ATI RN Concept-Based Assessment Level 1 Exam Version 1 (Latest 2023/ 2024) Questions and Verified Answers with Rationales| 100% Correct| Grade A

ATI RN Concept-Based Assessment Level 1

Exam Version 1 (Latest 2023/ 2024)

Questions and Verified Answers with

Rationales| 100% Correct| Grade A

Q: 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.)

Q: 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.)

Q: 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.)

Q: 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.)

Q: 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.)

Q: 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.)

Q: 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.)

Q: 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?

Answer:

Obtain a specimen from the client for culture.

Rationale: 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.)

Q: 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?

Answer:

"It sounds as though you're feeling hopeless."

Rationale: 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.)

Q: 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?

Answer:

Use a new blood administration tubing set for each blood bag infused.

Rationale: 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.)

Q: A nurse is caring for a client who has C. diff infection and is incontinent of stool following a

long-term antibiotic therapy. Which of the following actions should the nurse take?

Answer:

Wear a gown when providing care for the client.

Rationale: The nurse should wear a gown when providing care for a client who has C. diff

infection and is incontinent of stool. Applying a clean, water-resistant gown prior to entering the

clients room prevents the nurses clothing from becoming contaminated while caring for the

client. The nurse should remove the gown prior to exiting the clients room.)

Q: A nurse is providing discharge teaching about nutrition management to a client who has

COPD. Which of the following instructions should the nurse include in the teaching?

Answer:

Have a high-calorie protein drink between meals.

Rationale: The nurse should encourage a client who has COPD to drink a high-calorie protein

drink between meals. Anorexia is a manifestation of COPD and this added nutritional intake

promotes weight gain.)