ATI RN CONCEPT-BASED
ASSESSMENT LEVEL 1 ONLINE
PRACTICE A
ABJnurseBJisBJassessingBJaBJpreschoolerBJwhoBJhasBJaBJurinaryBJtractBJinfectionBJ(UTI).BJW
hichBJofBJtheBJfollowingBJfindingsBJshouldBJtheBJnurseBJexpect?
1.BJDiarrhea
2.BJAbdominalBJpain
3.BJIncreasedBJthirst
4.BJSkinBJrashBJ-BJanswer--AbdominalBJPain
Rat:BJTheBJnurseBJshouldBJexpectBJaBJpreschoolerBJwhoBJhasBJaBJUTIBJtoBJexperienceBJabd
ominalBJpain.BJOtherBJmanifestationsBJincludeBJconstipation,BJdysuria,BJfoul-
smellingBJurine,BJandBJfever.
ABJnurseBJisBJcounselingBJaBJclientBJwhoBJhasBJaBJfamilyBJhistoryBJofBJcolorectalBJcancerBJa
boutBJmanagementBJofBJnutritionBJtoBJhelpBJpreventBJgastrointestinalBJ(GI)BJcancers.BJWhi
chBJofBJtheBJfollowingBJimagesBJindicatesBJaBJfoodBJorBJbeverageBJtheBJnurseBJshouldBJenc
ourageBJtheBJclientBJtoBJincludeBJliberallyBJinBJhisBJdiet?BJ-BJanswer--FruitsBJandBJVeggies
Rat:BJToBJhelpBJreduceBJtheBJriskBJofBJcancersBJofBJtheBJGIBJsystem,BJtheBJnurseBJshouldBJin
structBJtheBJclientBJtoBJconsumeBJatBJleastBJ2.5BJcupsBJofBJfruitsBJandBJvegetablesBJperBJday
.
ABJnurseBJisBJpreparingBJtoBJextinguishBJaBJsmallBJfireBJinBJaBJclientsBJroom.BJWhichBJofBJthe
BJfollowingBJactionsBJshouldBJtheBJnurseBJtakeBJwhenBJusingBJtheBJfireBJextinguisher?
1.BJAimBJtheBJfireBJextinguisherBJatBJtheBJtopBJofBJtheBJflames.
2.BJPumpBJtheBJhandlesBJofBJtheBJfireBJextinguisherBJupBJandBJdownBJthreeBJtimes.
3.BJSweepBJtheBJfireBJextinguisherBJinBJaBJcircularBJmotionBJuntilBJtheBJfireBJisBJextinguished
.
4.BJSlideBJtheBJpinBJonBJtopBJofBJtheBJfireBJextinguisherBJstraightBJout.BJ-BJanswer--
SlideBJtheBJpinBJonBJtopBJofBJtheBJfireBJextinguisherBJstraightBJout.
Rat:BJTheBJnurseBJshouldBJpullBJtheBJpinBJonBJtheBJtopBJofBJtheBJfireBJextinguisherBJtoBJallowB
JforBJuseBJtoBJextinguishBJtheBJfire.
ABJnurseBJisBJcaringBJforBJaBJchildBJwhoBJhasBJceliacBJdisease.BJWhichBJofBJtheBJfollowingBJit
emsBJshouldBJtheBJnurseBJremoveBJfromBJtheBJchild'sBJmealBJtray?
1.BJCorn-flakeBJcereal
2.BJOrangeBJjuice
,3.BJScrambledBJeggs
4.BJOatmealBJwithBJraisinsBJ-BJanswer--OatmealBJwithBJraisins
Rat:BJCeliacBJdiseaseBJisBJtheBJintoleranceBJtoBJdietaryBJgluten,BJwhichBJisBJaBJproteinBJinBJ
wheat,BJrye,BJoats,BJandBJbarley.BJThisBJintoleranceBJcausesBJdiarrhea,BJweightBJloss,BJabd
ominalBJpain,BJandBJfatigue.BJTherefore,BJtheBJnurseBJshouldBJremoveBJoatmealBJfromBJthe
BJchild'sBJmealBJtray.
ABJnurseBJatBJaBJprovidersBJofficeBJisBJcounselingBJaBJclientBJwhoBJreportsBJinsomnia.BJWhi
chBJofBJtheBJfollowingBJstatementsBJshouldBJtheBJnurseBJmakeBJtoBJincludeBJtheBJclientsBJpr
eferencesBJintoBJaBJsleepBJpromotionBJplan?
