1. ATI RN Concept-Based Assessment Level 1
Online Practice A latest version
A nurse is assessing a preschooler who has a urinary tract infection (UTI). Which of the
following findings should the nurse expect?
1. Diarrhea
2. Abdominal pain
3. Increased thirst
4. Skin rash: Abdominal Pain
Rat: The nurse should expect a preschooler who has a UTI to experience abdominal pain. Other
manifestations include constipation, dysuria, foul-smelling urine, and fever.
2. A nurse is counseling a client who has a family history of colorectal cancer about
management of nutrition to help prevent gastrointestinal (GI) cancers. Which of the following
images indicates a food or beverage the nurse should encourage the client to include
liberally in his diet?: Fruits and Veggies
Rat: To help reduce the risk of cancers of the GI system, the nurse should instruct the client to
consume at least 2.5 cups of fruits and vegetables per day.
3. A nurse is preparing to extinguish a small fire in a clients room. Which of the following
actions should the nurse take when using the fire extinguisher?
1. Aim the fire extinguisher at the top of the flames.
2. Pump the handles of the fire extinguisher up and down three times.
3. Sweep the fire extinguisher in a circular motion until the fire is extinguished.
4. Slide the pin on top of the fire extinguisher straight out.: Slide the pin on top of the fire
extinguisher straight out.
Rat: The nurse should pull the pin on the top of the fire extinguisher to allow for use to extinguish the
fire.
4. A nurse is caring for a child who has celiac disease. Which of the following items should
the nurse remove from the child's meal tray?
,1. Corn-flake cereal
2. Orange juice
3. Scrambled eggs
4. Oatmeal with raisins: Oatmeal with raisins
Rat: Celiac disease is the intolerance to dietary gluten, which is a protein in wheat, rye, oats, and
barley. This intolerance causes diarrhea, weight loss, abdominal pain, and fatigue. Therefore, the
nurse should remove oatmeal from the child's meal tray.
5. A nurse at a providers office is counseling a client who reports insomnia. Which of the
following statements should the nurse make to include the clients preferences into a sleep
promotion plan?
1. "If alcoholic beverages are desired, consume them in the early evenings"
2. "Sleep in the location of your home where you feel your rest best"
3. "Turn on a favorite television show just before going to bed"
4. "Allow your sleep and wake times to vary depending on how you feel each day": "Sleep in
the location of your home where you feel your rest best"
Rat: The nurse should encourage the client to sleep wherever she feels she gets the most rest,
whether it be a bed, couch, or chair.
6. A nurse is assessing the spiritual wellbeing and development of a preschooler. The nurse
asks the preschooler, "Why is it wrong to kick our baby sister?" Which of the following
responses should the nurse expect?
1. "It's not wrong because she made me mad."
2. "It's wrong because my dad said I can't kick her."
3. "It's wrong to kick her because the gods won't like it."
4. "It's wrong because she would get hurt and be sad.": "It's wrong because my dad said I can't
kick her."
Rat: The nurse should expect the preschooler to be motivated to choose right from wrong because
of rules taught to him by his parents. The nurse should understand that, even though the
preschooler might know the rules, he is not yet able to understand the rationale for the rules.
7. 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?
A. Inform the client that he will not be receiving the medications he took prior
,to his hospitalization.
B. Compare a list of the client's current medications with the ones he will take in long-term
care.
C. Eliminate any over-the-counter products from the client's current medica- tion list.
D. Omit the medication indications when listing the client's medication dose information.:
Compare a list of the client's current medications with the ones he will take in long-term care.
Rat: The Joint Commission National Patient Safety Goals regarding medication reconciliation
includes maintaining and communicating accurate client medication information. The nurse should
complete a medication reconciliation to identify and resolve any discrepancies by comparing the
client's list of current medications with the medications he will take in the long-term care facility and
addressing any duplications, omissions, or interactions.
8. A nurse is caring for a client who is 2 days postoperative following an above-the-knee
amputation. The client states he is experiencing a 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. Inform the client that phantom limb pain is not real.
B. Administer a beta-blocking medication to the client.
C. Place the client on a soft mattress.
D. Loosen the bandage on the client's residual limb.: Administer a beta-blocking medication to
the client
Rat: The nurse should administer a beta-blocking medication to the client. This classification of
medication has been shown to relieve the phantom limb pain manifestations of constant dull and
burning type pain.
9. A nurse is teaching the parent of a toddler about home injury prevention. When
discussing snacks, which of the following statements by the parent indicates an
understanding of the teaching?
