ATI RN Concept Based Assessment Level 1
Terms in this set (100)
A nurse is caring for a client Administer a beta-blocking medication to the client.
who is 2 days postoperative (The nurse should administer a beta-blocking medication
following an above-the- to the client. This classification of medication has been
knee amputation. The client shown to relieve the phantom limb pain manifestations
states he is experiencing a of constant dull and burning type pain.)
dull, burning pain in the leg
that was amputated. Which
of the following actions
should the nurse take to
treat the client's
neuropathic pain?
A newly licensed nurse asks "The state board of nursing can provide this information"
a charge nurse where to (each state develops a nurse practice act, which defines
find information about scope of practice for nurses in that state. This practice
scope of practice for act is available on the board of nursing website for each
registered nurses. Which of state.)
the following responses
should the charge nurse
make?
A nurse is planning care to Perform hand hygiene before touching the IV tubing.
prevent a catheter-related (The nurse should perform thorough hand hygiene
bloodstream infection for a before touching any part of the infusion system or the
client who is receiving IV client to reduce the risk of catheter-related blood
fluid therapy. Which of the stream infections.)
following interventions
should the nurse include in
the plan?
,A nurse is creating a plan of Offer the client a glass of water every two hour when
care for a client who is non- repositioning.
ambulatory and has bladder (The nurse should offer the client a glass of water every
and bowel incontinence. two hours on the clients repositioning schedule. This
Which of the following helps prevent dehydration, which increases the risk of
interventions should the skin breakdown.)
nurse include to prevent
skin breakdown?
"I should expect to feel a firm ridge along the bottom
A nurse is teaching a young
curve of each breast."
adult female client about
(The nurse should instruct the client at a firm ridge is
health screening for breast
expected along the bottom curve of each breast. The
cancer. Which of the
client should be able to feel this area during the BSE.
following statements by the
Performing a BSE promotes breast self awareness so
client indicates an
that the client knows how her breast normally feel. The
understanding of breast
awareness increases the clients ability to identify
self-examination (BSE)?
changes that require further evaluation.)
A nurse is caring for an Inform the parent that anger is a natural response when
adolescent who is in critical dealing with loss.
condition following a motor (The nurse should identify that the parent is in the anger
vehicle crash which he was stage of grief. The nurse should assist the parent to
the passenger. The clients understand that anger is a natural response to loss and
parent shout at the nurse, encourage her to talk about her feelings.)
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?
, "Websites ending in '.gov' are reliable sites for obtaining
A nurse is teaching an older
health information from government agencies."
adult client about accessing
(The nurse should teach the client how to select reliable
electronic resources for
internet websites when researching health care
healthcare information on
information. The nurse should identify that websites
the internet. Which of the
ending in '.gov' and '.edu' are considered reliable and
following statements should
credible sources for health information. Websites ending
the nurse include in the
in '.com' should not be used for researching credible
teaching?
healthcare information.)
A nurse enters a clients Check the client for injuries.
room and finds the client (The first action the nurse should take when using the
lying on the floor. The client nursing process is to assess the client. The nurse should
states that on the way to the first check the client for injuries and measure vital signs
bathroom her "knee to help determine physiologic stability. The nurse should
locked," causing her to fall. also inform the provider of the clients fall and of the
Which of the following assessment findings.)
actions should the nurse
take first?
A nurse is teaching a client "I should use a warm paraffin dip for my hands and feet."
who has rheumatoid (The nurse should instruct the client to dip her hands and
arthritis about chronic pain feet in warm paraffin to alleviate pain and stiffness. The
management. Which of the client can more easily perform hand and finger exercises
following statements by the following the treatment.)
client indicates an
understanding of the
teaching?
Terms in this set (100)
A nurse is caring for a client Administer a beta-blocking medication to the client.
who is 2 days postoperative (The nurse should administer a beta-blocking medication
following an above-the- to the client. This classification of medication has been
knee amputation. The client shown to relieve the phantom limb pain manifestations
states he is experiencing a of constant dull and burning type pain.)
dull, burning pain in the leg
that was amputated. Which
of the following actions
should the nurse take to
treat the client's
neuropathic pain?
A newly licensed nurse asks "The state board of nursing can provide this information"
a charge nurse where to (each state develops a nurse practice act, which defines
find information about scope of practice for nurses in that state. This practice
scope of practice for act is available on the board of nursing website for each
registered nurses. Which of state.)
the following responses
should the charge nurse
make?
A nurse is planning care to Perform hand hygiene before touching the IV tubing.
prevent a catheter-related (The nurse should perform thorough hand hygiene
bloodstream infection for a before touching any part of the infusion system or the
client who is receiving IV client to reduce the risk of catheter-related blood
fluid therapy. Which of the stream infections.)
following interventions
should the nurse include in
the plan?
,A nurse is creating a plan of Offer the client a glass of water every two hour when
care for a client who is non- repositioning.
ambulatory and has bladder (The nurse should offer the client a glass of water every
and bowel incontinence. two hours on the clients repositioning schedule. This
Which of the following helps prevent dehydration, which increases the risk of
interventions should the skin breakdown.)
nurse include to prevent
skin breakdown?
"I should expect to feel a firm ridge along the bottom
A nurse is teaching a young
curve of each breast."
adult female client about
(The nurse should instruct the client at a firm ridge is
health screening for breast
expected along the bottom curve of each breast. The
cancer. Which of the
client should be able to feel this area during the BSE.
following statements by the
Performing a BSE promotes breast self awareness so
client indicates an
that the client knows how her breast normally feel. The
understanding of breast
awareness increases the clients ability to identify
self-examination (BSE)?
changes that require further evaluation.)
A nurse is caring for an Inform the parent that anger is a natural response when
adolescent who is in critical dealing with loss.
condition following a motor (The nurse should identify that the parent is in the anger
vehicle crash which he was stage of grief. The nurse should assist the parent to
the passenger. The clients understand that anger is a natural response to loss and
parent shout at the nurse, encourage her to talk about her feelings.)
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?
, "Websites ending in '.gov' are reliable sites for obtaining
A nurse is teaching an older
health information from government agencies."
adult client about accessing
(The nurse should teach the client how to select reliable
electronic resources for
internet websites when researching health care
healthcare information on
information. The nurse should identify that websites
the internet. Which of the
ending in '.gov' and '.edu' are considered reliable and
following statements should
credible sources for health information. Websites ending
the nurse include in the
in '.com' should not be used for researching credible
teaching?
healthcare information.)
A nurse enters a clients Check the client for injuries.
room and finds the client (The first action the nurse should take when using the
lying on the floor. The client nursing process is to assess the client. The nurse should
states that on the way to the first check the client for injuries and measure vital signs
bathroom her "knee to help determine physiologic stability. The nurse should
locked," causing her to fall. also inform the provider of the clients fall and of the
Which of the following assessment findings.)
actions should the nurse
take first?
A nurse is teaching a client "I should use a warm paraffin dip for my hands and feet."
who has rheumatoid (The nurse should instruct the client to dip her hands and
arthritis about chronic pain feet in warm paraffin to alleviate pain and stiffness. The
management. Which of the client can more easily perform hand and finger exercises
following statements by the following the treatment.)
client indicates an
understanding of the
teaching?