1.BJ"IfBJalcoholicBJbeveragesBJareBJdesired,BJconsumeBJthemBJinBJtheBJearlyBJevenings"
2.BJ"SleepBJinBJtheBJlocationBJofBJyourBJhomeBJwhereBJyouBJfeelBJyourBJrestBJbest"
3.BJ"TurnBJonBJaBJfavoriteBJtelevisionBJshowBJjustBJbeforeBJgoingBJtoBJbed"
4.BJ"AllowBJyourBJsleepBJandBJwakeBJtimesBJtoBJvaryBJdependingBJonBJhowBJyouBJfeelBJeach
BJday"BJ-
BJanswer--"SleepBJinBJtheBJlocationBJofBJyourBJhomeBJwhereBJyouBJfeelBJyourBJrestBJbest"
Rat:BJTheBJnurseBJshouldBJencourageBJtheBJclientBJtoBJsleepBJwhereverBJsheBJfeelsBJsheBJg
etsBJtheBJmostBJrest,BJwhetherBJitBJbeBJaBJbed,BJcouch,BJorBJchair.
ABJnurseBJisBJassessingBJtheBJspiritualBJwellbeingBJandBJdevelopmentBJofBJaBJpreschooler.B
JTheBJnurseBJasksBJtheBJpreschooler,BJ"WhyBJisBJitBJwrongBJtoBJkickBJourBJbabyBJsister?"BJW
hichBJofBJtheBJfollowingBJresponsesBJshouldBJtheBJnurseBJexpect?
1.BJ"It'sBJnotBJwrongBJbecauseBJsheBJmadeBJmeBJmad."
2.BJ"It'sBJwrongBJbecauseBJmyBJdadBJsaidBJIBJcan'tBJkickBJher."
3.BJ"It'sBJwrongBJtoBJkickBJherBJbecauseBJtheBJgodsBJwon'tBJlikeBJit."
4.BJ"It'sBJwrongBJbecauseBJsheBJwouldBJgetBJhurtBJandBJbeBJsad."BJ-
BJanswer--"It'sBJwrongBJbecauseBJmyBJdadBJsaidBJIBJcan'tBJkickBJher."
Rat:BJTheBJnurseBJshouldBJexpectBJtheBJpreschoolerBJtoBJbeBJmotivatedBJtoBJchooseBJrightB
JfromBJwrongBJbecauseBJofBJrulesBJtaughtBJtoBJhimBJbyBJhisBJparents.BJTheBJnurseBJshouldBJ
understandBJthat,BJevenBJthoughBJtheBJpreschoolerBJmightBJknowBJtheBJrules,BJheBJisBJnotBJ
yetBJableBJtoBJunderstandBJtheBJrationaleBJforBJtheBJrules.
ABJnurseBJinBJaBJlongBJtermBJcareBJfacilityBJisBJadmittingBJaBJnewBJclientBJfollowingBJaBJbriefBJ
stayBJinBJacuteBJcare.BJInBJadherenceBJwithBJtheBJJointBJCommissionBJNationalBJPatientBJS
afetyBJGoalsBJregardingBJmedicationBJadministration,BJwhichBJofBJtheBJfollowingBJactionsBJ
shouldBJtheBJnurseBJtake?
A.BJInformBJtheBJclientBJthatBJheBJwillBJnotBJbeBJreceivingBJtheBJmedicationsBJheBJtookBJprior
BJtoBJhisBJhospitalization.
B.BJCompareBJaBJlistBJofBJtheBJclient'sBJcurrentBJmedicationsBJwithBJtheBJonesBJheBJwillBJtak
eBJinBJlong-termBJcare.
C.BJEliminateBJanyBJover-the-
counterBJproductsBJfromBJtheBJclient'sBJcurrentBJmedicationBJlist.
D.BJOmitBJtheBJmedicationBJindicationsBJwhenBJlistingBJtheBJclient'sBJmedicationBJdoseBJinf
ormation.BJ-BJanswer--
CompareBJaBJlistBJofBJtheBJclient'sBJcurrentBJmedicationsBJwithBJtheBJonesBJheBJwillBJtakeBJin
BJlong-termBJcare.
Rat:BJTheBJJointBJCommissionBJNationalBJPatientBJSafetyBJGoalsBJregardingBJmedicationBJ
reconciliationBJincludesBJmaintainingBJandBJcommunicatingBJaccurateBJclientBJmedication
,BJinformation.BJTheBJnurseBJshouldBJcompleteBJaBJmedicationBJreconciliationBJtoBJidentifyBJ
andBJresolveBJanyBJdiscrepanciesBJbyBJcomparingBJtheBJclient'sBJlistBJofBJcurrentBJmedicati
onsBJwithBJtheBJmedicationsBJheBJwillBJtakeBJinBJtheBJlong-
termBJcareBJfacilityBJandBJaddressingBJanyBJduplications,BJomissions,BJorBJinteractions.
ABJnurseBJisBJcaringBJforBJaBJclientBJwhoBJisBJ2BJdaysBJpostoperativeBJfollowingBJanBJabove-
the-
kneeBJamputation.BJTheBJclientBJstatesBJheBJisBJexperiencingBJaBJdull,BJburningBJpainBJinBJt
heBJlegBJthatBJwasBJamputated.BJWhichBJofBJtheBJfollowingBJactionsBJshouldBJtheBJnurseBJta
keBJtoBJtreatBJtheBJclient'sBJneuropathicBJpain?
