LATEST ATI RN CONCEPT BASED
ASSESSMENT LEVEL 3 PRACTICE ACTUAL EXAM
QUESTIONS WITH ANSWERS NEW UPDATE
A nurse is preparing to administer immunizations to a 2-month-old infant at a well-child visit.
Which of the following immunizations should the nurse plan to administer? -- ANSWER--
Haemophilus influenza type b (Hib)
This vaccine is administered in a series of three to four doses starting at 2 months of age.
A nurse is discussing palliative care with the family of a client who is terminally ill. Which of
the following information should the nurse include? -- ANSWER-Palliative care includes a
variety of therapies.
A nurse is creating a plan of care for a newborn who has a myelomeningocele.
Which of the following interventions should the nurse include? -- ANSWER-Place the
newborn in a prone-kneeling position.
A nurse is providing family planning education for a client who wishes to conceive. The
client brings her calendar to the appointment with her days of menses circled. The nurse
should identify that ovulation is expected to occur on which of the following calendar dates?
-- ANSWER--Ovulation occurs 13-15 days after day one of menses.
A nurse in an acute care mental health facility is planning care for a client who has bipolar
disorder and who is experiencing acute mania. Which of the following actions should the
nurse plan to take? -- ANSWER--Provide the client with finger foods to eat.
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,A nurse is caring for an infant who has Tetralogy of Fallot. The nurse notes that the infant
exhibits a sudden onset of cyanosis and is hyperpneic. Which of the following actions should
the nurse take? -- ANSWER--Place the infant in a knee-chest position.
A nurse is providing discharge teaching to a client following gastric bypass surgery for
management of obesity. Which of the following client statements indicates an understanding
of the teaching? -- ANSWER--"I will remain in a reclining position for 30 minutes after I
eat."
A nurse is teaching a client who has genital herpes simplex virus. Which of the following
statements should the nurse include in the teaching about this sexually transmitted infection?
-- ANSWER--"You should cleanse the lesions with a saline solution twice each day."
A nurse is caring for a client who has a terminal illness and is approaching death. Which of
the following actions should the nurse take? -- ANSWER-Apply a thin coating of lip balm to
the client's lips.
A nurse is caring for a client who is experiencing hypovolemic shock due to postpartum
hemorrhage. After notifying the provider, which of the following actions should the nurse
take next? -- ANSWER--Massage the client's fundus.
The greatest risk to the client is hemorrhage. Therefore, the next action the nurse should take
is to massage the client's fundus to expel clots and promote contractions.
An intensive care nurse is providing education about organ and tissue donation to the parent
of an adolescent who has died following a motor-vehicle crash. Which of the following
responses by the parent indicates an understanding of the teaching? -- ANSWER--"No one
will notice the organs were donated if we have an open casket at the funeral."
Page 2 of 29
, A nurse in an emergency department is creating a plan of care for a client who reports a
recent sexual assault. Which of the following interventions should the nurse plan to include? -
- ANSWER--Explain to the client the reason each procedure is conducted.
A community health nurse is assessing an older adult client. Which of the following
situations should the nurse identify as a possible indication of undue influence? -- ANSWER-
-The client's niece moves into her home to provide care.
Undue influence can occur when an older adult moves into someone's home, or when
someone moves into her home, under the pretense of providing better care for the client. This
allows the abuser to have access and control to the client at all times, and makes it easier for
the abuser to influence the client's decisions about medical care, property, and finances.
A nurse in an emergency department is assessing a client who was in a motorvehicle crash.
The client has a blood alcohol concentration of 0.18% and states, "I would never drink and
drive." The nurse should identify that the client is demonstrating use of which of the
following defense mechanisms? --
ANSWER--Denial
A nurse is caring for a newly-admitted client who is at 37 weeks gestation and is
experiencing moderate placental abruption. Which of the following actions should the nurse
take? -- ANSWER--Insert a large-bore IV catheter.
The nurse should insert a 16- to 18-gauge IV catheter into the client's brachial artery because
fluid volume and blood replacement might be necessary to correct defects in coagulation.
