ATI RN Concept-Based Assessment Level 1 Online Practice
A & B PEDIATRICS 500+QUESTIONS AND CORRECT
ANSWERS (PROFESSOR VERIFIED) | GRADED A+ |2024/2025
LATEST EDITION (JUST RELEASED)
A nurse in a long-term care facility is performing a fall risk assessment on a newly admitted client using the Timed Up and Go (TUG) test. The
client reports using a tripod cane for ambulation. Which of the following actions should the nurse take when using this test?
1. Observe the client ambulating a distance of 3 m (10 feet) during the TUG test.
2. Instruct the client to perform the TUG test without the use of the cane.
3. Assist the client to stand up from the chair when starting the TUG test.
4. Advise the client to use the arms of the chair to stand when starting the TUG test.
Observe the client ambulating a distance of 3 m (10 feet) during the TUG test.
Explanation: The nurse should mark a spot 3 m (10 feet) away from the client's sitting location. The nurse should instruct the client to stand,
ambulate to the marked spot, turn, ambulate back to the chair, and sit down. The nurse should observe the client's ability to perform the test
and use a stopwatch to time the client. The nurse should identify that the client is at increased risk of falls if it takes longer than 14 seconds to
complete the test.
A nurse in an emergency is caring for an infant who requires emergency surgery. The infant is accompanied by his 16-year-old mother and his
maternal grandfather. Which of the following actions should the nurse take when assisting with informed consent?
1. Witness consent obtained from the infant's mother.
2. Inform the family that informed consent is not needed due to emergency surgery.
3. Notify the maternal grandfather that he is required to give informed consent.
4. Request that a court-appointed representative provide informed consent.
Witness consent obtained from the infant's mother.
Explanation: The nurse should assist in obtaining informed consent from the infant's mother by witnessing her signature. Statutory guidelines
indicate that a minor, even if unemancipated, can provide consent for her infant. Unemancipated minors can also legally provide informed
consent for STI treatment, substance use treatment, and care related to pregnancy in some states.
A nurse is caring for a client who has dysphagia following a stroke. Which of the following actions should the nurse take to facilitate safe
swallowing and decrease the risk of aspiexplanation’s ion?
1. Delay the client's mealtime if he is fatigued.
2. Instruct the client to tilt his head to the side when swallowing.
3. Assist the client with fluid intake by inserting it into the client's mouth with a syringe.
,4. Encourage the client to focus on a television program during meal time.
Delay the client's mealtime if he is fatigued.
Explanation’s : To facilitate safe swallowing and decrease the risk of aspiexplanation’s ion, the nurse should encourage the client to rest prior to
meal-time. If the client is fatigued, the nurse should delay the mealtime and give the client time to rest.
A nurse is planning care to prevent a catheter-related blood stream infection for a client who is receiving IV fluid therapy. Which of the following
interventions should the nurse include in the plan?
1. Change bags of IV solution every 72 hr.
2. Perform hand hygiene before touching the IV tubing.
3. Use hydrogen peroxide to cleanse the IV insertion site.
4. Assess the IV insertion site every 12 hr for redness.
Perform hand hygiene before touching the IV tubing.
Explanation’s : 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 caring for an adolescent client who is in critical condition following a motor vehicle crash in which he was the passenger. The clients
parents shouts 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 patient?
1. Encourage the parent to speak with the family of the driver of the car.
2. Inform the parent that anger is a natural response when dealing with loss.
3. Ask the parent to leave and come back later after she has calmed down.
4. Contact a clergy member to come and speak with the parent.
Inform the parent that anger is a natural response when dealing with loss.
Explanation’s : 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 is teaching about advice directives with an older adult client who has a terminal illness. Which of the following statements should the
nurse make?
,1. "Having advance directives means that you don't want to receive CPR."
2. "Your next of kin can amend your advance directives for you if you are unconscious."
3. "Advance directives are verbal or written instructions."
4. "Your advance directives can designate a friend to make your health care decisions."
"Your advance directives can designate a friend to make your health care decisions."
Explanation’s : The nurse should inform the client that he may include a health care proxy or durable power of attorney for health care as part of
his advance directives. This form designates a person of the client's choosing to make health care decisions for him if he becomes unable to do so
for himself. This may be a relative, personal friend, or anyone the client designates. The nurse should ensure that this form is witnessed or
notarized according to state law.
A nurse is teaching a client who has rheumatoid arthritis about chronic pain management. Which of the following statements by the client
indicates an understanding of the teaching?
1. "I should stop participating in my bowling league."
2. "I should take a cool shower in the morning to relieve stiffness."
3. "I should decrease my intake of foods containing purine."
4. "I should use a warm paraffin dip for my hands and feet."
"I should use a warm paraffin dip for my hands and feet."