A.BJInformBJtheBJclientBJthatBJphantomBJlimbBJpainBJisBJnotBJreal.
B.BJAdministerBJaBJbeta-blockingBJmedicationBJtoBJtheBJclient.
C.BJPlaceBJtheBJclientBJonBJaBJsoftBJmattress.
D.BJLoosenBJtheBJbandageBJonBJtheBJclient'sBJresidualBJlimb.BJ-BJanswer--
AdministerBJaBJbeta-blockingBJmedicationBJtoBJtheBJclientBJ
Rat:BJTheBJnurseBJshouldBJadministerBJaBJbeta-
blockingBJmedicationBJtoBJtheBJclient.BJThisBJclassificationBJofBJmedicationBJhasBJbeenBJsh
ownBJtoBJrelieveBJtheBJphantomBJlimbBJpainBJmanifestationsBJofBJconstantBJdullBJandBJburni
ngBJtypeBJpain.
ABJnurseBJisBJteachingBJtheBJparentBJofBJaBJtoddlerBJaboutBJhomeBJinjuryBJprevention.BJWhe
nBJdiscussingBJsnacks,BJwhichBJofBJtheBJfollowingBJstatementsBJbyBJtheBJparentBJindicatesB
JanBJunderstandingBJofBJtheBJteaching?
1.BJ"IBJcanBJofferBJherBJgrapesBJasBJlongBJasBJIBJpeelBJthemBJfirst."
2.BJ"IBJcanBJgiveBJherBJwatermelonBJpiecesBJafterBJIBJremoveBJtheBJseeds."
3.BJ"IBJshouldBJgiveBJherBJpopcornBJthatBJisBJair-poppedBJandBJwithoutBJsaltBJorBJbutter."
4.BJ"IBJshouldBJcutBJhotBJdogsBJintoBJthin,BJroundBJslicesBJbeforeBJgivingBJthemBJtoBJher."BJ-
BJanswer--"IBJcanBJgiveBJherBJwatermelonBJpiecesBJafterBJIBJremoveBJtheBJseeds."
Rat:BJTheBJnurseBJshouldBJinformBJtheBJparentBJthatBJtoddlersBJcanBJeasilyBJchokeBJonBJsee
dsBJfromBJfruits,BJsuchBJasBJwatermelonBJseedsBJorBJcherryBJpits,BJbecauseBJofBJtheirBJroun
dBJshapeBJandBJsize.BJRemovingBJtheBJseedsBJandBJcuttingBJtheBJwatermelonBJintoBJpieces
BJprovidesBJtheBJtoddlerBJwithBJaBJnutritiousBJsnackBJthatBJdoesBJnotBJincreaseBJtheBJtoddler
'sBJriskBJofBJforeignBJbodyBJobstruction.
ABJnurseBJisBJsearchingBJelectronicBJdatabasesBJforBJclinicalBJresearchBJaboutBJbehavioral
BJindicatorsBJofBJpainBJinBJanBJinfant.BJWhichBJofBJtheBJfollowingBJonlineBJsourcesBJshouldBJt
heBJnurseBJselectBJtoBJresearchBJthisBJinfantBJcareBJissue?
1.BJCumulativeBJIndexBJtoBJNursingBJandBJAlliedBJHealthBJLiteratureBJ(CINAHL)
2.BJTheBJNursingBJMinimumBJDataBJSet
3.BJTheBJOmahaBJSystem
4.BJTheBJNursingBJInterventionsBJClassificationBJ(NIC)BJ-BJanswer--
CumulativeBJIndexBJtoBJNursingBJandBJAlliedBJHealthBJLiteratureBJ(CINAHL)
Rat:BJTheBJnurseBJshouldBJselectBJtheBJCumulativeBJIndexBJtoBJNursingBJandBJAlliedBJHealt
hBJLiteratureBJ(CINAHL)BJtoBJlocateBJclinicalBJresearchBJaboutBJhealth-
relatedBJclientBJcareBJissues.BJCINAHLBJisBJaBJcumulativeBJindexBJthatBJtheBJnurseBJcanBJse
archBJelectronicallyBJtoBJlocateBJreliableBJdataBJrelatedBJtoBJtheBJspecificBJtopicBJbeingBJres
earched.
, ABJnurseBJisBJcaringBJforBJaBJclientBJwhoBJhasBJdysphagiaBJfollowingBJaBJstroke.BJWhichBJofB
JtheBJfollowingBJactionsBJshouldBJtheBJnurseBJtakeBJtoBJfacilitateBJsafeBJswallowingBJandBJd
ecreaseBJtheBJriskBJofBJaspiration?
1.BJDelayBJtheBJclient'sBJmeal-timeBJifBJheBJisBJfatigued.
2.BJInstructBJtheBJclientBJtoBJtiltBJhisBJheadBJtoBJtheBJsideBJwhenBJswallowing.
3.BJAssistBJtheBJclientBJwithBJfluidBJintakeBJbyBJinsertingBJitBJintoBJtheBJclient'sBJmouthBJwithBJ
aBJsyringe.
