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