Explanation’s : The nurse should instruct the client to dip her hands and feet in warm paraffin to alleviate pain and stiffness. The client can more
easily perform hand and finger exercises following the treatment.
A nurse is caring for a child who has contact dermatitis due to poison ivy. The parent asks the nurse how to prevent further reactions. Which of
the following responses should the nurse make?
1. "Rinse your child's skin with hot water within 30 min of contact with the poison ivy plant."
2. "Wash your child's exposed clothing with hot water and detergent."
3. "Scrub your child's exposed skin with warm water and antibacterial soap."
4. "Don't allow your child to have contact with other children who have poison ivy."
"Wash your child's exposed clothing with hot water and detergent."
Explanation’s : The nurse should instruct the parent to wash the child's clothing in hot water and detergent after exposure to the poison ivy
plant. This will remove the oil, urushiol, which causes the skin reaction.
, The nurse should instruct the parent to wash the child's clothing in hot water and detergent after exposure to the poison ivy plant. This will
remove the oil, urushiol, which causes the skin reaction.
1. First, the nurse should assist the client into high Fowler's position or raise the head of the bed at least 30° to help prevent aspiexplanation’s
ion.
2. Then, the nurse should verify the tube's placement by aspiexplanation’s ing 5 mL of gastric contents and then testing the aspiexplanation’s e
pH.
3. Then, the nurse should check for gastric residual volume (GRV).
4. Excessive GRV is an indication of delayed gastric emptying, which places the client at risk of aspiexplanation’s ion if additional formula is
given.
5. Finally, the nurse should flush the tubing with 30 mL of water to ensure the tube is clear and patent.
A nurse is providing change-of-shift report about a group of clients to the oncoming nurse at the end of the shift. Which of the following
statements should the nurse include?
1. "The client received a PRN dose of pain medication this morning."
2. "The client has been very tearful since finding out he has diabetes mellitus."
3. "The client's routine vital signs were obtained at 0700, 1100, and 1500."
4. "The client's husband visited during lunch as he has done each day."
"The client has been very tearful since finding out he has diabetes mellitus."
Explanation’s : The nurse should include significant information such as a new diagnosis in the change-of-shift report. The nurse should also
identify changes in the client's emotional status that might indicate a need for additional client support and teaching.
A nurse is planning care for a newly-admitted school-age child who has rubeola. Which of the following isolation precautions should the nurse
plan to initiate?
1. Droplet
2. Airborne
3. Contact
4. Protective environment
Airborne
A & B PEDIATRICS 500+QUESTIONS AND CORRECT
ANSWERS (PROFESSOR VERIFIED) | GRADED A+ |2024/2025
LATEST EDITION (JUST RELEASED)
A nurse in a long-term care facility is performing a fall risk assessment on a newly admitted client using the Timed Up and Go (TUG) test. The
client reports using a tripod cane for ambulation. Which of the following actions should the nurse take when using this test?
1. Observe the client ambulating a distance of 3 m (10 feet) during the TUG test.
2. Instruct the client to perform the TUG test without the use of the cane.
3. Assist the client to stand up from the chair when starting the TUG test.
4. Advise the client to use the arms of the chair to stand when starting the TUG test.
Observe the client ambulating a distance of 3 m (10 feet) during the TUG test.
Explanation: The nurse should mark a spot 3 m (10 feet) away from the client's sitting location. The nurse should instruct the client to stand,
ambulate to the marked spot, turn, ambulate back to the chair, and sit down. The nurse should observe the client's ability to perform the test
and use a stopwatch to time the client. The nurse should identify that the client is at increased risk of falls if it takes longer than 14 seconds to
complete the test.
A nurse in an emergency is caring for an infant who requires emergency surgery. The infant is accompanied by his 16-year-old mother and his
maternal grandfather. Which of the following actions should the nurse take when assisting with informed consent?
1. Witness consent obtained from the infant's mother.
2. Inform the family that informed consent is not needed due to emergency surgery.
3. Notify the maternal grandfather that he is required to give informed consent.
4. Request that a court-appointed representative provide informed consent.
Witness consent obtained from the infant's mother.
Explanation: The nurse should assist in obtaining informed consent from the infant's mother by witnessing her signature. Statutory guidelines
indicate that a minor, even if unemancipated, can provide consent for her infant. Unemancipated minors can also legally provide informed
consent for STI treatment, substance use treatment, and care related to pregnancy in some states.
A nurse is caring for a client who has dysphagia following a stroke. Which of the following actions should the nurse take to facilitate safe
swallowing and decrease the risk of aspiexplanation’s ion?
1. Delay the client's mealtime if he is fatigued.
2. Instruct the client to tilt his head to the side when swallowing.
3. Assist the client with fluid intake by inserting it into the client's mouth with a syringe.
,4. Encourage the client to focus on a television program during meal time.