4.BJEncourageBJtheBJclientBJtoBJfocusBJonBJaBJtelevisionBJprogramBJduringBJmealBJtime.BJ-
BJanswer--DelayBJtheBJclient'sBJmeal-timeBJifBJheBJisBJfatigued.
Rat:BJToBJfacilitateBJsafeBJswallowingBJandBJdecreaseBJtheBJriskBJofBJaspiration,BJtheBJnurs
eBJshouldBJencourageBJtheBJclientBJtoBJrestBJpriorBJtoBJmeal-
time.BJIfBJtheBJclientBJisBJfatigued,BJtheBJnurseBJshouldBJdelayBJtheBJmeal-
timeBJandBJgiveBJtheBJclientBJtimeBJtoBJrest.
ABJnurseBJinBJaBJlongBJtermBJcareBJfacilityBJisBJperformingBJaBJfallBJriskBJassessmentBJonBJaBJ
newlyBJadmittedBJclientBJusingBJtheBJTimedBJUpBJandBJGoBJ(TUG)BJtest.BJTheBJclientBJrepor
tsBJusingBJaBJtripodBJcaneBJforBJambulation.BJWhichBJofBJtheBJfollowingBJactionsBJshouldBJth
eBJnurseBJtakeBJwhenBJusingBJthisBJtest?
1.BJObserveBJtheBJclientBJambulatingBJaBJdistanceBJofBJ3BJmBJ(10BJfeet)BJduringBJtheBJTUGBJ
test.
2.BJInstructBJtheBJclientBJtoBJperformBJtheBJTUGBJtestBJwithoutBJtheBJuseBJofBJtheBJcane.
3.BJAssistBJtheBJclientBJtoBJstandBJupBJfromBJtheBJchairBJwhenBJstartingBJtheBJTUGBJtest.
4.BJAdviseBJtheBJclientBJtoBJuseBJtheBJarmsBJofBJtheBJchairBJtoBJstandBJwhenBJstartingBJtheBJT
UGBJtest.BJ-BJanswer--
ObserveBJtheBJclientBJambulatingBJaBJdistanceBJofBJ3BJmBJ(10BJfeet)BJduringBJtheBJTUGBJtes
t.
Rat:TheBJnurseBJshouldBJmarkBJaBJspotBJ3BJmBJ(10BJfeet)BJawayBJfromBJtheBJclient'sBJsittingB
Jlocation.BJTheBJnurseBJshouldBJinstructBJtheBJclientBJtoBJstand,BJambulate BJtoBJtheBJmarked
BJspot,BJturn,BJambulate BJbackBJtoBJtheBJchair,BJandBJsitBJdown.BJTheBJnurseBJshouldBJobser
veBJtheBJclient'sBJabilityBJtoBJperformBJtheBJtestBJandBJuseBJaBJstopwatchBJtoBJtimeBJtheBJclie
nt.BJTheBJnurseBJshouldBJidentifyBJthatBJtheBJclientBJisBJatBJincreasedBJriskBJofBJfallsBJifBJitBJta
kesBJlongerBJthanBJ14BJsecondsBJtoBJcompleteBJtheBJtest.
ABJnurseBJinBJanBJemergencyBJisBJcaringBJforBJanBJinfantBJwhoBJrequiresBJemergencyBJsurg
ery.BJTheBJinfantBJisBJaccompaniedBJbyBJhisBJ16-year-
oldBJmotherBJandBJhisBJmaternalBJgrandfather.BJWhichBJofBJtheBJfollowingBJactionsBJshould
BJtheBJnurseBJtakeBJwhenBJassistingBJwithBJinformedBJconsent?
1.BJWitnessBJconsentBJobtainedBJfromBJtheBJinfant'sBJmother.
2.BJInformBJtheBJfamilyBJthatBJinformedBJconsentBJisBJnotBJneededBJdueBJtoBJemergencyBJsu
rgery.
3.BJNotifyBJtheBJmaternalBJgrandfatherBJthatBJheBJisBJrequiredBJtoBJgiveBJinformedBJconsent.
4.BJRequestBJthatBJaBJcourt-appointedBJrepresentativeBJprovideBJinformedBJconsent.BJ-
BJanswer--WitnessBJconsentBJobtainedBJfromBJtheBJinfant'sBJmother.
Rat:BJTheBJnurseBJshouldBJassistBJinBJobtainingBJinformedBJconsentBJfromBJtheBJinfant'sBJm
otherBJbyBJwitnessingBJherBJsignature.BJStatutoryBJguidelinesBJindicateBJthatBJaBJminor,BJev
enBJifBJunemancipated,BJcanBJprovideBJconsentBJforBJherBJinfant.BJUnemancipatedBJminors
BJcanBJalsoBJlegallyBJprovideBJinformedBJconsentBJforBJSTIBJtreatment,BJsubstanceBJuseBJtr
eatment,BJandBJcareBJrelatedBJtoBJpregnancyBJinBJsomeBJstates.
