RN ATI CONCEPT BASED ASSESSMENT LEVEL 1 EXAM
2 LATEST VERSIONS 2024 (VERSION A AND B)
COMPLETE 260 QUESTIONS AND CORRECT DETAILED
ANSWERS
A newly licensed nurse asks a charge nurse where to find information about scope
of practice for registered nurses. Which of the following responses should the
charge nurse make? - ...(ANSWERS)...."The state board of nursing can provide this
information"
(each state develops a nurse practice act, which defines scope of practice for
nurses in that state. This practice act is available on the board of nursing website
for each state.)
A nurse is planning care to prevent a catheter-related bloodstream infection for a
client who is receiving IV fluid therapy. Which of the following interventions
should the nurse include in the plan? - ...(ANSWERS)....Perform hand hygiene
before touching the IV tubing.
(The nurse should perform thorough hand hygiene before touching any part of
the infusion system or the client to reduce the risk of catheter-related blood
stream infections.)
A nurse is creating a plan of care for a client who is non-ambulatory and has
bladder and bowel incontinence. Which of the following interventions should the
nurse include to prevent skin breakdown? - ...(ANSWERS)....Offer the client a
glass of water every two hour when repositioning.
(The nurse should offer the client a glass of water every two hours on the clients
repositioning schedule. This helps prevent dehydration, which increases the risk
of skin breakdown.)
,A nurse is teaching a young adult female client about health screening for breast
cancer. Which of the following statements by the client indicates an
understanding of breast self-examination (BSE)? - ...(ANSWERS)...."I should
expect to feel a firm ridge along the bottom curve of each breast."
(The nurse should instruct the client at a firm ridge is expected along the bottom
curve of each breast. The client should be able to feel this area during the BSE.
Performing a BSE promotes breast self awareness so that the client knows how
her breast normally feel. The awareness increases the clients ability to identify
changes that require further evaluation.)
A nurse is caring for an adolescent who is in critical condition following a motor
vehicle crash which he was the passenger. The clients parent shout at the nurse,
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? -
...(ANSWERS)....Inform the parent that anger is a natural response when dealing
with loss.
(The nurse should identify that the parent is in the anger stage of grief. The nurse
should assist the parent to understand that anger is a natural response to loss and
encourage her to talk about her feelings.)
A nurse enters a clients room and finds the client lying on the floor. The client
states that on the way to the bathroom her "knee locked," causing her to fall.
Which of the following actions should the nurse take first? -
...(ANSWERS)....Check the client for injuries.
(The first action the nurse should take when using the nursing process is to assess
the client. The nurse should first check the client for injuries and measure vital
signs to help determine physiologic stability. The nurse should also inform the
provider of the clients fall and of the assessment findings.)
, A community health nurse is planning prevention strategies for hypertension
among members of her community. The nurse should identify that which of the
following ethnic groups in the community is at greatest risk of developing
hypertension? - ...(ANSWERS)....African American
(Evidence-based practice indicates that individuals of AA ethnicity have the
highest prevalence of hypertension. Therefore, the nurse should identify
community members of this ethnicity are at greatest risk of developing
hypertension.)
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? -
...(ANSWERS)....Slide the pin on top of the fire extinguisher straight out.
(The nurse should pull the pin on top of the fire extinguisher to allow for use to
extinguish the fire.)
A nurse is preparing to administer intermittent external nutrition via a clients NG
tube. In which order should the nurse take the following actions? -
...(ANSWERS)....1. Assist the client to an upright position.
2. Aspirate 5 mL of gastric contents.
3. Test the pH of gastric aspirate.
4. Measure gastric residual volume.
5. Flush the NG tube with 30 mL of water.
(First, the nurse should assist the client into high Fowler's position or raise the
HOB at least 30 degrees to help prevent aspiration. Then, the nurse should verify
the tubes placement by aspirating 5 mL of gastric contents and then testing the
2 LATEST VERSIONS 2024 (VERSION A AND B)
COMPLETE 260 QUESTIONS AND CORRECT DETAILED
ANSWERS
A newly licensed nurse asks a charge nurse where to find information about scope
of practice for registered nurses. Which of the following responses should the
charge nurse make? - ...(ANSWERS)...."The state board of nursing can provide this
information"
(each state develops a nurse practice act, which defines scope of practice for
nurses in that state. This practice act is available on the board of nursing website
for each state.)
A nurse is planning care to prevent a catheter-related bloodstream infection for a
client who is receiving IV fluid therapy. Which of the following interventions
should the nurse include in the plan? - ...(ANSWERS)....Perform hand hygiene
before touching the IV tubing.
(The nurse should perform thorough hand hygiene before touching any part of
the infusion system or the client to reduce the risk of catheter-related blood
stream infections.)
A nurse is creating a plan of care for a client who is non-ambulatory and has
bladder and bowel incontinence. Which of the following interventions should the
nurse include to prevent skin breakdown? - ...(ANSWERS)....Offer the client a
glass of water every two hour when repositioning.
(The nurse should offer the client a glass of water every two hours on the clients
repositioning schedule. This helps prevent dehydration, which increases the risk
of skin breakdown.)
,A nurse is teaching a young adult female client about health screening for breast
cancer. Which of the following statements by the client indicates an
understanding of breast self-examination (BSE)? - ...(ANSWERS)...."I should
expect to feel a firm ridge along the bottom curve of each breast."
(The nurse should instruct the client at a firm ridge is expected along the bottom
curve of each breast. The client should be able to feel this area during the BSE.
Performing a BSE promotes breast self awareness so that the client knows how
her breast normally feel. The awareness increases the clients ability to identify
changes that require further evaluation.)
A nurse is caring for an adolescent who is in critical condition following a motor
vehicle crash which he was the passenger. The clients parent shout at the nurse,
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? -
...(ANSWERS)....Inform the parent that anger is a natural response when dealing
with loss.
(The nurse should identify that the parent is in the anger stage of grief. The nurse
should assist the parent to understand that anger is a natural response to loss and
encourage her to talk about her feelings.)
A nurse enters a clients room and finds the client lying on the floor. The client
states that on the way to the bathroom her "knee locked," causing her to fall.
Which of the following actions should the nurse take first? -
...(ANSWERS)....Check the client for injuries.
(The first action the nurse should take when using the nursing process is to assess
the client. The nurse should first check the client for injuries and measure vital
signs to help determine physiologic stability. The nurse should also inform the
provider of the clients fall and of the assessment findings.)
, A community health nurse is planning prevention strategies for hypertension
among members of her community. The nurse should identify that which of the
following ethnic groups in the community is at greatest risk of developing
hypertension? - ...(ANSWERS)....African American
(Evidence-based practice indicates that individuals of AA ethnicity have the
highest prevalence of hypertension. Therefore, the nurse should identify
community members of this ethnicity are at greatest risk of developing
hypertension.)
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? -
...(ANSWERS)....Slide the pin on top of the fire extinguisher straight out.
(The nurse should pull the pin on top of the fire extinguisher to allow for use to
extinguish the fire.)
A nurse is preparing to administer intermittent external nutrition via a clients NG
tube. In which order should the nurse take the following actions? -
...(ANSWERS)....1. Assist the client to an upright position.
2. Aspirate 5 mL of gastric contents.
3. Test the pH of gastric aspirate.
4. Measure gastric residual volume.
5. Flush the NG tube with 30 mL of water.
(First, the nurse should assist the client into high Fowler's position or raise the
HOB at least 30 degrees to help prevent aspiration. Then, the nurse should verify
the tubes placement by aspirating 5 mL of gastric contents and then testing the
