ATI RN CONCEPT - BASED ASSESSMENT LEVEL 4 ONLINE
PRACTICE A/REVISION USE
1. A nurse is teaching a client who has been newly diagnosed with systemic lupus
erythematosus (SLE). Which statement by the client indicates an under- standing of the
teaching?: "I should inspect my skin daily for cuts and rashes"
2. A nurse is caring for a client who has Parkinson's disease. Which of the fol- lowing
actions should the nurse take to promote the client's mobility?: Instruct the client
to perform range-of-motion exercises
- The nurse should instruct the client to perform stretching and range-
of-motion exercises to promote mobility. exercising and walking help to
delay the progression of the disease.
3. A nurse is caring for a client who has had a myocardial infarction
and sus- pects cardiogenic shock. The nurse should monitor for
which of the following manifestations?: Pulmonary Congestion
-Pulmonary congestion is a result of decreased cardiac output due to
damage to the cardiac muscle
4.A nurse is assessing a client who has a DNR order and has
stopped breathing. The family asks the nurse to resuscitate the
client. Which action should the nurse take?: Respect the
client's preferences.
5. A nurse manager is teaching a group of nurses about OSHA. What informa- tion
should the nurse include?: Sets standards for hazardous exposures in the
workplace.
6. A nurse manager identifies that the number of client medication administra- tion
errors on the unit has increased. When creating a cause-and-effect chart, which of the
following information should the nurse manger include?: Possible reasons for the
,medication errors. ------------------------------------------------- The nurse
manager should identify and include possible reasons for the
occurrence of medica- tion errors when creating a cause and effect
chart. This data assists in the prevention of future medication errors.
7. A nurse manager notices that he has exceeded the amount of money allo- cated for
labor costs for the quarter. Which action should the nurse manager take?: involve
staff nurses in budge planning.
-this promotes awareness of the costs of staffing a unit and encourages
cost-effec- tive care.
8. A nurse is providing teaching to a client who has a halo device applied to
prevent further cervical spinal cord injury following a diving accident. What info
should the nurse include?: "Avoid leaning forward when attempting to
stand."
-the weight of the halo device can alter balance. leaning forward
could cause the client to fall.
9. A nurse is working on an interprofessional collaboration plan
of care for a client who has a stage 3 pressure ulcer. Which action
should the nurse recognize as the. role of the licensed practical
nurse (LPN)?: Administer pain medication
10.A nurse manager is facilitating conflict resolution between two nurses who
disagree about the need to make a referral to a social worker. Which conflict
management strategies should the nurse manager use?: Offer self to
constructively facilitate communication.
-The nurse manager will be the impartial third party in this
communication
11. A nurse is having a disagreement with a coworker about a client
assign- ment. When following the chain of command, which of the
following individu- als should the nurse contact to discuss the
conflict?: The charge nurse
,- When following the chain of command, the nurse should communicate
with his immediate supervisor about any questions and concerns he
has, including a conflict with a coworkers.
12.A triage nurse is prioritizing clients following a mass casualty disaster. Which of
the following clients should the nurse treat first?: A client who is exhibiting
manifestations of shock.
-a client exhibiting manifestations of shock requires immediate
intervention for survival.
13. A nurse is caring for a client who has a partial-thickness burn
and a prescription for a silver sulfadiazine cream. Which
intervention should the nurse take?: Monitor the client's
WBC.
-A drop in the WBC count can be an indication of an allergic reaction to
the silver sulfadiazine cream
14.A nurse is preparing to administer nitroglycerin topical ointment to a client who
had a myocardial infarction. Which action should the nurse plan to take? (move steps in
order): 1) Cleanse the client's skin and allow it to dry
2) Apply a thin layer of medication ointment to the dosing paper.
3) Spread the medication over a 6.4 by 8.9 cm area of skin
4) Cover the medication site with plastic wrap
5) Remove the medication in 6 hr.
15.A nurse manager is teaching a group of nurses about professional negli- gence.
Which of the following situations should the nurse manager include as an example?:
Administering heparin to a client who is undergoing a lumbar puncture.
A nurse who administers heparin to client who is undergoing a lumbar
puncture is an example of negligence. Anticoagulant medication can
cause bleeding in the lumbar area
, 16. A nurse is teaching a client who has deep-vein thrombosis and is
receiving heparin injections. The nurse should instruct the client to
report which of the following manifestations as an adverse effect of
this medication?: An increase in nosebleeds
-increase in nosebleeds or bruising can be indications of a hemorrhage,
which is an adverse effect of heparin
17. A community health nurse is teaching a newly licensed nurse
about the types of psychiatric health care settings available in the
community. Which should the nurse identify as a primary care
setting?: Outpatient counseling clinic
-primary care setting clinics provide strategies for clients to prevent or
delay mental health issues
18.A nurse manager is informed that the family of a client is
preparing to file a malpractice lawsuit. The nurse should
identify which of the fol-
lowing situations as potential malpractice?: Failure to identify an infiltrated IV
The nurse manager should identify
that failure to provide reasonable care, such as identifying IV infiltration,
can contribute to malpractice. The nurse should provide care that a
reasonably prudent nurse would provide under the same circumstances.