ASSESSMENT LEVEL 1 ONLINE
PRACTICE A
ABJnurseBJisBJassessingBJaBJpreschoolerBJwhoBJhasBJaBJurinaryBJtractBJinfectionBJ(UTI).BJW
hichBJofBJtheBJfollowingBJfindingsBJshouldBJtheBJnurseBJexpect?
1.BJDiarrhea
2.BJAbdominalBJpain
3.BJIncreasedBJthirst
4.BJSkinBJrashBJ-BJanswer--AbdominalBJPain
Rat:BJTheBJnurseBJshouldBJexpectBJaBJpreschoolerBJwhoBJhasBJaBJUTIBJtoBJexperienceBJabd
ominalBJpain.BJOtherBJmanifestationsBJincludeBJconstipation,BJdysuria,BJfoul-
smellingBJurine,BJandBJfever.
ABJnurseBJisBJcounselingBJaBJclientBJwhoBJhasBJaBJfamilyBJhistoryBJofBJcolorectalBJcancerBJa
boutBJmanagementBJofBJnutritionBJtoBJhelpBJpreventBJgastrointestinalBJ(GI)BJcancers.BJWhi
chBJofBJtheBJfollowingBJimagesBJindicatesBJaBJfoodBJorBJbeverageBJtheBJnurseBJshouldBJenc
ourageBJtheBJclientBJtoBJincludeBJliberallyBJinBJhisBJdiet?BJ-BJanswer--FruitsBJandBJVeggies
Rat:BJToBJhelpBJreduceBJtheBJriskBJofBJcancersBJofBJtheBJGIBJsystem,BJtheBJnurseBJshouldBJin
structBJtheBJclientBJtoBJconsumeBJatBJleastBJ2.5BJcupsBJofBJfruitsBJandBJvegetablesBJperBJday
.
ABJnurseBJisBJpreparingBJtoBJextinguishBJaBJsmallBJfireBJinBJaBJclientsBJroom.BJWhichBJofBJthe
BJfollowingBJactionsBJshouldBJtheBJnurseBJtakeBJwhenBJusingBJtheBJfireBJextinguisher?
1.BJAimBJtheBJfireBJextinguisherBJatBJtheBJtopBJofBJtheBJflames.
2.BJPumpBJtheBJhandlesBJofBJtheBJfireBJextinguisherBJupBJandBJdownBJthreeBJtimes.
3.BJSweepBJtheBJfireBJextinguisherBJinBJaBJcircularBJmotionBJuntilBJtheBJfireBJisBJextinguished
.
4.BJSlideBJtheBJpinBJonBJtopBJofBJtheBJfireBJextinguisherBJstraightBJout.BJ-BJanswer--
SlideBJtheBJpinBJonBJtopBJofBJtheBJfireBJextinguisherBJstraightBJout.
Rat:BJTheBJnurseBJshouldBJpullBJtheBJpinBJonBJtheBJtopBJofBJtheBJfireBJextinguisherBJtoBJallowB
JforBJuseBJtoBJextinguishBJtheBJfire.
ABJnurseBJisBJcaringBJforBJaBJchildBJwhoBJhasBJceliacBJdisease.BJWhichBJofBJtheBJfollowingBJit
emsBJshouldBJtheBJnurseBJremoveBJfromBJtheBJchild'sBJmealBJtray?
1.BJCorn-flakeBJcereal
2.BJOrangeBJjuice
,3.BJScrambledBJeggs
4.BJOatmealBJwithBJraisinsBJ-BJanswer--OatmealBJwithBJraisins
Rat:BJCeliacBJdiseaseBJisBJtheBJintoleranceBJtoBJdietaryBJgluten,BJwhichBJisBJaBJproteinBJinBJ
wheat,BJrye,BJoats,BJandBJbarley.BJThisBJintoleranceBJcausesBJdiarrhea,BJweightBJloss,BJabd
ominalBJpain,BJandBJfatigue.BJTherefore,BJtheBJnurseBJshouldBJremoveBJoatmealBJfromBJthe
BJchild'sBJmealBJtray.
ABJnurseBJatBJaBJprovidersBJofficeBJisBJcounselingBJaBJclientBJwhoBJreportsBJinsomnia.BJWhi
chBJofBJtheBJfollowingBJstatementsBJshouldBJtheBJnurseBJmakeBJtoBJincludeBJtheBJclientsBJpr
eferencesBJintoBJaBJsleepBJpromotionBJplan?
