RNSG 1430| RN Concept-Based Assessment Level 1
RNSG 1430 RN Concept-Based Assessment Level 1 Online
Practice A 2020 – San Antonio College
1. A nurse is admitting a client who has pulmonary tuberculosis. Which of the
following transmission-based precautions should the nurse initiate?
Airborne
Rationale: Pulmonary tuberculosis is an infection that is transmitted by
airborne droplets smaller than 5 microns in diameter. Therefore, this client
requires airborne precautions to prevent communicating this infection to
others
2. 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 a mechanical restraint for up to 4 hours
Rational: The nurse should specify that a client who is 18 years or older may be
in a restraint for no more than 4 hr. Children who are 9 to 17 years old are
limited to 2 hr and children who are younger than 9 years old are limited to 1 hr
Page 1 of 74
, RNSG 1430| RN Concept-Based Assessment Level 1
3. 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 arising
Page 2 of 74
, RNSG 1430| RN Concept-Based Assessment Level 1
Rationale: Daily exercise has many benefits, including enhancing
cardiovascular, psychological, and musculoskeletal health. The nurse should
recommend that the client avoid exercising within 2 hr of bedtime to limit
stimulation and enhance sleep
4. 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 tied
surgical mask?
Remove the mask by securely holding the ties and moving it away from the face
Rationale: The nurse should untie the bottom strings and then the top strings.
Finally, while still holding the strings, the nurse should remove the mask from
her face. This action prevents the nurse from touching the front of the mask,
which is contaminated
5. A nurse is caring for an adolescent client who is in critical condition following a motor
vehicle crash in which he was the passenger. The client's 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
Page 3 of 74
, RNSG 1430| RN Concept-Based Assessment Level 1
Rationale: The nurse should identify that the parent is in the anger stage of
grief. The nurse should assist the parent to understand that anger is a natural
response to loss and encourage her to talk about her feelings
Page 4 of 74
RNSG 1430 RN Concept-Based Assessment Level 1 Online
Practice A 2020 – San Antonio College
1. A nurse is admitting a client who has pulmonary tuberculosis. Which of the
following transmission-based precautions should the nurse initiate?
Airborne
Rationale: Pulmonary tuberculosis is an infection that is transmitted by
airborne droplets smaller than 5 microns in diameter. Therefore, this client
requires airborne precautions to prevent communicating this infection to
others
2. 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 a mechanical restraint for up to 4 hours
Rational: The nurse should specify that a client who is 18 years or older may be
in a restraint for no more than 4 hr. Children who are 9 to 17 years old are
limited to 2 hr and children who are younger than 9 years old are limited to 1 hr
Page 1 of 74
, RNSG 1430| RN Concept-Based Assessment Level 1
3. 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 arising
Page 2 of 74
, RNSG 1430| RN Concept-Based Assessment Level 1
Rationale: Daily exercise has many benefits, including enhancing
cardiovascular, psychological, and musculoskeletal health. The nurse should
recommend that the client avoid exercising within 2 hr of bedtime to limit
stimulation and enhance sleep
4. 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 tied
surgical mask?
Remove the mask by securely holding the ties and moving it away from the face
Rationale: The nurse should untie the bottom strings and then the top strings.
Finally, while still holding the strings, the nurse should remove the mask from
her face. This action prevents the nurse from touching the front of the mask,
which is contaminated
5. A nurse is caring for an adolescent client who is in critical condition following a motor
vehicle crash in which he was the passenger. The client's 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
Page 3 of 74
, RNSG 1430| RN Concept-Based Assessment Level 1
Rationale: The nurse should identify that the parent is in the anger stage of
grief. The nurse should assist the parent to understand that anger is a natural
response to loss and encourage her to talk about her feelings
Page 4 of 74
