RN Concept-Based Assessment Level 1 Practice B
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1. A nurse is reviewing the medical record of a client prior to medication admin-
istration. Which of the following actions should the nurse plan to take?
1. Encourage client to assist w opening medication packages ( client has con-
tractures, will make it difficult to open, most likely causing frustration. nurse
should encourage client to be involved however)
2. Request the Digoxin elixir be replaced w tablet formulation (client has a his-
tory of dysphagia, might have difficulty swallowing tablet. Digoxin is available
in liquid form)
3. instruct the client to refrain from taking st. john's wort
4. recommend the client take a magnesium supplement (mag level is 1.5, which
is in the expected range): Instruct the client to refrain from taking St. John's wort.
St. John's wort can decrease the serum levels of digoxin, reducing the effectiveness of the medication. Therefore, the
nurse should caution the client not to take the St. John's wort supplement while taking digoxin.
2. A nurse is preparing an in-service on different types of pain. Which of the
following information should the nurse plan to include as a characteristic of
acute pain?: It is part of the bodies attempt to protect itself.
A key factor that differentiates acute pain from chronic is that acute pain is protective. It serves as a warning signal to
the client that injury or disease is present.
3. A nurse is documenting information on a clients medical record. Which of the
following injuries should the nurse make?
1. client's provider prescribed wrong med ( should clarify rx with provider,
document date, time and outcome of conversation)
2. client has had a good day w/o any problems ( should be complete, objective,
factual)
3. client has concerns about care provided from previous nurse ( statements
made by client should be made as direct quotes, should only document objec-
tive and factual info nurse directly observes)
4. client reports no pain while ambulating in the hallway: Client reports no pain while
, RN Concept-Based Assessment Level 1 Practice B
Study online at https://quizlet.com/_gt896w
ambulating in the hallway.
This entry is client-centered, specific, and clearly addresses client assessment data.
4. A charge nurse is providing an educational session to a group of newly
licensed nurses about the purpose of the national patient safety goals. Which
of the following objectives should the nurse include as a component of the
national patient safety goals?
1. enhance performance using evidence based practice (recommended by
institute of medicine to improve quality of client care)
2. improve facility's nurse patient ratio ( might improve client care)
3. decrease errors related to invasive procedures
4. increase facility's customer satisfaction ratings ( client can choose where to
receive care, increasing customer satisfaction is important, not a component
of national pt safety goals): Decrease error related to invasive procedures.
The National Patient Safety Goals were developed by the Joint Commission to address specific areas of concern related
to client safety. Decreasing errors related to invasive procedures is a component of the National Patient Safety Goals.
5. A nurse is caring for a client who has a history of depressive disorder. The
client states, "it feels pointless to get up in the morning." Which of the following
responses should the nurse make?: It sounds as if life seems meaningless to you now.
6. A nurse is teaching a group of Parents and guardians about identifying
substance use disorder among adolescents. Which of the following adolescent
behaviors should the nurse include as a possible indication of substance use
disorder?
1. increased participation in social activities (decrease)
2. wearing short sleeve shirts in the cold weather (wearing long sleeves in warm
weather)
3. increased academic performance (decreased)
4. wearing dark glasses indoors: Wearing dark glasses indoors
, RN Concept-Based Assessment Level 1 Practice B
Study online at https://quizlet.com/_gt896w
The nurse should instruct the parents and guardians to monitor for behavior changes that can indicate possible
substance use disorder, such as beginning to wear dark glasses indoors. Individuals who have a substance use disorder
might wear dark glasses to hide reddened eyes or pupillary changes caused by substance use. Parents and guardians
who observe this behavior should monitor for other possible indications of substance use disorder.
7. A community health nurse is teaching a group of older adult client at a senior
center. Which of the following factors should the nurse include as an age relat-
ed change the increases the risk for constipation an older adult clients?: Delayed
gastric emptying.
The nurse should identify that slowed peristalsis and delayed gastric emptying are expected manifestations of aging
and can lead to constipation.
8. A nurse is disgusting informed consent with a group of newly licensed nurses.
Which of the following actions is the responsibility of the nurse when obtaining
informed consent?: Verify that the client voluntarily gave consent for the procedure
It is the responsibility of the nurse to verify that the client understands that they have the right to decline any prescribed
treatment and should not feel forced or obligated to sign a consent form.
9. A nurse is providing handoff report on a client. Which of the following infor-
mation should the nurse include in the report?
1. the client had 2 visitors during the shift (only include if involved in teaching
and learning needs for pt)
2. client received scheduled antibiotic during shift (only include if oncoming
nurse will be required to administter newly prescribed meds)
3. client vs were taken at beginning of shift ( only include a dramatic change
outside of expected range)
4. client is scheduled for a chest x ray on the next shift: The client is scheduled for a chest
x-ray on the next shift.