1. "I can offer her grapes as long as I peel them first."
2. "I can give her watermelon pieces after I remove the seeds."
3. "I should give her popcorn that is air-popped and without salt or butter."
4. "I should cut hot dogs into thin, round slices before giving them to her.": "I can give her
watermelon pieces after I remove the seeds."
, Rat: The nurse should inform the parent that toddlers can easily choke on seeds from fruits, such as
watermelon seeds or cherry pits, because of their round shape and size. Removing the seeds and
cutting the watermelon into pieces provides the toddler with a nutritious snack that does not increase
the toddler's risk of foreign body obstruction.
10. A nurse is searching electronic databases for clinical research about be- havioral
indicators of pain in an infant. Which of the following online sources should the nurse select
to research this infant care issue?
1. Cumulative Index to Nursing and Allied Health Literature (CINAHL)
2. The Nursing Minimum Data Set
3. The Omaha System
4. The Nursing Interventions Classification (NIC): Cumulative Index to Nursing and Allied
Health Literature (CINAHL)
Rat: The nurse should select the Cumulative Index to Nursing and Allied Health Literature
(CINAHL) to locate clinical research about health-related client care issues. CINAHL is a
cumulative index that the nurse can search electronically to locate reliable data related to the
specific topic being researched.
11. A nurse is caring for a client who has dysphagia following a stroke. Which of the
following actions should the nurse take to facilitate safe swallowing and decrease the risk of
aspiration?
1. Delay the client's meal-time if he is fatigued.
2. Instruct the client to tilt his head to the side when swallowing.
3. Assist the client with fluid intake by inserting it into the client's mouth with a syringe.
4. Encourage the client to focus on a television program during meal time.: -
Delay the client's meal-time if he is fatigued.
Rat: To facilitate safe swallowing and decrease the risk of aspiration, the nurse should encourage
the client to rest prior to meal-time. If the client is fatigued, the nurse should delay the meal-time
and give the client time to rest.
12. A nurse in a long term care facility is performing a fall risk assessment on a newly
admitted client using the Timed Up and Go (TUG) test. The client reports using a tripod cane
for ambulation. Which of the following actions should the nurse take when using this test?
1. Observe the client ambulating a distance of 3 m (10 feet) during the TUG
Online Practice A latest version
A nurse is assessing a preschooler who has a urinary tract infection (UTI). Which of the
following findings should the nurse expect?
1. Diarrhea
2. Abdominal pain
3. Increased thirst
4. Skin rash: Abdominal Pain
Rat: The nurse should expect a preschooler who has a UTI to experience abdominal pain. Other
manifestations include constipation, dysuria, foul-smelling urine, and fever.
2. A nurse is counseling a client who has a family history of colorectal cancer about
management of nutrition to help prevent gastrointestinal (GI) cancers. Which of the following
images indicates a food or beverage the nurse should encourage the client to include
liberally in his diet?: Fruits and Veggies
Rat: To help reduce the risk of cancers of the GI system, the nurse should instruct the client to
consume at least 2.5 cups of fruits and vegetables per day.
3. A nurse is preparing to extinguish a small fire in a clients room. Which of the following
actions should the nurse take when using the fire extinguisher?
1. Aim the fire extinguisher at the top of the flames.
2. Pump the handles of the fire extinguisher up and down three times.
3. Sweep the fire extinguisher in a circular motion until the fire is extinguished.
4. Slide the pin on top of the fire extinguisher straight out.: Slide the pin on top of the fire
extinguisher straight out.
Rat: The nurse should pull the pin on the top of the fire extinguisher to allow for use to extinguish the
fire.
4. A nurse is caring for a child who has celiac disease. Which of the following items should
the nurse remove from the child's meal tray?
,1. Corn-flake cereal
2. Orange juice
3. Scrambled eggs
4. Oatmeal with raisins: Oatmeal with raisins
Rat: Celiac disease is the intolerance to dietary gluten, which is a protein in wheat, rye, oats, and
barley. This intolerance causes diarrhea, weight loss, abdominal pain, and fatigue. Therefore, the
nurse should remove oatmeal from the child's meal tray.
5. A nurse at a providers office is counseling a client who reports insomnia. Which of the
following statements should the nurse make to include the clients preferences into a sleep
promotion plan?
