulmonary Congestion
A nurse is caring for a client who has had a myocardial in-
farction and suspects cardiogenic shock. The nurse should
-Pulmonary congestion is a result of decreased cardiac
monitor for which of the following manifestations?
output due to damage to the cardiac muscle
A nurse is assessing a client who has a DNR order and has
stopped breathing. The family asks the nurse to resusci- Respect the client's preferences.
tate the client. Which action should the nurse take?
A nurse manager is teaching a group of nurses about
Sets standards for hazardous exposures in the workplace.
OSHA. What information should the nurse include?
Possible reasons for the medication errors.
A nurse manager identifies that the number of client med- - ------------------------------------- The nurse
ication administration errors on the unit has increased. manager should identify and include possible reasons
When creating a cause-and-ettect chart, which of the fol- for the occurrence of medication errors when creating a
lowing information should the nurse manger include? cause and ettect chart. This data assists in the prevention
of future medication errors.
involve statt nurses in budge planning.
A nurse manager notices that he has exceeded the
amount of money allocated for labor costs for the quarter.
-this promotes awareness of the costs of staflng a unit and
Which action should the nurse manager take?
encourages cost-ettective care.
,ATI RN Concept - Based Assessment Level 4 Online Practice A Questions with
Verified Answers
A nurse is providing teaching to a client who has a halo "Avoid leaning forward when attempting to stand."
device applied to prevent further cervical spinal cord injury
following a diving accident. What info should the nurse -the weight of the halo device can alter balance. leaning
include? forward could cause the client to fall.
A nurse is working on an interprofessional collaboration
plan of care for a client who has a stage 3 pressure ulcer.
Administer pain medication
Which action should the nurse recognize as the. role of
the licensed practical nurse (LPN)?
A nurse manager is facilitating conflict resolution between Otter self to constructively facilitate communication.
two nurses who disagree about the need to make a refer-
ral to a social worker. Which conflict management strate- -The nurse manager will be the impartial third party in this
gies should the nurse manager use? communication
The charge nurse
A nurse is having a disagreement with a coworker about a
client assignment. When following the chain of command, - When following the chain of command, the nurse should
which of the following individuals should the nurse con- communicate with his immediate supervisor about any
tact to discuss the conflict? questions and concerns he has, including a conflict with
a coworkers.
A client who is exhibiting manifestations of shock.
A triage nurse is prioritizing clients following a mass ca-
sualty disaster. Which of the following clients should the
-a client exhibiting manifestations of shock requires im-
nurse treat first?
mediate intervention for survival.
Monitor the client's WBC.
A nurse is caring for a client who has a partial-thickness
burn and a prescription for a silver sulfadiazine cream.
-A drop in the WBC count can be an indication of an
Which intervention should the nurse take?
allergic reaction to the silver sulfadiazine cream
1) Cleanse the client's skin and allow it to dry
A nurse is preparing to administer nitroglycerin topical 2) Apply a thin layer of medication ointment to the dosing
ointment to a client who had a myocardial infarction. paper.
3) Spread the medication over a 6.4 by 8.9 cm area of skin
, ATI RN Concept - Based Assessment Level 4 Online Practice A Questions with
Verified Answers
Which action should the nurse plan to take? (move steps 4) Cover the medication site with plastic wrap
in order) 5) Remove the medication in 6 hr.
Administering heparin to a client who is undergoing a
lumbar puncture.
A nurse manager is teaching a group of nurses about
professional negligence. Which of the following situations A nurse who administers heparin to client who is under-
should the nurse manager include as an example? going a lumbar puncture is an example of negligence. An-
ticoagulant medication can cause bleeding in the lumbar
area
A nurse is teaching a client who has deep-vein thrombo- An increase in nosebleeds
sis and is receiving heparin injections. The nurse should
instruct the client to report which of the following mani- -increase in nosebleeds or bruising can be indications of
festations as an adverse ettect of this medication? a hemorrhage, which is an adverse ettect of heparin
A community health nurse is teaching a newly licensed Outpatient counseling clinic
nurse about the types of psychiatric health care settings
available in the community. Which should the nurse iden- -primary care setting clinics provide strategies for clients
tify as a primary care setting? to prevent or delay mental health issues
Failure to identify an infiltrated IV
- ------------------------------------------ The nurse
A nurse manager is informed that the family of a client is
manager should identify that failure to provide reasonable
preparing to file a malpractice lawsuit. The nurse should
care, such as identifying IV infiltration, can contribute to
identify which of the following situations as potential mal-
malpractice. The nurse should provide care that a rea-
practice?
sonably prudent nurse would provide under the same
circumstances.
Older Adults
A community health nurse is planning a public health
presentation aimed at minimizing health care disparities.
- Evidence-based practice indicates that the nurse should
Which of the following age groups should the nurse iden-
target older adults because this age group has the lowest
tify as the priority for increasing health literacy?
level of health literacy compared to other groups.
Verified Answers
A nurse is teaching a client who has been newly diag-
nosed with systemic lupus erythematosus (SLE). Which
"I should inspect my skin daily for cuts and rashes"
statement by the client indicates an understanding of the
teaching?