1.BJ"IfBJalcoholicBJbeveragesBJareBJdesired,BJconsumeBJthemBJinBJtheBJearlyBJevenings"
2.BJ"SleepBJinBJtheBJlocationBJofBJyourBJhomeBJwhereBJyouBJfeelBJyourBJrestBJbest"
3.BJ"TurnBJonBJaBJfavoriteBJtelevisionBJshowBJjustBJbeforeBJgoingBJtoBJbed"
4.BJ"AllowBJyourBJsleepBJandBJwakeBJtimesBJtoBJvaryBJdependingBJonBJhowBJyouBJfeelBJeach
BJday"BJ-
BJanswer--"SleepBJinBJtheBJlocationBJofBJyourBJhomeBJwhereBJyouBJfeelBJyourBJrestBJbest"
Rat:BJTheBJnurseBJshouldBJencourageBJtheBJclientBJtoBJsleepBJwhereverBJsheBJfeelsBJsheBJg
etsBJtheBJmostBJrest,BJwhetherBJitBJbeBJaBJbed,BJcouch,BJorBJchair.
ABJnurseBJisBJassessingBJtheBJspiritualBJwellbeingBJandBJdevelopmentBJofBJaBJpreschooler.B
JTheBJnurseBJasksBJtheBJpreschooler,BJ"WhyBJisBJitBJwrongBJtoBJkickBJourBJbabyBJsister?"BJW
hichBJofBJtheBJfollowingBJresponsesBJshouldBJtheBJnurseBJexpect?
1.BJ"It'sBJnotBJwrongBJbecauseBJsheBJmadeBJmeBJmad."
2.BJ"It'sBJwrongBJbecauseBJmyBJdadBJsaidBJIBJcan'tBJkickBJher."
3.BJ"It'sBJwrongBJtoBJkickBJherBJbecauseBJtheBJgodsBJwon'tBJlikeBJit."
4.BJ"It'sBJwrongBJbecauseBJsheBJwouldBJgetBJhurtBJandBJbeBJsad."BJ-
BJanswer--"It'sBJwrongBJbecauseBJmyBJdadBJsaidBJIBJcan'tBJkickBJher."
Rat:BJTheBJnurseBJshouldBJexpectBJtheBJpreschoolerBJtoBJbeBJmotivatedBJtoBJchooseBJrightB
JfromBJwrongBJbecauseBJofBJrulesBJtaughtBJtoBJhimBJbyBJhisBJparents.BJTheBJnurseBJshouldBJ
understandBJthat,BJevenBJthoughBJtheBJpreschoolerBJmightBJknowBJtheBJrules,BJheBJisBJnotBJ
yetBJableBJtoBJunderstandBJtheBJrationaleBJforBJtheBJrules.
ABJnurseBJinBJaBJlongBJtermBJcareBJfacilityBJisBJadmittingBJaBJnewBJclientBJfollowingBJaBJbriefBJ
stayBJinBJacuteBJcare.BJInBJadherenceBJwithBJtheBJJointBJCommissionBJNationalBJPatientBJS
afetyBJGoalsBJregardingBJmedicationBJadministration,BJwhichBJofBJtheBJfollowingBJactionsBJ
shouldBJtheBJnurseBJtake?
A.BJInformBJtheBJclientBJthatBJheBJwillBJnotBJbeBJreceivingBJtheBJmedicationsBJheBJtookBJprior
BJtoBJhisBJhospitalization.
B.BJCompareBJaBJlistBJofBJtheBJclient'sBJcurrentBJmedicationsBJwithBJtheBJonesBJheBJwillBJtak
eBJinBJlong-termBJcare.
C.BJEliminateBJanyBJover-the-
counterBJproductsBJfromBJtheBJclient'sBJcurrentBJmedicationBJlist.
D.BJOmitBJtheBJmedicationBJindicationsBJwhenBJlistingBJtheBJclient'sBJmedicationBJdoseBJinf
ormation.BJ-BJanswer--
CompareBJaBJlistBJofBJtheBJclient'sBJcurrentBJmedicationsBJwithBJtheBJonesBJheBJwillBJtakeBJin
BJlong-termBJcare.
Rat:BJTheBJJointBJCommissionBJNationalBJPatientBJSafetyBJGoalsBJregardingBJmedicationBJ
reconciliationBJincludesBJmaintainingBJandBJcommunicatingBJaccurateBJclientBJmedication
,BJinformation.BJTheBJnurseBJshouldBJcompleteBJaBJmedicationBJreconciliationBJtoBJidentifyBJ
andBJresolveBJanyBJdiscrepanciesBJbyBJcomparingBJtheBJclient'sBJlistBJofBJcurrentBJmedicati
onsBJwithBJtheBJmedicationsBJheBJwillBJtakeBJinBJtheBJlong-
termBJcareBJfacilityBJandBJaddressingBJanyBJduplications,BJomissions,BJorBJinteractions.
ABJnurseBJisBJcaringBJforBJaBJclientBJwhoBJisBJ2BJdaysBJpostoperativeBJfollowingBJanBJabove-
the-
kneeBJamputation.BJTheBJclientBJstatesBJheBJisBJexperiencingBJaBJdull,BJburningBJpainBJinBJt
heBJlegBJthatBJwasBJamputated.BJWhichBJofBJtheBJfollowingBJactionsBJshouldBJtheBJnurseBJta
keBJtoBJtreatBJtheBJclient'sBJneuropathicBJpain?
