RN ATI concept-based assessment, proctored exam for
level 1 Test Bank.
(Includes Rationales towards the last few pages & deeply
explained)
A nurse is admitting a client who has pulmonary tuberculosis which of the following
transmission based precautions should the nurse initiate
- Airborne
A nurse in a mental health facility is preparing an educational program for a group of
staff nurses about the proper use of restraints which of the following information should
the nurse plan to include
- An adult client may be in mechanical restraint for up to four hours
A nurse is teaching sleep hygiene to a client who has insomnia which of the following
statements should the nurse make
- Exercise in the morning after araising
A nurse is preparing to leave the room of a client who is on isolation precautions which
of the following actions should the nurse take when removing a tight surgical Mask
- Remove the mask by securely holding the ties and moving it away from the face
A nurse is caring for an adolescent client who is in critical condition following a motor
vehicle crash in which he was a passenger. the clients parent Shouts at the Nurse asking
why her son is dying instead of the driver which of the following actions should the nurse
take to provide emotional support to the parent
- Inform the parent that anger is a natural response when dealing with loss
A community health nurse is planning prevention strategies for hypertension among
members of our community the nurse should identify that which of the following ethnic
groups in the community is at great risk for developing hypertension
- African Americans
A community health nurse is planning interventions to promote healthy people 2020
initiatives in the community which of the following actions should the nurse plan to take
first
- Determine the level of health equity among groups in the community
,A nurse is reviewing a clients new prescriptions that were just documented in the clients
medical record by the provider which of the following abbreviation should the nurse
clarify with the provider
- Enoxaparin 40 mg sq qd
A nurse is talking with a client who has major depressive disorder the client states
nobody cares if I'm around or not which of the following responses should the nurse night
- It sounds as though you're feeling hopeless
A nurse is preparing to administer a unit of packed red blood cells to a client in adherence
with the joint commission national patient safety goals regarding blood administration
which of the following actions should the nurse plan to take
- Verify the client and blood component using a two person process
The nurse on a medical surgical unit is caring for a group of clients which of the
following clients should the nurse monitor for the development of reflex urinary
incontinence
- A client who has a T 12 spinal cord injury
A nurse is documenting and assessment in a clients electronica health record when an
assistive personnel asked to enter the morning blood glucose by the client which of the
following actions should the nurse take
- Request that AP to use another computer to enter the data
A nurse is preparing to administer acetaminophen 120 mg PO to a toddler Available is
acetaminophen drops 80 mg/0.8 ML. How many ML Should the nurse administer?
Round to nearest tenth
- 1.2ml
A nurse is preparing to administer 0.9% sodium chloride 1000 ML over eight hours IV to
a client the nurse should say the infusion infusion pump to deliver how many ML per
hour round the answer to the nearest whole number
- 125ml/hr
A nurse is providing teaching about nutrition management to the parent of an 18 month
old toddler who has phenylketonuria which of the following foods should the nurse
recommend
- Baked potato
,A nurse is preparing to extinguish a small fire in a clients room which of the following
actions should the nurse take when using a fire extinguisher
- Slide the pin on top of the fire extinguisher to allow for use to extinguish the fire
A nurse is planning meals for a client who practices Judaism and reports that she strictly
adhere's to Orthodox dietary laws the nurse should recognize that which of the following
dietary practices applies to the clients beliefs
- The client is permitted to eat fish That have scales
A nurse is caring for a client who has CDF infection and is incontinent of stool following
long-term antibiotic therapy. Which of the following actions should the nurse take?
