ATI RN CONCEPT BASED ASSESSMENT - LEVEL 1 PRACTICE A | RNSG 1430
18 views 0 purchase
Course
RNSG 1430 ATI RN CONCEPT BASED ASSESSMENT
Institution
RNSG 1430 ATI RN CONCEPT BASED ASSESSMENT
RNSG 1430 ATI RN CONCEPT BASED ASSESSMENT
1. A nurse is admitting a client who has pulmonary tuberculosis. Which of the following transmission-based precautions should the nurse initiate?
• Airborne
• Rationale: Pulmonary tuberculosis is an infection that is transmitted by airborne droplet...
rnsg 1430 ati rn concept based assessment level 1 practice a
1 a nurse is admitting a client who has pulmonary tuberculosis which of the following transmission based precautions should the nurse ini
Written for
RNSG 1430 ATI RN CONCEPT BASED ASSESSMENT
All documents for this subject (5)
Seller
Follow
verifiedtutors
Reviews received
Content preview
RNSG 1430 ATI RN CONCEPT BASED ASSESSMENT
Level 1, Practice A
1. A nurse is admitting a client who has pulmonary tuberculosis. Which of
thefollowing transmission-based precautions should the nurse initiate?
Airborne
Rationale: Pulmonary tuberculosis is an infection that is transmitted by
airborne droplets smaller than 5 microns in diameter. Therefore, this
client requires airborne precautions to prevent communicating this
infection to others
2. A nurse in a mental health facility is preparing an educational program for a
group of staff nurses about the proper use of restraints. Which of the
followinginformation should the nurse plan to include?
An adult client may be in a mechanical restraint for up to 4 hours
Rational: The nurse should specify that a client who is 18 years or older
may be in a restraint for no more than 4 hr. Children who are 9 to 17
yearsold are limited to 2 hr and children who are younger than 9 years
old are limited to 1 hr
3. A nurse is teaching sleep hygiene to a client who has insomnia. Which of
thefollowing statements should the nurse make?
Exercise in the morning after arising
, Rationale: Daily exercise has many benefits, including enhancing
cardiovascular, psychological, and musculoskeletal health. The nurse
should recommend that the client avoid exercising within 2 hr of
bedtimeto limit stimulation and enhance sleep
4. A nurse is preparing to leave the room of a client who is on isolation precautions.
Which of the following actions should the nurse take when removing a
tiedsurgical mask?
Remove the mask by securely holding the ties and moving it away from
theface
Rationale: The nurse should untie the bottom strings and then the top
strings. Finally, while still holding the strings, the nurse should remove
themask from her face. This action prevents the nurse from touching the
frontof the mask, which is contaminated
5. 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 client's parent shouts
atthe 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?
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
,6. A community health nurse is planning prevention strategies for hypertension
among members of her community. The nurse should identify that which of
thefollowing ethnic groups in the community is at greatest risk of developing
hypertension?
African Americans
Rationale: Evidence-based practice indicates that individuals of African-
American ethnicity have the highest prevalence of hypertension.
Therefore, the nurse should identify community members of this ethnicity
are at greatest risk of developing hypertension.
7. A community health nurse is planning interventions to promote Healthy
People2020 initiatives in the community. Which of the following actions
should the nurse plan to take first?
Determine the level of health equity among groups in the community
Rationale: Health equity among all groups in the community is a
HealthyPeople 2020 initiative. Using the nursing process, the first action
the nurse should take is to assess the needs of the community. By
identifyingdisparities in community health, the nurse can develop
interventions targeted at the community's specific needs.
8. A nurse is reviewing a client's new prescriptions that were just documented in
theclient's medical record by the provider. Which of the following abbreviations
should the nurse clarify with the provider?
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."
9. A nurse is talking with a client who has major depressive disorder. The
client states, "Nobody cares if I'm around or not." Which of the following
responsesshould the nurse take?
It sounds as though you’re feeling hopeless
Rationale: This statement by the nurse is an example of restating, which is
a therapeutic response. This technique restates the main idea the client
has expressed and allows the client to clarify any misunderstanding.
10. A nurse is preparing to administer a unit of packed RBCs to a client. In
adherencewith the Joint Commission National Patient Safety Goals regarding
blood administration, which of the following actions should the nurse plan to
take?
Verify the client and blood component using a two-person process
Rationale: The Joint Commission National Patient Safety Goals regarding
blood transfusions includes improving the accuracy of client
identification.The nurse should eliminate transfusion errors related to
client misidentification by using a two-person verification process to
identify the client and the blood component.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller verifiedtutors. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.00. You're not tied to anything after your purchase.