A.BJInformBJtheBJclientBJthatBJphantomBJlimbBJpainBJisBJnotBJreal.
B.BJAdministerBJaBJbeta-blockingBJmedicationBJtoBJtheBJclient.
C.BJPlaceBJtheBJclientBJonBJaBJsoftBJmattress.
D.BJLoosenBJtheBJbandageBJonBJtheBJclient'sBJresidualBJlimb.BJ-BJanswer--
AdministerBJaBJbeta-blockingBJmedicationBJtoBJtheBJclientBJ
Rat:BJTheBJnurseBJshouldBJadministerBJaBJbeta-
blockingBJmedicationBJtoBJtheBJclient.BJThisBJclassificationBJofBJmedicationBJhasBJbeenBJsh
ownBJtoBJrelieveBJtheBJphantomBJlimbBJpainBJmanifestationsBJofBJconstantBJdullBJandBJburni
ngBJtypeBJpain.
ABJnurseBJisBJteachingBJtheBJparentBJofBJaBJtoddlerBJaboutBJhomeBJinjuryBJprevention.BJWhe
nBJdiscussingBJsnacks,BJwhichBJofBJtheBJfollowingBJstatementsBJbyBJtheBJparentBJindicatesB
JanBJunderstandingBJofBJtheBJteaching?
1.BJ"IBJcanBJofferBJherBJgrapesBJasBJlongBJasBJIBJpeelBJthemBJfirst."
2.BJ"IBJcanBJgiveBJherBJwatermelonBJpiecesBJafterBJIBJremoveBJtheBJseeds."
3.BJ"IBJshouldBJgiveBJherBJpopcornBJthatBJisBJair-poppedBJandBJwithoutBJsaltBJorBJbutter."
4.BJ"IBJshouldBJcutBJhotBJdogsBJintoBJthin,BJroundBJslicesBJbeforeBJgivingBJthemBJtoBJher."BJ-
BJanswer--"IBJcanBJgiveBJherBJwatermelonBJpiecesBJafterBJIBJremoveBJtheBJseeds."
Rat:BJTheBJnurseBJshouldBJinformBJtheBJparentBJthatBJtoddlersBJcanBJeasilyBJchokeBJonBJsee
dsBJfromBJfruits,BJsuchBJasBJwatermelonBJseedsBJorBJcherryBJpits,BJbecauseBJofBJtheirBJroun
dBJshapeBJandBJsize.BJRemovingBJtheBJseedsBJandBJcuttingBJtheBJwatermelonBJintoBJpieces
BJprovidesBJtheBJtoddlerBJwithBJaBJnutritiousBJsnackBJthatBJdoesBJnotBJincreaseBJtheBJtoddler
'sBJriskBJofBJforeignBJbodyBJobstruction.
ABJnurseBJisBJsearchingBJelectronicBJdatabasesBJforBJclinicalBJresearchBJaboutBJbehavioral
BJindicatorsBJofBJpainBJinBJanBJinfant.BJWhichBJofBJtheBJfollowingBJonlineBJsourcesBJshouldBJt
heBJnurseBJselectBJtoBJresearchBJthisBJinfantBJcareBJissue?
1.BJCumulativeBJIndexBJtoBJNursingBJandBJAlliedBJHealthBJLiteratureBJ(CINAHL)
2.BJTheBJNursingBJMinimumBJDataBJSet
3.BJTheBJOmahaBJSystem
4.BJTheBJNursingBJInterventionsBJClassificationBJ(NIC)BJ-BJanswer--
CumulativeBJIndexBJtoBJNursingBJandBJAlliedBJHealthBJLiteratureBJ(CINAHL)
Rat:BJTheBJnurseBJshouldBJselectBJtheBJCumulativeBJIndexBJtoBJNursingBJandBJAlliedBJHealt
hBJLiteratureBJ(CINAHL)BJtoBJlocateBJclinicalBJresearchBJaboutBJhealth-
relatedBJclientBJcareBJissues.BJCINAHLBJisBJaBJcumulativeBJindexBJthatBJtheBJnurseBJcanBJse
archBJelectronicallyBJtoBJlocateBJreliableBJdataBJrelatedBJtoBJtheBJspecificBJtopicBJbeingBJres
earched.
, ABJnurseBJisBJcaringBJforBJaBJclientBJwhoBJhasBJdysphagiaBJfollowingBJaBJstroke.BJWhichBJofB
JtheBJfollowingBJactionsBJshouldBJtheBJnurseBJtakeBJtoBJfacilitateBJsafeBJswallowingBJandBJd
ecreaseBJtheBJriskBJofBJaspiration?
1.BJDelayBJtheBJclient'sBJmeal-timeBJifBJheBJisBJfatigued.
2.BJInstructBJtheBJclientBJtoBJtiltBJhisBJheadBJtoBJtheBJsideBJwhenBJswallowing.
3.BJAssistBJtheBJclientBJwithBJfluidBJintakeBJbyBJinsertingBJitBJintoBJtheBJclient'sBJmouthBJwithBJ
aBJsyringe.
