Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

ATI RN Concept-Based Assessment Level 1 Online Practice A, Exams of Nursing

A series of questions and answers related to nursing concepts and practices. It covers topics such as cultural aspects of client care, violent behavior in mental health facilities, subcutaneous injections, fibromyalgia treatment, and wound healing in older adults. The questions are designed to test the knowledge of nursing students and professionals and provide explanations and rationales for the correct answers.

Typology: Exams

2023/2024

Available from 01/13/2024

Superacademic
Superacademic 🇺🇸

46 documents

1 / 5

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
ATI RN Concept-Based Assessment
Level 1 Online Practice A
A charge nurse is educating unit staff about the cultural aspects of client care following
death. What statement by an assistive personnel indicates an understanding of the
teaching?
1. "The body of a client who practices Islam is washed and wrapped in a cloth following
death."
2. "The body of a client who practices Judaism is left alone for 24 hr following death."
3. "The youngest child of a client who is Chinese might want to stay with the body for 12
hr following death."
4. "The body of a client who practices Buddhism is prepared by the oldest female family
member." - ANS"The body of a client who practices Judaism is left alone for 24 hr
following death."
Rat: The body of a client who practices Islam is washed, wrapped, prayed over, and
buried as soon as possible following death. The client's head should be turned toward
Mecca.
A nurse in a mental health facility is caring for a client who is exhibiting violent behavior
and has been placed in seclusion. What actions should the nurse take?
Provide the client with food every 3 hr.
Ensure the provider evaluates the secluded client within 8 hr.
Document the client's status every 15 min.
Explain to the client that seclusion is punishment for violent behavior. - ANSDocument
the client's status every 15 min.
Rat:
A nurse is administering enoxaparin subcutaneously to a client who is postoperative
and is at risk of thromboembolic events. What following actions should the nurse take?
1. Insert the needle at a 15º angle after cleansing the site.
2. Pull up a small amount of skin using the thumb and forefinger of the nondominant
hand.
3. Insert about half of the needle length into the tissue.
pf3
pf4
pf5

Partial preview of the text

Download ATI RN Concept-Based Assessment Level 1 Online Practice A and more Exams Nursing in PDF only on Docsity!

ATI RN Concept-Based Assessment

Level 1 Online Practice A

A charge nurse is educating unit staff about the cultural aspects of client care following death. What statement by an assistive personnel indicates an understanding of the teaching?

