ATI RN CONCEPT BASED ASSESSMENT LEVEL 1
H H H H H H
PROCTORED TESTBANK EXAM 2023 QUESTIONS
H H H H H
AND DETAILED ANSWERS WITH RATIONALES PASS
H H H H H H
WITH COMPLETE SOLUTION |LATEST
H H H H
VERSION{REVISED} H
1. A nurse is admitting a client who has pulmonary
H H H H H H H H
tuberculosis. Which of thefollowing transmission-based
H H H H H
precautions should the nurse initiate?
H H H H H
• Airborne
• Rationale: Pulmonary tuberculosis is an infection that is
H H H H H H H
transmitted by airborne droplets smaller than 5 microns in
H H H H H H H H H
diameter. Therefore, this clientrequires airborne precautions
H H H H H H
to prevent communicating this infection toothers
H H H H H H
2. A Hnurse Hin Ha Hmental Hhealth Hfacility His Hpreparing Han Heducational
program for a groupof staff nurses about the proper use of
H H H H H H H H H H H
restraints. Which of the following information should the nurse
H H H H H H H H H
plan to include?
H H H
• An adult client may be in a mechanical restraint for up to 4 hours
H H H H H H H H H H H H H
• Rational: The nurse should specify that a client who is 18 years or
H H H H H H H H H H H H
older may be in a restraint for no more than 4 hr. Children who
H H H H H H H H H H H H H H
are 9 to 17 years old are limitedto 2 hr and children who are
H H H H H H H H H H H H H H
younger than 9 years old are limited to 1 hr
H H H H H H H H H H
3. AHnurse His Hteaching Hsleep Hhygiene Hto Ha Hclient Hwho Hhas
insomnia. Which of thefollowing statements should the
H H H H H H H
nurse make?
H H
• Exercise in the morning after arising
H H H H H
• Rationale: Daily exercise has many benefits, including enhancing
H H H H H H H
cardiovascular,psychological, and musculoskeletal health. The
H H H H H
nurse should recommend that the client avoid exercising within 2
H H H H H H H H H H
hr of bedtime to limit stimulation and enhance sleep
H H H H H H H H H
4. A Hnurse His Hpreparing Hto Hleave Hthe Hroom Hof Ha Hclient Hwho His Hon
isolation precautions. Which of the following actions should the nurse
H H H H H H H H H H
take when removing a tied surgicalmask?
H H H H H H
• Remove the mask by securely holding the ties and moving it away
H H H H H H H H H H H
from the face
H H H
, • Rationale: HThe Hnurse Hshould Huntie Hthe Hbottom Hstrings Hand Hthen
the top strings. Finally, while still holding the strings, the nurse
H H H H H H H H H H H
should remove the mask from her face. This action prevents the
H H H H H H H H H H H
nurse from touching the front of the mask,which is
H H H H H H H H H
contaminated
H
5. A Hnurse His Hcaring Hfor Han Hadolescent Hclient Hwho His Hin Hcritical Hcondition
Hfollowing a motor vehicle crash in which he was the passenger. The
H H H H H H H H H H H
Hclient's parent shouts at the nurse,asking why her son is dying instead
H H H H H H H H H H H
Hof the driver. Which of the following actions should the nurse take
H H H H H H H H H H H
Hto provide emotional support to the parent?
H H H H H H
• Inform the parent that anger is a natural response when dealing with loss
H H H H H H H H H H H H
, • Rationale: HThe Hnurse Hshould Hidentify Hthat Hthe Hparent His Hin Hthe Hanger
stage of grief. The nurse should assist the parent to understand that
H H H H H H H H H H H H
anger is a natural response to loss and encourage her to talk about
H H H H H H H H H H H H H
her feelings
H H
6. A community health nurse is planning prevention strategies for
H H H H H H H H
hypertension amongmembers of her community. The nurse should
H H H H H H H H
identify that which of the following ethnic groups in the community
H H H H H H H H H H H
is at greatest risk of developing hypertension?
H H H H H H H
• African Americans H
, • Rationale: HEvidence-based Hpractice Hindicates Hthat Hindividuals
of African- American ethnicity have the highest prevalence
H H H H H H H H
of hypertension. Therefore, thenurse should identify
H H H H H H
community members of this ethnicity are at greatest riskof
H H H H H H H H H
developing hypertension.
H H
7. A Hcommunity Hhealth Hnurse His Hplanning Hinterventions Hto Hpromote
Healthy People 2020 initiatives in the community. Which of the
H H H H H H H H H H
following actions should the nurse plan totake first?
