ATI RN CONCEPT BASED Assessment Exam with Answers 2024

ATI RN CONCEPT BASED Assessment Exam with Answers 2024 ATI RN CONCEPT BASED ASSESSMENT EXAM WITH ANSWERS 2024 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? A) The client should be offered toileting every 2 hours. B) The provider can write restraints on an as-needed basis. C) Children younger than 9 years old can be in mechanical restraints for up to 1 hour. - ANSWER-C) Children younger than 9 years old can be in mechanical restraints for up to 1 hour. A nurse is teaching sleep hygiene to a client who has insomnia. Which of the following statements should the nurse make? A) Get out of bed if you cannot fall asleep in 30 minutes B) Alcoholic beverages should only be consumed as late as mid-evening C) Exercise may tire you out and encourage sleep - ANSWER-A) Get out of bed if you cannot fall asleep in 30 minutes A nurse is assessing a preschooler who has a urinary tract infection (UTI). Which of the following findings should the nurse expect? A) Increased thirst B) Urticaria C) Headache D) Constipation A nurse is planning to use an interpreter in her interactions with a patient. Which of the following statements are correct in regards to using an interpreter? A) Questions should be translated as needed to convey the meaning of the questions, not necessarily word-for-word. B) Ask the patient's partner to act as an interpreter. C) Direct the interview questions to the interpreter. - ANSWER-A) Questions should be translated as needed to convey the meaning of the questions, not necessarily word-for-word. True or False? Recommendations for safe levels of alcohol consumption for a healthy woman include consuming no more than seven drinks in a week. - ANSWER-TRUE True or False? Recommendations for safe levels of alcohol consumption for a healthy man under the age of 65 include consuming no more than seven drinks each day. - ANSWER-FALSE No more than four drinks each day for healthy man under age 65. Which of the following is an example of a therapeutic communication response to depressive or suicidal comments made by the patient? A) disapproving of the negative comments made by the patient B) changing the subject to something more pleasant C) false reassurances to ease their negative feelings D) restating what the patient says - ANSWER-D) restating what the patient says True or False? Sore throat and other flu-like symptoms are expected with chronic fatigue syndrome. - ANSWER-TRUE Which of the following should the nurse recognize as nonverbal indicators of pain? (Select all that apply) A) Slow, steady breathing B) Muscle tension C) Dilated pupils D) Increased sleep time - ANSWER-B, C A patient with Alzheimer's disease is at risk of developing incontinence of urine. A) urge B) functional C) reflex D) transient - ANSWER-B) functional A client who has a T12 spinal cord injury is at risk of urinary incontinence. A) urge B) functional C) reflex D) transient - ANSWER-C) reflex A client who is receiving IV diuretics is at risk of urinary incontinence. A) urge B) functional C) reflex D) transient - ANSWER-D) transient Which of the following statements would be included in the "situation" portion of the SBAR communication tool? A) "The client was admitted this afternoon and is scheduled for surgery in the morning." B) "The client is in need of a perscription for pain medication at this time." C) "The client is a 75-year-old female who has a hip fracture and is reporting pain." D) "The patient is in audible distress and rates her pain as an 8 out of 10." - ANSWER-C) "The client is a 75-year-old female who has a hip fracture and is reporting pain." Diptheria & rubella both require isolation precautions. A) droplet B) airborne C) contact D) protective equipment - ANSWER-A) droplet An N95 respirator mask is provided for health care staff who are caring for clients who require precautions. A) droplet B) contact C) airborne - ANSWER-C) airborne The presence of in the urine is a manifestation of a UTI. (Select all that apply) A) bilirubin B) nitrates C) ketones D) crystals - ANSWER-B, D True or False? Conflict with nursing peers does not require an incident report to be filed. - ANSWER-TRUE unless involved in harm or near-harm done to anyone The nurse should use a medicine cup to measure oral medication volumes that are greater than to reduce the risk for calculation error. A) 1-2mL B) 2-4mL C) 5-10mL - ANSWER-C) 5-10mL In regards to taking telephone orders from a prescriber, the nurse should have the provider cosign the order within hours to reduce the risk for medication error. A) 48 B) 72 C) 12 D) 24 - ANSWER-D) 24 True or False? The fire department should be called before the fire extinguisher is used. - ANSWER-TRUE Peripheral edema and jugular vein distention are manifestations of... A) right sided heart failure B) infection C) systemic mycoses D) sepsis - ANSWER-A) right sided heart failure The nurse should expect to administer which medication for a client who requires preoperative sedation? A) Oxycodone B) Alprazolam C) Sumatriptan D) Midazolam - ANSWER-D) Midazolam A nurse in a provider's office is planning medication teaching for a client who has erectile dysfunction. The nurse should prepare teaching for which of the following medications? A) Sildenafil B) Nitrofurantoin C) Esomeprazole D) Propranolol - ANSWER-A) Sildenafil A nurse in a provider's office is planning medication teaching for a client who has GERD. The nurse should prepare teaching for which of the following medications? A) Sildenafil B) Nitrofurantoin C) Esomeprazole D) Propranolol - ANSWER-C) Esomeprazole