Instruct the client to perform range-of-motion exercises
A nurse is caring for a client who has Parkinson's disease.
- The nurse should instruct the client to perform stretching
Which of the following actions should the nurse take to
and range-of-motion exercises to promote mobility. exer-
promote the client's mobility?
cising and walking help to delay the progression of the
disease.
Pulmonary Congestion
A nurse is caring for a client who has had a myocardial in-
farction and suspects cardiogenic shock. The nurse should
-Pulmonary congestion is a result of decreased cardiac
monitor for which of the following manifestations?
output due to damage to the cardiac muscle
A nurse is assessing a client who has a DNR order and has
stopped breathing. The family asks the nurse to resusci- Respect the client's preferences.
tate the client. Which action should the nurse take?
A nurse manager is teaching a group of nurses about
Sets standards for hazardous exposures in the workplace.
OSHA. What information should the nurse include?
Possible reasons for the medication errors.
A nurse manager identifies that the number of client med- - ------------------------------------- The nurse
ication administration errors on the unit has increased. manager should identify and include possible reasons
When creating a cause-and-ettect chart, which of the fol- for the occurrence of medication errors when creating a
lowing information should the nurse manger include? cause and ettect chart. This data assists in the prevention
of future medication errors.
involve statt nurses in budge planning.
A nurse manager notices that he has exceeded the
amount of money allocated for labor costs for the quarter.
-this promotes awareness of the costs of staflng a unit and
Which action should the nurse manager take?
encourages cost-ettective care.
,ATI RN Concept - Based Assessment Level 4 Online Practice A Questions with
Verified Answers
A nurse is providing teaching to a client who has a halo "Avoid leaning forward when attempting to stand."
device applied to prevent further cervical spinal cord injury
following a diving accident. What info should the nurse -the weight of the halo device can alter balance. leaning
include? forward could cause the client to fall.
A nurse is working on an interprofessional collaboration
plan of care for a client who has a stage 3 pressure ulcer.
Administer pain medication
Which action should the nurse recognize as the. role of
the licensed practical nurse (LPN)?
A nurse manager is facilitating conflict resolution between Otter self to constructively facilitate communication.
two nurses who disagree about the need to make a refer-
ral to a social worker. Which conflict management strate- -The nurse manager will be the impartial third party in this
gies should the nurse manager use? communication
The charge nurse
A nurse is having a disagreement with a coworker about a
client assignment. When following the chain of command, - When following the chain of command, the nurse should
which of the following individuals should the nurse con- communicate with his immediate supervisor about any
tact to discuss the conflict? questions and concerns he has, including a conflict with
a coworkers.
A client who is exhibiting manifestations of shock.
A triage nurse is prioritizing clients following a mass ca-
sualty disaster. Which of the following clients should the
-a client exhibiting manifestations of shock requires im-
nurse treat first?
mediate intervention for survival.
Monitor the client's WBC.
A nurse is caring for a client who has a partial-thickness
burn and a prescription for a silver sulfadiazine cream.
-A drop in the WBC count can be an indication of an
Which intervention should the nurse take?
allergic reaction to the silver sulfadiazine cream
1) Cleanse the client's skin and allow it to dry
A nurse is preparing to administer nitroglycerin topical 2) Apply a thin layer of medication ointment to the dosing
ointment to a client who had a myocardial infarction. paper.
3) Spread the medication over a 6.4 by 8.9 cm area of skin
, ATI RN Concept - Based Assessment Level 4 Online Practice A Questions with
Verified Answers
Which action should the nurse plan to take? (move steps 4) Cover the medication site with plastic wrap
in order) 5) Remove the medication in 6 hr.
Administering heparin to a client who is undergoing a
lumbar puncture.
A nurse manager is teaching a group of nurses about
professional negligence. Which of the following situations A nurse who administers heparin to client who is under-
should the nurse manager include as an example? going a lumbar puncture is an example of negligence. An-
ticoagulant medication can cause bleeding in the lumbar
area
A nurse is teaching a client who has deep-vein thrombo- An increase in nosebleeds
sis and is receiving heparin injections. The nurse should
instruct the client to report which of the following mani- -increase in nosebleeds or bruising can be indications of
festations as an adverse ettect of this medication? a hemorrhage, which is an adverse ettect of heparin
A community health nurse is teaching a newly licensed Outpatient counseling clinic
nurse about the types of psychiatric health care settings
available in the community. Which should the nurse iden- -primary care setting clinics provide strategies for clients
tify as a primary care setting? to prevent or delay mental health issues
Failure to identify an infiltrated IV
- ------------------------------------------ The nurse
A nurse manager is informed that the family of a client is
manager should identify that failure to provide reasonable
preparing to file a malpractice lawsuit. The nurse should
care, such as identifying IV infiltration, can contribute to
identify which of the following situations as potential mal-
malpractice. The nurse should provide care that a rea-
practice?
sonably prudent nurse would provide under the same
circumstances.
Older Adults
A community health nurse is planning a public health
presentation aimed at minimizing health care disparities.
- Evidence-based practice indicates that the nurse should
Which of the following age groups should the nurse iden-
target older adults because this age group has the lowest
tify as the priority for increasing health literacy?
level of health literacy compared to other groups.