- Wear a gown when providing care for the client
A nurse is planning the menu for a client who practices seventh day Adventism which of
the following food selections should the nurse make
- Scrambled eggs
A nurse in a long-term facility discovers a small fire in a clients trashcan after moving the
client to safety which of the following actions should the nurse take next
- Pull the alarm to notify emergency services
A community health nurse is developing brochure about the use of smokeless tobacco
which of the following information should the nurse plan to include
- Smokeless tobacco provide a higher dose of nicotine than cigarettes
A nurse is preparing to administer three medications to a client who has an NG tube a
levothyroxine tablet and ibuprofen gel cap and a delayed release omeprazole capsule
which of the following actions should the nurse take
- Chrush the levo thyroxine tablet into a powder and dissolve it in 30 ML's of of warm
sterile water
A nurse is caring for a child who has contact dermatitis due to poison ivy the parent asked
the nurse how to prevent further reactions which of the following responses should the
nurse make
- Wash your child's exposed clothing with hot water and detergent
A nurse is planning care for a client who has an indwelling urinary catheter which of the
following interventions should the nurse include in the plan to prevent the development
of a catheter associated urinary tract infection
Secure the catheter tubing to the clients leg
, A nurse in a long-term care facility is admitting a new client following a brief stay in
acute care in adherence with the joint commission national patient safety goals regarding
medication administration which of the following actions should the nurse take
- Compare a list of the clients current medications with the ones he will take in long-term
care
A nurse is creating a plan of care for a client who is non-ambulatory and has bladder and
bowel incontinence which of the following interventions should the nurse include to
prevent skin breakdown
- Offered the client a glass of water every two hours when repositioning
A home health nurse is providing teaching to the parent of a child who is receiving
chemotherapy and experiencing nausea which of the following statements shit the nurse
make
- Have your child rest with his head elevated after meals
A nurse is caring for a client who has cancer and is planning discharge to home with
hospice care which of the following statements by the client indicates that he is
experiencing spiritual distress
- I wish God had not allowed this cancer to invade my body
A nurse is beginning nutrition counseling with a client who has a BMI of 34.2 which of
the following questions should the nurse asked first to address the clients excessive
nutrition and obesity
- Are you ready to make a lifelong commitment to a healthier lifestyle
A nurse is administering Enoxaparin subcutaneously to a client who is post operative and
is at risk of thromboembolic event which of the following actions should the nurse take
- Pull up a small amount of skin using the thumb and forefinger of the non-dominant
hand
A nurse is searching electronic data bases for clinical research about behavioral indicators
of pain in an infant which of the following online sources should the nurse late to
research this infant care issue
- Cumulative index to nursing and allied health literature
A nurse is planning to use an interpreter to assist her when interviewing a client who does
not speak the same language as the nurse which of the following actions should the nurse
plan to take
level 1 Test Bank.
(Includes Rationales towards the last few pages & deeply
explained)
A nurse is admitting a client who has pulmonary tuberculosis which of the following
transmission based precautions should the nurse initiate
- Airborne
A nurse in a mental health facility is preparing an educational program for a group of
staff nurses about the proper use of restraints which of the following information should
the nurse plan to include
- An adult client may be in mechanical restraint for up to four hours
A nurse is teaching sleep hygiene to a client who has insomnia which of the following
statements should the nurse make
- Exercise in the morning after araising
A nurse is preparing to leave the room of a client who is on isolation precautions which
of the following actions should the nurse take when removing a tight surgical Mask
- Remove the mask by securely holding the ties and moving it away from the face
A nurse is caring for an adolescent client who is in critical condition following a motor
vehicle crash in which he was a passenger. the clients parent Shouts at the Nurse asking
why her son is dying instead of the driver which of the following actions should the nurse
take to provide emotional support to the parent
- Inform the parent that anger is a natural response when dealing with loss
A community health nurse is planning prevention strategies for hypertension among
members of our community the nurse should identify that which of the following ethnic
groups in the community is at great risk for developing hypertension
- African Americans
A community health nurse is planning interventions to promote healthy people 2020
initiatives in the community which of the following actions should the nurse plan to take
first
- Determine the level of health equity among groups in the community
,A nurse is reviewing a clients new prescriptions that were just documented in the clients
medical record by the provider which of the following abbreviation should the nurse
clarify with the provider
- Enoxaparin 40 mg sq qd
A nurse is talking with a client who has major depressive disorder the client states
nobody cares if I'm around or not which of the following responses should the nurse night
- It sounds as though you're feeling hopeless
A nurse is preparing to administer a unit of packed red blood cells to a client in adherence
with the joint commission national patient safety goals regarding blood administration
which of the following actions should the nurse plan to take
- Verify the client and blood component using a two person process
The nurse on a medical surgical unit is caring for a group of clients which of the
following clients should the nurse monitor for the development of reflex urinary
incontinence
- A client who has a T 12 spinal cord injury
A nurse is documenting and assessment in a clients electronica health record when an
assistive personnel asked to enter the morning blood glucose by the client which of the
following actions should the nurse take
- Request that AP to use another computer to enter the data
A nurse is preparing to administer acetaminophen 120 mg PO to a toddler Available is
acetaminophen drops 80 mg/0.8 ML. How many ML Should the nurse administer?