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ASSESSMENT LEVEL 3 PRACTICE ACTUAL EXAM
QUESTIONS WITH ANSWERS NEW UPDATE
A nurse is preparing to administer immunizations to a 2-month-old infant at a well-child visit.
Which of the following immunizations should the nurse plan to administer? -- ANSWER--
Haemophilus influenza type b (Hib)
This vaccine is administered in a series of three to four doses starting at 2 months of age.
A nurse is discussing palliative care with the family of a client who is terminally ill. Which of
the following information should the nurse include? -- ANSWER-Palliative care includes a
variety of therapies.
A nurse is creating a plan of care for a newborn who has a myelomeningocele.
Which of the following interventions should the nurse include? -- ANSWER-Place the
newborn in a prone-kneeling position.
A nurse is providing family planning education for a client who wishes to conceive. The
client brings her calendar to the appointment with her days of menses circled. The nurse
should identify that ovulation is expected to occur on which of the following calendar dates?
-- ANSWER--Ovulation occurs 13-15 days after day one of menses.
A nurse in an acute care mental health facility is planning care for a client who has bipolar
disorder and who is experiencing acute mania. Which of the following actions should the
nurse plan to take? -- ANSWER--Provide the client with finger foods to eat.
Page 1 of 29
,A nurse is caring for an infant who has Tetralogy of Fallot. The nurse notes that the infant
exhibits a sudden onset of cyanosis and is hyperpneic. Which of the following actions should
the nurse take? -- ANSWER--Place the infant in a knee-chest position.
A nurse is providing discharge teaching to a client following gastric bypass surgery for
management of obesity. Which of the following client statements indicates an understanding
of the teaching? -- ANSWER--"I will remain in a reclining position for 30 minutes after I
eat."
A nurse is teaching a client who has genital herpes simplex virus. Which of the following
statements should the nurse include in the teaching about this sexually transmitted infection?
-- ANSWER--"You should cleanse the lesions with a saline solution twice each day."
A nurse is caring for a client who has a terminal illness and is approaching death. Which of
the following actions should the nurse take? -- ANSWER-Apply a thin coating of lip balm to
the client's lips.
A nurse is caring for a client who is experiencing hypovolemic shock due to postpartum
hemorrhage. After notifying the provider, which of the following actions should the nurse
take next? -- ANSWER--Massage the client's fundus.
The greatest risk to the client is hemorrhage. Therefore, the next action the nurse should take
is to massage the client's fundus to expel clots and promote contractions.
An intensive care nurse is providing education about organ and tissue donation to the parent
of an adolescent who has died following a motor-vehicle crash. Which of the following
responses by the parent indicates an understanding of the teaching? -- ANSWER--"No one
will notice the organs were donated if we have an open casket at the funeral."
Page 2 of 29
, A nurse in an emergency department is creating a plan of care for a client who reports a
recent sexual assault. Which of the following interventions should the nurse plan to include? -
- ANSWER--Explain to the client the reason each procedure is conducted.
A community health nurse is assessing an older adult client. Which of the following
situations should the nurse identify as a possible indication of undue influence? -- ANSWER-
-The client's niece moves into her home to provide care.
Undue influence can occur when an older adult moves into someone's home, or when
someone moves into her home, under the pretense of providing better care for the client. This
allows the abuser to have access and control to the client at all times, and makes it easier for
the abuser to influence the client's decisions about medical care, property, and finances.
A nurse in an emergency department is assessing a client who was in a motorvehicle crash.
The client has a blood alcohol concentration of 0.18% and states, "I would never drink and
drive." The nurse should identify that the client is demonstrating use of which of the
following defense mechanisms? --
ANSWER--Denial
A nurse is caring for a newly-admitted client who is at 37 weeks gestation and is
experiencing moderate placental abruption. Which of the following actions should the nurse
take? -- ANSWER--Insert a large-bore IV catheter.
The nurse should insert a 16- to 18-gauge IV catheter into the client's brachial artery because
fluid volume and blood replacement might be necessary to correct defects in coagulation.
Page 3 of 29