Delay the client's mealtime if he is fatigued.
Explanation’s : To facilitate safe swallowing and decrease the risk of aspiexplanation’s ion, the nurse should encourage the client to rest prior to
meal-time. If the client is fatigued, the nurse should delay the mealtime and give the client time to rest.
A nurse is planning care to prevent a catheter-related blood stream infection for a client who is receiving IV fluid therapy. Which of the following
interventions should the nurse include in the plan?
1. Change bags of IV solution every 72 hr.
2. Perform hand hygiene before touching the IV tubing.
3. Use hydrogen peroxide to cleanse the IV insertion site.
4. Assess the IV insertion site every 12 hr for redness.
Perform hand hygiene before touching the IV tubing.
Explanation’s : 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 caring for an adolescent client who is in critical condition following a motor vehicle crash in which he was the passenger. The clients
parents shouts 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 patient?
1. Encourage the parent to speak with the family of the driver of the car.
2. Inform the parent that anger is a natural response when dealing with loss.
3. Ask the parent to leave and come back later after she has calmed down.
4. Contact a clergy member to come and speak with the parent.
Inform the parent that anger is a natural response when dealing with loss.
Explanation’s : 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 is teaching about advice directives with an older adult client who has a terminal illness. Which of the following statements should the
nurse make?
,1. "Having advance directives means that you don't want to receive CPR."
2. "Your next of kin can amend your advance directives for you if you are unconscious."
3. "Advance directives are verbal or written instructions."
4. "Your advance directives can designate a friend to make your health care decisions."
"Your advance directives can designate a friend to make your health care decisions."
Explanation’s : The nurse should inform the client that he may include a health care proxy or durable power of attorney for health care as part of
his advance directives. This form designates a person of the client's choosing to make health care decisions for him if he becomes unable to do so
for himself. This may be a relative, personal friend, or anyone the client designates. The nurse should ensure that this form is witnessed or
notarized according to state law.
A nurse is teaching a client who has rheumatoid arthritis about chronic pain management. Which of the following statements by the client
indicates an understanding of the teaching?
1. "I should stop participating in my bowling league."
2. "I should take a cool shower in the morning to relieve stiffness."
3. "I should decrease my intake of foods containing purine."
4. "I should use a warm paraffin dip for my hands and feet."
"I should use a warm paraffin dip for my hands and feet."
Explanation’s : The nurse should instruct the client to dip her hands and feet in warm paraffin to alleviate pain and stiffness. The client can more
easily perform hand and finger exercises following the treatment.
A nurse is caring for a child who has contact dermatitis due to poison ivy. The parent asks the nurse how to prevent further reactions. Which of
the following responses should the nurse make?
1. "Rinse your child's skin with hot water within 30 min of contact with the poison ivy plant."
2. "Wash your child's exposed clothing with hot water and detergent."
3. "Scrub your child's exposed skin with warm water and antibacterial soap."
4. "Don't allow your child to have contact with other children who have poison ivy."
"Wash your child's exposed clothing with hot water and detergent."
Explanation’s : The nurse should instruct the parent to wash the child's clothing in hot water and detergent after exposure to the poison ivy
plant. This will remove the oil, urushiol, which causes the skin reaction.
, The nurse should instruct the parent to wash the child's clothing in hot water and detergent after exposure to the poison ivy plant. This will
remove the oil, urushiol, which causes the skin reaction.
1. First, the nurse should assist the client into high Fowler's position or raise the head of the bed at least 30° to help prevent aspiexplanation’s
ion.
2. Then, the nurse should verify the tube's placement by aspiexplanation’s ing 5 mL of gastric contents and then testing the aspiexplanation’s e
pH.
3. Then, the nurse should check for gastric residual volume (GRV).
4. Excessive GRV is an indication of delayed gastric emptying, which places the client at risk of aspiexplanation’s ion if additional formula is
given.
5. Finally, the nurse should flush the tubing with 30 mL of water to ensure the tube is clear and patent.
A nurse is providing change-of-shift report about a group of clients to the oncoming nurse at the end of the shift. Which of the following
statements should the nurse include?
1. "The client received a PRN dose of pain medication this morning."
2. "The client has been very tearful since finding out he has diabetes mellitus."
3. "The client's routine vital signs were obtained at 0700, 1100, and 1500."
4. "The client's husband visited during lunch as he has done each day."
"The client has been very tearful since finding out he has diabetes mellitus."
Explanation’s : The nurse should include significant information such as a new diagnosis in the change-of-shift report. The nurse should also
identify changes in the client's emotional status that might indicate a need for additional client support and teaching.
A nurse is planning care for a newly-admitted school-age child who has rubeola. Which of the following isolation precautions should the nurse
plan to initiate?
1. Droplet
2. Airborne
3. Contact
4. Protective environment
Airborne