Round to nearest tenth
- 1.2ml
A nurse is preparing to administer 0.9% sodium chloride 1000 ML over eight hours IV to
a client the nurse should say the infusion infusion pump to deliver how many ML per
hour round the answer to the nearest whole number
- 125ml/hr
A nurse is providing teaching about nutrition management to the parent of an 18 month
old toddler who has phenylketonuria which of the following foods should the nurse
recommend
- Baked potato
,A nurse is preparing to extinguish a small fire in a clients room which of the following
actions should the nurse take when using a fire extinguisher
- Slide the pin on top of the fire extinguisher to allow for use to extinguish the fire
A nurse is planning meals for a client who practices Judaism and reports that she strictly
adhere's to Orthodox dietary laws the nurse should recognize that which of the following
dietary practices applies to the clients beliefs
- The client is permitted to eat fish That have scales
A nurse is caring for a client who has CDF infection and is incontinent of stool following
long-term antibiotic therapy. Which of the following actions should the nurse take?
- Wear a gown when providing care for the client
A nurse is planning the menu for a client who practices seventh day Adventism which of
the following food selections should the nurse make
- Scrambled eggs
A nurse in a long-term facility discovers a small fire in a clients trashcan after moving the
client to safety which of the following actions should the nurse take next
- Pull the alarm to notify emergency services
A community health nurse is developing brochure about the use of smokeless tobacco
which of the following information should the nurse plan to include
- Smokeless tobacco provide a higher dose of nicotine than cigarettes
A nurse is preparing to administer three medications to a client who has an NG tube a
levothyroxine tablet and ibuprofen gel cap and a delayed release omeprazole capsule
which of the following actions should the nurse take
- Chrush the levo thyroxine tablet into a powder and dissolve it in 30 ML's of of warm
sterile water
A nurse is caring for a child who has contact dermatitis due to poison ivy the parent asked
the nurse how to prevent further reactions which of the following responses should the
nurse make
- Wash your child's exposed clothing with hot water and detergent
A nurse is planning care for a client who has an indwelling urinary catheter which of the
following interventions should the nurse include in the plan to prevent the development
of a catheter associated urinary tract infection
Secure the catheter tubing to the clients leg
, A nurse in a long-term care facility is admitting a new client following a brief stay in
acute care in adherence with the joint commission national patient safety goals regarding
medication administration which of the following actions should the nurse take
- Compare a list of the clients current medications with the ones he will take in long-term
care
A nurse is creating a plan of care for a client who is non-ambulatory and has bladder and
bowel incontinence which of the following interventions should the nurse include to
prevent skin breakdown
- Offered the client a glass of water every two hours when repositioning
A home health nurse is providing teaching to the parent of a child who is receiving
chemotherapy and experiencing nausea which of the following statements shit the nurse
make
- Have your child rest with his head elevated after meals
A nurse is caring for a client who has cancer and is planning discharge to home with
hospice care which of the following statements by the client indicates that he is
experiencing spiritual distress
- I wish God had not allowed this cancer to invade my body
A nurse is beginning nutrition counseling with a client who has a BMI of 34.2 which of
the following questions should the nurse asked first to address the clients excessive
nutrition and obesity
- Are you ready to make a lifelong commitment to a healthier lifestyle
A nurse is administering Enoxaparin subcutaneously to a client who is post operative and
is at risk of thromboembolic event which of the following actions should the nurse take
- Pull up a small amount of skin using the thumb and forefinger of the non-dominant
hand
A nurse is searching electronic data bases for clinical research about behavioral indicators
of pain in an infant which of the following online sources should the nurse late to
research this infant care issue
- Cumulative index to nursing and allied health literature
A nurse is planning to use an interpreter to assist her when interviewing a client who does
not speak the same language as the nurse which of the following actions should the nurse
plan to take
