2024 ATI RN CONCEPT BASED ASSESSMENT LEVEL 1 PROCTORED EXAM
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ATI RN,
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ATI RN,
A nurse is caring for a client who is 2 days postoperative following an above-the-knee amputation. The client states he is experiencing a dull, burning pain in the leg that was amputated. Which of the following actions should the nurse take to treat the client's neuropathic pain? -Correct Answer Ad...
2024 ATI RN CONCEPT BASED
ASSESSMENT LEVEL 1 PROCTORED
EXAM
A nurse is caring for a client who is 2 days postoperative following an above-the-knee
amputation. The client states he is experiencing a dull, burning pain in the leg that was
amputated. Which of the following actions should the nurse take to treat the client's
neuropathic pain? -Correct Answer ✔Administer a beta-blocking medication to the
client.
(The nurse should administer a beta-blocking medication to the client. This classification
of medication has been shown to relieve the phantom limb pain manifestations of
constant dull and burning type pain.)
A newly licensed nurse asks a charge nurse where to find information about scope of
practice for registered nurses. Which of the following responses should the charge
nurse make? -Correct Answer ✔"The state board of nursing can provide this
information"
(each state develops a nurse practice act, which defines scope of practice for nurses in
that state. This practice act is available on the board of nursing website for each state.)
A nurse is planning care to prevent a catheter-related bloodstream infection for a client
who is receiving IV fluid therapy. Which of the following interventions should the nurse
include in the plan? -Correct Answer ✔Perform hand hygiene before touching the IV
tubing.
(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 creating a plan of care for a client who is non-ambulatory and has bladder
and bowel incontinence. Which of the following interventions should the nurse include to
prevent skin breakdown? -Correct Answer ✔Offer the client a glass of water every two
hour when repositioning.
(The nurse should offer the client a glass of water every two hours on the clients
repositioning schedule. This helps prevent dehydration, which increases the risk of skin
breakdown.)
A nurse is teaching a young adult female client about health screening for breast
cancer. Which of the following statements by the client indicates an understanding of
breast self-examination (BSE)? -Correct Answer ✔"I should expect to feel a firm ridge
along the bottom curve of each breast."
(The nurse should instruct the client at 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 breast normally
2024 ATI RN CONCEPT BASED ASSESSMENT
,2024 ATI RN CONCEPT BASED ASSESSMENT
feel. The awareness increases the clients ability to identify changes that require further
evaluation.)
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? -Correct Answer ✔Inform the parent
that anger is a natural response when dealing with loss.
(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? -Correct Answer ✔"Websites ending in '.gov' are reliable
sites for obtaining health information from government agencies."
(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? -Correct Answer ✔Check the client for
injuries.
(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? -Correct Answer ✔"I should use a warm paraffin dip for
my hands and feet."
(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? -Correct
Answer ✔African American
(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.)
2024 ATI RN CONCEPT BASED ASSESSMENT
, 2024 ATI RN CONCEPT BASED ASSESSMENT
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? -Correct Answer ✔Slide
the pin on top of the fire extinguisher straight out.
(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? -Correct 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.
(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.)
A nurse is caring for a 47-year-old female client who had urinary incontinence. Which of
the following actions should the nurse take first? -Correct Answer ✔Obtain a specimen
from the client for culture.
(The 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 UTI. If it is a
determined the client has RBC's and WBC's 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.)
A nurse is talking with a client who has a major depressive disorder. The client states,
"Nobody cares if I'm around or not." Which of the following responses should the nurse
make? -Correct Answer ✔"It sounds as though you're feeling hopeless."
(This statement by the nurse is an example of restraining, which is a therapeutic
response. This technique restates the main idea the client has expressed and allows
the client to clarify any misunderstanding.)
A charge nurse is teaching a group of newly licensed nurses how to prevent errors
during administration of blood transfusions. Which of the following actions should the
nurse include? -Correct Answer ✔Use a new blood administration tubing set for each
blood bag infused.
(The nurse should use a new blood infusion tubing set for each component of blood. A
blood infusion set should not be reused, even for the same client.)
2024 ATI RN CONCEPT BASED ASSESSMENT
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