H H H H H H H H
• Determine the level of health equity among groups in the community
H H H H H H H H H H
• Rationale: Health equity among all groups in the community is a
H H H H H H H H H H
Healthy People 2020 initiative. Using the nursing process, the first
H H H H H H H H H H
action the nurse should take is to assess the needs of the
H H H H H H H H H H H H
community. By identifying disparities in community health, the
H H H H H H H H
nurse can develop interventions targeted at the community's
H H H H H H H H
specificneeds.
H
8. A nurse is reviewing a client's new prescriptions that were just
H H H H H H H H H H
documented in the client's medical record by the provider. Which of
H H H H H H H H H H H
the following abbreviations shouldthe nurse clarify with the
H H H H H H H H
provider?
H
• Enoxaparin 40 mg SQ QD H H H H
• Rationale: The nurse should clarify this prescription with the
H H H H H H H H
provider. The abbreviations "SQ" and "QD" are considered
H H H H H H H H
error- prone and should not be used in documentation. The
H H H H H H H H H H
nurse should clarify that the provider intends theprescription to
H H H H H H H H H
be administered subcutaneously once daily. "Subcutaneous"
H H H H H H
or"subcut" should be used instead of "SQ" and "daily" should
H H H H H H H H H H
be used instead of "QD."
H H H H H
9. A nurse is talking with a client who has major depressive disorder.
H H H H H H H H H H H
The client states, "Nobody cares if I'm around or not." Which of the
H H H H H H H H H H H H H
following responses should the nursetake?
H H H H H
• It sounds as though you’re feeling hopeless
H H H H H H
• Rationale: This statement by the nurse is an example ofH H H H H H H H H
restating, which isa therapeutic response. This technique
H H H H H H H
restates the main idea the client has expressed and allows
H H H H H H H H H H
the client to clarify any misunderstanding.
H H H H H H
10. A Hnurse His Hpreparing Hto Hadminister Ha Hunit Hof Hpacked HRBCs Hto Ha
Hclient. In adherencewith the Joint Commission National Patient
H H H H H H H
HSafety Goals regarding blood administration, which of the
H H H H H H H
Hfollowing actions should the nurse plan to take?
H H H H H H H
• Verify the client and blood component using a two-person process
H H H H H H H H H
• Rationale: The Joint Commission National Patient Safety
H H H H H H
H H H H H H
PROCTORED TESTBANK EXAM 2023 QUESTIONS
H H H H H
AND DETAILED ANSWERS WITH RATIONALES PASS
H H H H H H
WITH COMPLETE SOLUTION |LATEST
H H H H
VERSION{REVISED} H
1. A nurse is admitting a client who has pulmonary
H H H H H H H H
tuberculosis. Which of thefollowing transmission-based
H H H H H
precautions should the nurse initiate?
H H H H H
• Airborne
• Rationale: Pulmonary tuberculosis is an infection that is
H H H H H H H
transmitted by airborne droplets smaller than 5 microns in
H H H H H H H H H
diameter. Therefore, this clientrequires airborne precautions
H H H H H H
to prevent communicating this infection toothers
H H H H H H
2. A Hnurse Hin Ha Hmental Hhealth Hfacility His Hpreparing Han Heducational
program for a groupof staff nurses about the proper use of
H H H H H H H H H H H
restraints. Which of the following information should the nurse
H H H H H H H H H
plan to include?
H H H
• An adult client may be in a mechanical restraint for up to 4 hours
H H H H H H H H H H H H H
• Rational: The nurse should specify that a client who is 18 years or
H H H H H H H H H H H H
older may be in a restraint for no more than 4 hr. Children who
H H H H H H H H H H H H H H
are 9 to 17 years old are limitedto 2 hr and children who are
H H H H H H H H H H H H H H
younger than 9 years old are limited to 1 hr
H H H H H H H H H H
3. AHnurse His Hteaching Hsleep Hhygiene Hto Ha Hclient Hwho Hhas
insomnia. Which of thefollowing statements should the
H H H H H H H
nurse make?
H H
• Exercise in the morning after arising
H H H H H
• Rationale: Daily exercise has many benefits, including enhancing
H H H H H H H
cardiovascular,psychological, and musculoskeletal health. The
H H H H H
nurse should recommend that the client avoid exercising within 2
H H H H H H H H H H
hr of bedtime to limit stimulation and enhance sleep
H H H H H H H H H
4. A Hnurse His Hpreparing Hto Hleave Hthe Hroom Hof Ha Hclient Hwho His Hon
isolation precautions. Which of the following actions should the nurse
H H H H H H H H H H
take when removing a tied surgicalmask?