4.BJEncourageBJtheBJclientBJtoBJfocusBJonBJaBJtelevisionBJprogramBJduringBJmealBJtime.BJ-
BJanswer--DelayBJtheBJclient'sBJmeal-timeBJifBJheBJisBJfatigued.
Rat:BJToBJfacilitateBJsafeBJswallowingBJandBJdecreaseBJtheBJriskBJofBJaspiration,BJtheBJnurs
eBJshouldBJencourageBJtheBJclientBJtoBJrestBJpriorBJtoBJmeal-
time.BJIfBJtheBJclientBJisBJfatigued,BJtheBJnurseBJshouldBJdelayBJtheBJmeal-
timeBJandBJgiveBJtheBJclientBJtimeBJtoBJrest.
ABJnurseBJinBJaBJlongBJtermBJcareBJfacilityBJisBJperformingBJaBJfallBJriskBJassessmentBJonBJaBJ
newlyBJadmittedBJclientBJusingBJtheBJTimedBJUpBJandBJGoBJ(TUG)BJtest.BJTheBJclientBJrepor
tsBJusingBJaBJtripodBJcaneBJforBJambulation.BJWhichBJofBJtheBJfollowingBJactionsBJshouldBJth
eBJnurseBJtakeBJwhenBJusingBJthisBJtest?
1.BJObserveBJtheBJclientBJambulatingBJaBJdistanceBJofBJ3BJmBJ(10BJfeet)BJduringBJtheBJTUGBJ
test.
2.BJInstructBJtheBJclientBJtoBJperformBJtheBJTUGBJtestBJwithoutBJtheBJuseBJofBJtheBJcane.
3.BJAssistBJtheBJclientBJtoBJstandBJupBJfromBJtheBJchairBJwhenBJstartingBJtheBJTUGBJtest.
4.BJAdviseBJtheBJclientBJtoBJuseBJtheBJarmsBJofBJtheBJchairBJtoBJstandBJwhenBJstartingBJtheBJT
UGBJtest.BJ-BJanswer--
ObserveBJtheBJclientBJambulatingBJaBJdistanceBJofBJ3BJmBJ(10BJfeet)BJduringBJtheBJTUGBJtes
t.
Rat:TheBJnurseBJshouldBJmarkBJaBJspotBJ3BJmBJ(10BJfeet)BJawayBJfromBJtheBJclient'sBJsittingB
Jlocation.BJTheBJnurseBJshouldBJinstructBJtheBJclientBJtoBJstand,BJambulate BJtoBJtheBJmarked
BJspot,BJturn,BJambulate BJbackBJtoBJtheBJchair,BJandBJsitBJdown.BJTheBJnurseBJshouldBJobser
veBJtheBJclient'sBJabilityBJtoBJperformBJtheBJtestBJandBJuseBJaBJstopwatchBJtoBJtimeBJtheBJclie
nt.BJTheBJnurseBJshouldBJidentifyBJthatBJtheBJclientBJisBJatBJincreasedBJriskBJofBJfallsBJifBJitBJta
kesBJlongerBJthanBJ14BJsecondsBJtoBJcompleteBJtheBJtest.
ABJnurseBJinBJanBJemergencyBJisBJcaringBJforBJanBJinfantBJwhoBJrequiresBJemergencyBJsurg
ery.BJTheBJinfantBJisBJaccompaniedBJbyBJhisBJ16-year-
oldBJmotherBJandBJhisBJmaternalBJgrandfather.BJWhichBJofBJtheBJfollowingBJactionsBJshould
BJtheBJnurseBJtakeBJwhenBJassistingBJwithBJinformedBJconsent?
1.BJWitnessBJconsentBJobtainedBJfromBJtheBJinfant'sBJmother.
2.BJInformBJtheBJfamilyBJthatBJinformedBJconsentBJisBJnotBJneededBJdueBJtoBJemergencyBJsu
rgery.
3.BJNotifyBJtheBJmaternalBJgrandfatherBJthatBJheBJisBJrequiredBJtoBJgiveBJinformedBJconsent.
4.BJRequestBJthatBJaBJcourt-appointedBJrepresentativeBJprovideBJinformedBJconsent.BJ-
BJanswer--WitnessBJconsentBJobtainedBJfromBJtheBJinfant'sBJmother.
Rat:BJTheBJnurseBJshouldBJassistBJinBJobtainingBJinformedBJconsentBJfromBJtheBJinfant'sBJm
otherBJbyBJwitnessingBJherBJsignature.BJStatutoryBJguidelinesBJindicateBJthatBJaBJminor,BJev
enBJifBJunemancipated,BJcanBJprovideBJconsentBJforBJherBJinfant.BJUnemancipatedBJminors
BJcanBJalsoBJlegallyBJprovideBJinformedBJconsentBJforBJSTIBJtreatment,BJsubstanceBJuseBJtr
eatment,BJandBJcareBJrelatedBJtoBJpregnancyBJinBJsomeBJstates.
