LATEST ATI RN Concept
Based Assessment Level 1
ATI RN CONCEPT BASED
ASSESSMENT PROCTORED
EXAM FOR LEVEL 1 TEST
BANK. QUESTIONS AND
ANSWERS WITH RATIONALES
ALREADY GRADED A+. NEW
VERSION 2023-2024
A nurse is reviewing a client's new prescriptions that were just documented in the client's medical record by the provider. Which of the following abbreviations should the nurse clarify with the provider? - ANSWER-Enoxaparin 40 mg SQ QD
RATIONALE-(The nurse should clarify this prescription with the provider. The abbreviations "SQ" and "QD" are considered error-prone and should not be used in documentation. The nurse should clarify that the provider intends the prescription to be administered subcutaneously once daily. "Subcutaneous" or "subcut" should be used instead of "SQ" and "daily" should be used instead of "QD.")
A community health nurse is participating in a task force initiative to reduce the incidence of disease from injection drug use among the city's homeless population. Which of the following plans should the nurse recommend as part of tertiary prevention? - ANSWER-Start a needleexchange program.
RATIONALE-(Initiating a program for needle exchange and treating clients who are homeless for any diseases they may have already acquired are examples of tertiary prevention.)
A nurse is performing a focused assessment on a client who has chronic pain due to fibromyalgia. Which of the following questions should the nurse ask to access the quality of the client's pain? - ANSWER-"Can you describe what your pain feels like?"
RATIONALE-(The nurse should ask the client to describe her pain when assessing pain quality. The quality of a client's pain can be expressed using adjectives such as "piercing," "stabbing," and "aching.")
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? - ANSWER-Inform the parent that anger is a natural response when dealing with loss.
RATIONALE-(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 an older adult client about accessing electronic resources for healthcare information on the internet. Which of the following statements should the nurse include in the teaching? - ANSWER-"Websites ending in '.gov' are reliable sites for obtaining health information from government agencies."
RATIONALE-(The nurse should teach the client how to select reliable internet websites when researching health care information. The nurse should identify that websites ending in '.gov' and '.edu' are considered reliable and credible sources for health information. Websites ending in '.com' should not be used for researching credible healthcare information.)
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? - ANSWER-Check the client for injuries.
RATIONALE-(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 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? - ANSWER-"I should use a warm paraffin dip for my hands and feet."
RATIONALE-(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 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? - ANSWER-African American
RATIONALE-(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? - ANSWER-Slide the pin on top of the fire extinguisher straight out.
RATIONALE-(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? - ANSWER-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.
RATIONALE-(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 pH. Then, the nurse should check for gastric residual volume. Excessive GRV is an indication of delayed gastric emptying, which places the client at risk of aspiration if additional formula is given. Finally, the nurse should flush the tubing with 30 mL of water to ensure the tube is clear and patent.)
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