H H H H H H
• Remove the mask by securely holding the ties and moving it away
H H H H H H H H H H H
from the face
H H H
, • Rationale: HThe Hnurse Hshould Huntie Hthe Hbottom Hstrings Hand Hthen
the top strings. Finally, while still holding the strings, the nurse
H H H H H H H H H H H
should remove the mask from her face. This action prevents the
H H H H H H H H H H H
nurse from touching the front of the mask,which is
H H H H H H H H H
contaminated
H
5. A Hnurse His Hcaring Hfor Han Hadolescent Hclient Hwho His Hin Hcritical Hcondition
Hfollowing a motor vehicle crash in which he was the passenger. The
H H H H H H H H H H H
Hclient's parent shouts at the nurse,asking why her son is dying instead
H H H H H H H H H H H
Hof the driver. Which of the following actions should the nurse take
H H H H H H H H H H H
Hto provide emotional support to the parent?
H H H H H H
• Inform the parent that anger is a natural response when dealing with loss
H H H H H H H H H H H H
, • Rationale: HThe Hnurse Hshould Hidentify Hthat Hthe Hparent His Hin Hthe Hanger
stage of grief. The nurse should assist the parent to understand that
H H H H H H H H H H H H
anger is a natural response to loss and encourage her to talk about
H H H H H H H H H H H H H
her feelings
H H
6. A community health nurse is planning prevention strategies for
H H H H H H H H
hypertension amongmembers of her community. The nurse should
H H H H H H H H
identify that which of the following ethnic groups in the community
H H H H H H H H H H H
is at greatest risk of developing hypertension?
H H H H H H H
• African Americans H
, • Rationale: HEvidence-based Hpractice Hindicates Hthat Hindividuals
of African- American ethnicity have the highest prevalence
H H H H H H H H
of hypertension. Therefore, thenurse should identify
H H H H H H
community members of this ethnicity are at greatest riskof
H H H H H H H H H
developing hypertension.
H H
7. A Hcommunity Hhealth Hnurse His Hplanning Hinterventions Hto Hpromote
Healthy People 2020 initiatives in the community. Which of the
H H H H H H H H H H
following actions should the nurse plan totake first?
H H H H H H H H
• Determine the level of health equity among groups in the community
H H H H H H H H H H
• Rationale: Health equity among all groups in the community is a
H H H H H H H H H H
Healthy People 2020 initiative. Using the nursing process, the first
H H H H H H H H H H
action the nurse should take is to assess the needs of the
H H H H H H H H H H H H
community. By identifying disparities in community health, the
H H H H H H H H
nurse can develop interventions targeted at the community's
H H H H H H H H
specificneeds.
H
8. A nurse is reviewing a client's new prescriptions that were just
H H H H H H H H H H
documented in the client's medical record by the provider. Which of
H H H H H H H H H H H
the following abbreviations shouldthe nurse clarify with the
H H H H H H H H
provider?
H
• Enoxaparin 40 mg SQ QD H H H H
• Rationale: The nurse should clarify this prescription with the
H H H H H H H H
provider. The abbreviations "SQ" and "QD" are considered
H H H H H H H H
error- prone and should not be used in documentation. The
H H H H H H H H H H
nurse should clarify that the provider intends theprescription to
H H H H H H H H H
be administered subcutaneously once daily. "Subcutaneous"
H H H H H H
or"subcut" should be used instead of "SQ" and "daily" should
H H H H H H H H H H
be used instead of "QD."
H H H H H
9. A nurse is talking with a client who has major depressive disorder.
H H H H H H H H H H H
The client states, "Nobody cares if I'm around or not." Which of the
H H H H H H H H H H H H H
following responses should the nursetake?
H H H H H
• It sounds as though you’re feeling hopeless
H H H H H H
• Rationale: This statement by the nurse is an example ofH H H H H H H H H
restating, which isa therapeutic response. This technique
H H H H H H H
restates the main idea the client has expressed and allows
H H H H H H H H H H
the client to clarify any misunderstanding.
H H H H H H
10. A Hnurse His Hpreparing Hto Hadminister Ha Hunit Hof Hpacked HRBCs Hto Ha
Hclient. In adherencewith the Joint Commission National Patient
H H H H H H H
HSafety Goals regarding blood administration, which of the
H H H H H H H
Hfollowing actions should the nurse plan to take?
H H H H H H H
• Verify the client and blood component using a two-person process
H H H H H H H H H
• Rationale: The Joint Commission National Patient Safety
H H H H H H