Study online at https://quizlet.com/_gt896w
1. A nurse is reviewing the medical record of a client prior to medication admin-
istration. Which of the following actions should the nurse plan to take?
1. Encourage client to assist w opening medication packages ( client has con-
tractures, will make it difficult to open, most likely causing frustration. nurse
should encourage client to be involved however)
2. Request the Digoxin elixir be replaced w tablet formulation (client has a his-
tory of dysphagia, might have difficulty swallowing tablet. Digoxin is available
in liquid form)
3. instruct the client to refrain from taking st. john's wort
4. recommend the client take a magnesium supplement (mag level is 1.5, which
is in the expected range): Instruct the client to refrain from taking St. John's wort.
St. John's wort can decrease the serum levels of digoxin, reducing the effectiveness of the medication. Therefore, the
nurse should caution the client not to take the St. John's wort supplement while taking digoxin.
2. A nurse is preparing an in-service on different types of pain. Which of the
following information should the nurse plan to include as a characteristic of
acute pain?: It is part of the bodies attempt to protect itself.
A key factor that differentiates acute pain from chronic is that acute pain is protective. It serves as a warning signal to
the client that injury or disease is present.
3. A nurse is documenting information on a clients medical record. Which of the
following injuries should the nurse make?
1. client's provider prescribed wrong med ( should clarify rx with provider,
document date, time and outcome of conversation)
2. client has had a good day w/o any problems ( should be complete, objective,
factual)
3. client has concerns about care provided from previous nurse ( statements
made by client should be made as direct quotes, should only document objec-
tive and factual info nurse directly observes)
4. client reports no pain while ambulating in the hallway: Client reports no pain while
, RN Concept-Based Assessment Level 1 Practice B
Study online at https://quizlet.com/_gt896w
ambulating in the hallway.
This entry is client-centered, specific, and clearly addresses client assessment data.
4. A charge nurse is providing an educational session to a group of newly
licensed nurses about the purpose of the national patient safety goals. Which
of the following objectives should the nurse include as a component of the
national patient safety goals?
1. enhance performance using evidence based practice (recommended by
institute of medicine to improve quality of client care)
2. improve facility's nurse patient ratio ( might improve client care)
3. decrease errors related to invasive procedures
4. increase facility's customer satisfaction ratings ( client can choose where to
receive care, increasing customer satisfaction is important, not a component
of national pt safety goals): Decrease error related to invasive procedures.
The National Patient Safety Goals were developed by the Joint Commission to address specific areas of concern related
to client safety. Decreasing errors related to invasive procedures is a component of the National Patient Safety Goals.
5. A nurse is caring for a client who has a history of depressive disorder. The
client states, "it feels pointless to get up in the morning." Which of the following
responses should the nurse make?: It sounds as if life seems meaningless to you now.
6. A nurse is teaching a group of Parents and guardians about identifying
substance use disorder among adolescents. Which of the following adolescent
behaviors should the nurse include as a possible indication of substance use
disorder?
1. increased participation in social activities (decrease)
2. wearing short sleeve shirts in the cold weather (wearing long sleeves in warm
weather)
3. increased academic performance (decreased)
4. wearing dark glasses indoors: Wearing dark glasses indoors
, RN Concept-Based Assessment Level 1 Practice B
Study online at https://quizlet.com/_gt896w
The nurse should instruct the parents and guardians to monitor for behavior changes that can indicate possible
substance use disorder, such as beginning to wear dark glasses indoors. Individuals who have a substance use disorder
might wear dark glasses to hide reddened eyes or pupillary changes caused by substance use. Parents and guardians
who observe this behavior should monitor for other possible indications of substance use disorder.
7. A community health nurse is teaching a group of older adult client at a senior
center. Which of the following factors should the nurse include as an age relat-
ed change the increases the risk for constipation an older adult clients?: Delayed
gastric emptying.
The nurse should identify that slowed peristalsis and delayed gastric emptying are expected manifestations of aging
and can lead to constipation.
8. A nurse is disgusting informed consent with a group of newly licensed nurses.
Which of the following actions is the responsibility of the nurse when obtaining
informed consent?: Verify that the client voluntarily gave consent for the procedure
It is the responsibility of the nurse to verify that the client understands that they have the right to decline any prescribed
treatment and should not feel forced or obligated to sign a consent form.
9. A nurse is providing handoff report on a client. Which of the following infor-
mation should the nurse include in the report?
1. the client had 2 visitors during the shift (only include if involved in teaching
and learning needs for pt)
2. client received scheduled antibiotic during shift (only include if oncoming
nurse will be required to administter newly prescribed meds)
3. client vs were taken at beginning of shift ( only include a dramatic change
outside of expected range)
4. client is scheduled for a chest x ray on the next shift: The client is scheduled for a chest
x-ray on the next shift.