True or False? A client who has received opioid analgesics is legally unable to provide informed consent because of the sedative effects of the medication and the impact this has on the client's ability to reason and make judgments. - ANSWER-TRUE A patient with dysphagia should tilt their head to assist in ease of swallowing. A) to the left side B) to the right side C) backward D) forward - ANSWER-D) forward A nurse is planning care to prevent a catheter-related blood stream infection for a client who is receiving IV fluid therapy. Which of the following interventions should the nurse include in the plan? A) Use hydrogen peroxide to cleanse the IV insertion site B) Change bags of IV solution every 24 hrs C) Assess the IV insertion site every 12 hr for redness - ANSWER-B) Change bags of IV solution every 24 hrs The nurse should check the IV site every hr for manifestations of infection at the insertion site. A) 2 B) 4 C) 8 D) 12 - ANSWER-B) 4 The nurse should initiate for clients who are severely immunocompromised, such as clients undergoing stem cell transplantation. This includes a private room with positive airflow. A) airborne precautions B) droplet precautions C) a protective environment D) contact precautions - ANSWER-C) a protective environment The nurse should limit the volume to mL when injecting into the deltoid muscle. A) 0.5 - 1 B) 1 - 2 C) 3 - ANSWER-A) 0.5 - 1 is a beta blocker that is prescribed for the treatment of certain cardiovascular disorders, such as angina, arrhythmias, and hypertension. A) Propranolol B) Esomeprazole C) Nitrofurantoin D) Sildenafil - ANSWER-A) Propranolol True or False? Hot foods can worsen nausea. Serving foods at room temperature can make them more palatable. - ANSWER-TRUE An adolescent who is is considered emancipated and is legally able to provide informed consent. (Select all that apply) A) married/divorced B) serving in the military C) widowed D) mature enough - ANSWER-A, B, C The nurse should identify that which of the following clients are at risk for rheumatic carditis: A) Client with a history of long-term aspirin use B) Client with a history of a ulcerative colitis C) Client with history of group A beta-hemolytic Streptococci infection D) Client with sedentary lifestyle - ANSWER-C) Client with history of group A beta-hemolytic Streptococci infection A nurse is teaching about applying National Patient Safety Goals when taking a verbal prescription for a patient. Which of the following instructions should the nurse include? A) Have the provider cosign the prescription within 48 hr. B) Write the abbreviation "TO" or "VO" next to the prescription. C) Allow nursing students to take verbal prescriptions. - ANSWER-B) Write the abbreviation "TO" or "VO" next to the prescription. The nurse should identify that many clients who practice the Islamic faith gather for group worship on . A) Thursdays B) Sundays C) Saturdays D) Fridays - ANSWER-D) Fridays The nurse should identify that a client who has is at risk for a bowel obstruction. A) History of a high-fiber diet B) Type 1 DM C) History of GERD D) History of an inguinal hernia - ANSWER-D) History of an inguinal hernia is the principle of relaying truthful information to the client. A) Fidelity B) Veracity C) Advocacy D) Nonmaleficence - ANSWER-B) Veracity The nurse should expect a client who has a urinary catheter-acquired infection to manifest... A) abdominal distention B) increased fremitus C) bradycardia D) suprapubic tenderness - ANSWER-D) suprapubic tenderness The nurse should expect to administer to a client who is experiencing anxiety. A) alprazolam B) sumatriptan C) midazolam D) oxycodone - ANSWER-A) alprazolam True or False? Depending on the manifestations, treatment for phantom limb pain includes beta-blockers, antiepileptics, antispasmodics, or antidepressants. - ANSWER-TRUE True or False? The nurse should instruct patients to not leave toddlers alone for more than 5 minutes in the bathtub to prevent drowning. - ANSWER-FALSE The nurse should teach parents and guardians of toddlers to supervise their children at all times in a bathtub or swimming pool to prevent drowning. Hepatitis B, and hepatitis C are transmitted via... A) respiratory route B) contaminated stool C) blood & bodily secretions - ANSWER-C) blood & bodily secretions Which of the following statements is true regarding the use of nicotine gum in smoking cessation? A) The client should not use nicotine gum longer than a total of 6 months. B) The client should chew nicotine gum on a regular schedule, every 2 to 3 hr, rather than PRN. C) The client should not eat or drink anything for 15 min before chewing the gum. D) All the above - ANSWER-D) All the above A nurse is preparing to instill ear drops to a 3-year-old child. Which of the following techniques is correct? A) Pull the auricle down and back. B) Pull the auricle down and out. C) Pull the auricle up and back. D) Pull the auricle up and out. - ANSWER-A) Pull the auricle down and back. This is the correct technique used for infants and young children under the age of 4. A nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse take? A) Hold the dropper 2 cm (1 in) above the naris. B) Assist the client to a side-lying position. C) Instruct the client to stay in the same position for 2 min. D) Tell the client to blow her nose gently before the instillation. - ANSWER-D) Tell the client to blow her nose gently before the instillation. True or False? The major adverse effect of calcium carbonate is constipation. The nurse should recommend the client increase bulk in the diet. - ANSWER- TRUE