  1. "The body of a client who practices Islam is washed and wrapped in a cloth following death."
  2. "The body of a client who practices Judaism is left alone for 24 hr following death."
  3. "The youngest child of a client who is Chinese might want to stay with the body for 12 hr following death."
  4. "The body of a client who practices Buddhism is prepared by the oldest female family member." - ANS"The body of a client who practices Judaism is left alone for 24 hr following death." Rat: The body of a client who practices Islam is washed, wrapped, prayed over, and buried as soon as possible following death. The client's head should be turned toward Mecca. A nurse in a mental health facility is caring for a client who is exhibiting violent behavior and has been placed in seclusion. What actions should the nurse take? Provide the client with food every 3 hr. Ensure the provider evaluates the secluded client within 8 hr. Document the client's status every 15 min. Explain to the client that seclusion is punishment for violent behavior. - ANSDocument the client's status every 15 min. Rat: A nurse is administering enoxaparin subcutaneously to a client who is postoperative and is at risk of thromboembolic events. What following actions should the nurse take?
  5. Insert the needle at a 15º angle after cleansing the site.
  6. Pull up a small amount of skin using the thumb and forefinger of the nondominant hand.
  7. Insert about half of the needle length into the tissue.
  1. Pull back on the plunger to check for blood return before administering the medication. - ANSPull up a small amount of skin using the thumb and forefinger of the nondominant hand. Rat: Pulling up or pinching the skin brings the subcutaneous tissue upward and helps reduce the pain of the injection. A nurse is assessing a client who has fibromyalgia. What treatment modality prescription should the nurse expect for the clients mixed pain? Referral for a nutritional consult PCA infusion pump with morphine Pregabalin PO twice daily Progressive exercise plan leading to running three times per week - ANSPregabalin PO twice daily Rat: The nurse should expect a prescription for an antidepressant medication such as pregabalin. The mixed pain experienced by a client who has fibromyalgia has components of both nociceptive and neuropathic pain, which responds best to adjunctive treatment modalities such as antidepressants. These medications work to increase the release of serotonin and norepinephrine neurotransmitters in the brain. A nurse is caring for an older adult who has a leg wound following a fall on the stairs. The nurse should identify what factors as an expected, age-related change in older adults that can impair wound healing? Collagen tissue expands and is more flexible. Antibody formation increases. Skin capillaries enlarge. Elastin fibers separate and thicken. - ANSElastin fibers separate and thicken. Rat: The nurse should identify that elastin fibers in an older adult client thicken and separate, which can cause delayed wound healing and lead to a "saggy" appearance due to decreased skin elasticity. A nurse is planning to implement bladder retraining for a client who has urge incontinence. Which of the following actions should the nurse plan to take?
  2. Assist the client to the toilet as soon as the urge to void is reported.
  3. Apply an adult diaper to the client during nighttime hours.
  1. "Decrease your intake of soluble fiber while you are experiencing diarrhea."
  2. "Decrease your intake of sodium while you are experiencing diarrhea."
  3. "Increase your intake of potassium-rich foods while you are experiencing diarrhea."
  4. "Increase your intake of caffeinated beverages while you are experiencing diarrhea."
  • ANS"Increase your intake of potassium-rich foods while you are experiencing diarrhea." Rat: The nurse should instruct the client to increase his intake of foods containing potassium, such as tomatoes and potatoes, while he is experiencing diarrhea. The increased intake of potassium helps reduce the risk of electrolyte imbalance due to fluid loss. A nurse is teaching a client about strategies to prevent recurrent constipation. Which of the folllowing instructions should the nurse include? Perform moderate exercises daily Add more whole grains to your diet Increase your fluid intake Consume a dose of castor oil every day Take an iron supplement every day - ANS"Perform moderate exercises daily" is correct. Physical activity helps increase peristalsis, which helps prevent constipation. "Add more whole grains to your diet" is correct. Whole grains, fresh fruits and vegetables, and legumes promote regular defecation by adding fiber to the diet, which helps prevent constipation. "Increase your fluid intake" is correct. Consuming at least 1,500 mL of water and fruit juice each day helps soften stool and prevent constipation. A nurse is teaching a young adult female clients about health screening for breast cancer. Which of the following statements by the client indicates an understanding of breast self-examination (BSE)?
  1. "I should perform a BSE about 1 week before my period each month."
  2. "I should use the fingers of my right hand to feel for lumps in my right breast."
  3. "I should report a lump in my breast if it remains for two consecutive BSEs."
  4. "I should expect to feel a firm ridge along the bottom curve of each breast." - ANS"I should expect to feel a firm ridge along the bottom curve of each breast." Rat: The nurse should instruct the client that a firm ridge is expected along the bottom curve of each breast. The client should be able to feel this area during the BSE. Performing a BSE promotes breast self-awareness so that the client knows how her breasts normally feel. This awareness increases the client's ability to identify changes that require further evaluation and treatment.

Post void residuals 0620: 22ml 1630: 18ml 2330: 40ml - ANSThe first action the nurse should take when using the nursing process is assessment. The nurse should obtain a urine specimen from the client to rule out a urinary tract infection. If it is determined the client has RBCs and/or WBCs in the urine, the specimen will require a culture. If it is determined that the client has a UTI, this will require treatment before any further assessment of incontinence would be indicated. 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. - ANS1. 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 aspiration.

  1. Then, the nurse should verify the tube's placement by aspirating 5 mL of gastric contents and then testing the aspirate pH.
  2. Then, the nurse should check for gastric residual volume (GRV).
  3. Excessive GRV is an indication of delayed gastric emptying, which places the client at risk of aspiration if additional formula is given.
  4. Finally, the nurse should flush the tubing with 30 mL of water to ensure the tube is clear and patent.