19. A community health nurse is planning a public health
presentation aimed at minimizing health care disparities. Which of
the following age groups should the nurse identify as the priority
for increasing health literacy?: Older Adults
PRACTICE A/REVISION USE
1. A nurse is teaching a client who has been newly diagnosed with systemic lupus
erythematosus (SLE). Which statement by the client indicates an under- standing of the
teaching?: "I should inspect my skin daily for cuts and rashes"
2. A nurse is caring for a client who has Parkinson's disease. Which of the fol- lowing
actions should the nurse take to promote the client's mobility?: Instruct the client
to perform range-of-motion exercises
- The nurse should instruct the client to perform stretching and range-
of-motion exercises to promote mobility. exercising and walking help to
delay the progression of the disease.
3. A nurse is caring for a client who has had a myocardial infarction
and sus- pects cardiogenic shock. The nurse should monitor for
which of the following manifestations?: Pulmonary Congestion
-Pulmonary congestion is a result of decreased cardiac output due to
damage to the cardiac muscle
4.A nurse is assessing a client who has a DNR order and has
stopped breathing. The family asks the nurse to resuscitate the
client. Which action should the nurse take?: Respect the
client's preferences.
5. A nurse manager is teaching a group of nurses about OSHA. What informa- tion
should the nurse include?: Sets standards for hazardous exposures in the
workplace.
6. A nurse manager identifies that the number of client medication administra- tion
errors on the unit has increased. When creating a cause-and-effect chart, which of the
following information should the nurse manger include?: Possible reasons for the
,medication errors. ------------------------------------------------- The nurse
manager should identify and include possible reasons for the
occurrence of medica- tion errors when creating a cause and effect
chart. This data assists in the prevention of future medication errors.
7. A nurse manager notices that he has exceeded the amount of money allo- cated for
labor costs for the quarter. Which action should the nurse manager take?: involve
staff nurses in budge planning.
-this promotes awareness of the costs of staffing a unit and encourages
cost-effec- tive care.
8. A nurse is providing teaching to a client who has a halo device applied to
prevent further cervical spinal cord injury following a diving accident. What info
should the nurse include?: "Avoid leaning forward when attempting to
stand."
-the weight of the halo device can alter balance. leaning forward
could cause the client to fall.
9. A nurse is working on an interprofessional collaboration plan
of care for a client who has a stage 3 pressure ulcer. Which action
should the nurse recognize as the. role of the licensed practical
nurse (LPN)?: Administer pain medication
10.A nurse manager is facilitating conflict resolution between two nurses who
disagree about the need to make a referral to a social worker. Which conflict
management strategies should the nurse manager use?: Offer self to
constructively facilitate communication.
-The nurse manager will be the impartial third party in this
communication
11. A nurse is having a disagreement with a coworker about a client
assign- ment. When following the chain of command, which of the
following individu- als should the nurse contact to discuss the
conflict?: The charge nurse
,- When following the chain of command, the nurse should communicate
with his immediate supervisor about any questions and concerns he
has, including a conflict with a coworkers.
12.A triage nurse is prioritizing clients following a mass casualty disaster. Which of
the following clients should the nurse treat first?: A client who is exhibiting
manifestations of shock.
-a client exhibiting manifestations of shock requires immediate
intervention for survival.
13. A nurse is caring for a client who has a partial-thickness burn
and a prescription for a silver sulfadiazine cream. Which
intervention should the nurse take?: Monitor the client's
WBC.
-A drop in the WBC count can be an indication of an allergic reaction to
the silver sulfadiazine cream
14.A nurse is preparing to administer nitroglycerin topical ointment to a client who
had a myocardial infarction. Which action should the nurse plan to take? (move steps in
order): 1) Cleanse the client's skin and allow it to dry
2) Apply a thin layer of medication ointment to the dosing paper.
3) Spread the medication over a 6.4 by 8.9 cm area of skin
4) Cover the medication site with plastic wrap
5) Remove the medication in 6 hr.
15.A nurse manager is teaching a group of nurses about professional negli- gence.
Which of the following situations should the nurse manager include as an example?:
Administering heparin to a client who is undergoing a lumbar puncture.
A nurse who administers heparin to client who is undergoing a lumbar
puncture is an example of negligence. Anticoagulant medication can
cause bleeding in the lumbar area
, 16. A nurse is teaching a client who has deep-vein thrombosis and is
receiving heparin injections. The nurse should instruct the client to
report which of the following manifestations as an adverse effect of
this medication?: An increase in nosebleeds
-increase in nosebleeds or bruising can be indications of a hemorrhage,
which is an adverse effect of heparin
17. A community health nurse is teaching a newly licensed nurse
about the types of psychiatric health care settings available in the
community. Which should the nurse identify as a primary care
setting?: Outpatient counseling clinic
-primary care setting clinics provide strategies for clients to prevent or
delay mental health issues
18.A nurse manager is informed that the family of a client is
preparing to file a malpractice lawsuit. The nurse should
identify which of the fol-
lowing situations as potential malpractice?: Failure to identify an infiltrated IV
The nurse manager should identify
that failure to provide reasonable care, such as identifying IV infiltration,
can contribute to malpractice. The nurse should provide care that a
reasonably prudent nurse would provide under the same circumstances.
19. A community health nurse is planning a public health
presentation aimed at minimizing health care disparities. Which of
the following age groups should the nurse identify as the priority
for increasing health literacy?: Older Adults