1. "If alcoholic beverages are desired, consume them in the early evenings"
2. "Sleep in the location of your home where you feel your rest best"
3. "Turn on a favorite television show just before going to bed"
4. "Allow your sleep and wake times to vary depending on how you feel each day": "Sleep in
the location of your home where you feel your rest best"
Rat: The nurse should encourage the client to sleep wherever she feels she gets the most rest,
whether it be a bed, couch, or chair.
6. A nurse is assessing the spiritual wellbeing and development of a preschooler. The nurse
asks the preschooler, "Why is it wrong to kick our baby sister?" Which of the following
responses should the nurse expect?
1. "It's not wrong because she made me mad."
2. "It's wrong because my dad said I can't kick her."
3. "It's wrong to kick her because the gods won't like it."
4. "It's wrong because she would get hurt and be sad.": "It's wrong because my dad said I can't
kick her."
Rat: The nurse should expect the preschooler to be motivated to choose right from wrong because
of rules taught to him by his parents. The nurse should understand that, even though the
preschooler might know the rules, he is not yet able to understand the rationale for the rules.
7. 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?
A. Inform the client that he will not be receiving the medications he took prior
,to his hospitalization.
B. Compare a list of the client's current medications with the ones he will take in long-term
care.
C. Eliminate any over-the-counter products from the client's current medica- tion list.
D. Omit the medication indications when listing the client's medication dose information.:
Compare a list of the client's current medications with the ones he will take in long-term care.
Rat: The Joint Commission National Patient Safety Goals regarding medication reconciliation
includes maintaining and communicating accurate client medication information. The nurse should
complete a medication reconciliation to identify and resolve any discrepancies by comparing the
client's list of current medications with the medications he will take in the long-term care facility and
addressing any duplications, omissions, or interactions.
8. A nurse is caring for a client who is 2 days postoperative following an above-the-knee
amputation. The client states he is experiencing a 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. Inform the client that phantom limb pain is not real.
B. Administer a beta-blocking medication to the client.
C. Place the client on a soft mattress.
D. Loosen the bandage on the client's residual limb.: Administer a beta-blocking medication to
the client
Rat: The nurse should administer a beta-blocking medication to the client. This classification of
medication has been shown to relieve the phantom limb pain manifestations of constant dull and
burning type pain.
9. A nurse is teaching the parent of a toddler about home injury prevention. When
discussing snacks, which of the following statements by the parent indicates an
understanding of the teaching?
1. "I can offer her grapes as long as I peel them first."
2. "I can give her watermelon pieces after I remove the seeds."
3. "I should give her popcorn that is air-popped and without salt or butter."
4. "I should cut hot dogs into thin, round slices before giving them to her.": "I can give her
watermelon pieces after I remove the seeds."
, Rat: The nurse should inform the parent that toddlers can easily choke on seeds from fruits, such as
watermelon seeds or cherry pits, because of their round shape and size. Removing the seeds and
cutting the watermelon into pieces provides the toddler with a nutritious snack that does not increase
the toddler's risk of foreign body obstruction.
10. A nurse is searching electronic databases for clinical research about be- havioral
indicators of pain in an infant. Which of the following online sources should the nurse select
to research this infant care issue?
1. Cumulative Index to Nursing and Allied Health Literature (CINAHL)
2. The Nursing Minimum Data Set
3. The Omaha System
4. The Nursing Interventions Classification (NIC): Cumulative Index to Nursing and Allied
Health Literature (CINAHL)
Rat: The nurse should select the Cumulative Index to Nursing and Allied Health Literature
(CINAHL) to locate clinical research about health-related client care issues. CINAHL is a
cumulative index that the nurse can search electronically to locate reliable data related to the
specific topic being researched.
11. A nurse is caring for a client who has dysphagia following a stroke. Which of the
following actions should the nurse take to facilitate safe swallowing and decrease the risk of
aspiration?
1. Delay the client's meal-time if he is fatigued.
2. Instruct the client to tilt his head to the side when swallowing.
3. Assist the client with fluid intake by inserting it into the client's mouth with a syringe.
4. Encourage the client to focus on a television program during meal time.: -
Delay the client's meal-time if he is fatigued.
Rat: To facilitate safe swallowing and decrease the risk of aspiration, the nurse should encourage
the client to rest prior to meal-time. If the client is fatigued, the nurse should delay the meal-time
and give the client time to rest.
12. A nurse in a long term care facility is performing a fall risk assessment on a newly
admitted client using the Timed Up and Go (TUG) test. The client reports using a tripod cane
for ambulation. Which of the following actions should the nurse take when using this test?
1. Observe the client ambulating a distance of 3 m (10 feet) during the TUG
