1. A nurse is reviewing the medical record of a client prior to medication admin-
istration. Which of the following actions should the nurse plan to take?: Instruct
the client to refrain from taking St. John's wort.
2. A nurse is preparing an in-service on different types of pain. Which of the
following information should the nurse plan to include as a characteristic of
acute pain?: It is part of the bodies attempt to protect itself.
3. A nurse is documenting information on a clients medical record. Which of the
following injuries should the nurse make?: Client reports no pain while ambulating in the hallway.
4. A charge nurse is providing an educational session to a group of newly
licensed nurses about the purpose of the national patient safety goals. Which
of the following objectives should the nurse include as a component of the
national patient safety goals?: Decrease error related to invasive procedures.
5. A nurse is caring for a client who has a history of depressive disorder. The
client states, "it feels pointless to get up in the morning." Which of the following
responses should the nurse make?: It sounds as if life seems meaningless to you now.
6. A nurse is administering a liquid oral medication from a multi does bottle to a
client. The nurse calculate that the dose is to be administered as for ML. Which
of the following actions should the nurse take?: Labeled the medication after measuring the
dosage.
7. A nurse is teaching a group of Parents and guardians about identifying
substance use disorder among adolescents. Which of the following adolescent
behaviors should the nurse include as a possible indication of substance use
disorder?: Wearing dark glasses indoors
8. A community health nurse is teaching a group of older adult client at a senior
center. Which of the following factors should the nurse include as an age relat-
ed change the increases the risk for constipation an older adult clients?: Delayed
gastric emptying.
9. A nurse is disgusting informed consent with a group of newly licensed nurses.
Which of the following actions is the responsibility of the nurse when obtaining
informed consent?: Verify that the client voluntarily gave consent for the procedure
, RN Concept-Based Assessment Level 1 Practice B Questions and Answers
10. A nurse is providing handoff report on a client. Which of the following
information should the nurse include in the report?: The client is scheduled for a chest x-ray
on the next shift.
11. A nurse is teaching a newly licensed nurse about the patient self-determina-
tion act PDS a. Which of the following actions should the nurse include as an
example of PSD a compliant?: Informing clients they can decline any treatment the provider prescribes.
12. A nurse is planning to teach a class about standard precautions and prevent-
ing punch her injuries. Which of the following information should the nurse
include in the plan?: Recap needles using the one hand it's good method.
13. A nurse is assessing a client who has a rash on their hands and forearms after
working in the garden. The nurse should identify that which of the following
findings indicate contact dermatitis?: Well defined margins in the erythematous area.
14. A nurse is teaching a client who has chronic fatigue syndrome. Which of the
following statements should the nurse include?: Reduce stress by taking tai chi classes.
15. A nurse is caring for a client who has a recent diagnosis of iron deficiency.
The client asked the nurse for food suggestions to increase iron in their diet.
Which of the following foods should the nurse recommend?: Raisins.
16. A nurse is initiating droplet precautions for a newly admitted client. Which
of the following actions should the nurse take? (Select all. that apply).: Place the
patient in a private room. Ensure the client wears a face mask for transport to x-ray.
17. A nurse is reviewing the advance directives of a client who is being sustained
on life-support. The Family disagrees Regarding the continuation of life support
measures. Which of the following individuals should the nurse identify as
having the legal ability to determine the clients course of treatment?: The clients
younger child, who is the clients health care proxy.
18. A nurse is caring for a client who has a pressure ulcer and a prescription for a
culture to evaluate the effect of anabiotic therapy on one healing. Which of the
following actions should the nurse take first when obtaining the culture?: Remove
dressings covering the wound.
19. A nurse is assessing a 10 month old infant who has a urinary tract infection
(UTI). Which of the following things should a nurse expect?: Decreased appetite.