ATI RN Concept-Based Assessment Level 3 Practice A (Latest 2023/ 2024) Questions and Verified Answers with Rationales| 100% Correct| Grade A

ATI RN Concept-Based Assessment Level 3

Practice A (Latest 2023/ 2024) Questions

and Verified Answers with Rationales| 100%

Correct| Grade A

Q: A nurse is caring for an infant who has tetralogy of Fallot. The nurse notes that the infant

exhibits a sudden onset of cyanosis and is hyperpneic. Which of the following actions should the

nurse take.

Answer:

Place infant in a knee-chest position

Rationale: The nurse should place the infant in a knee-chest position to maximize the

oxygenation status of the infant during hypercyanotic episodes.

Q: A nurse is assessing a client who has inflammatory bowel disease and is one day

postoperative following a permanent ileostomy placement. Which of the following findings

should the nurse report to the provider.

Answer:

the Stoma is retracted into the abdominal wall.

rational - The nurse should frequently assess the stoma. It should not be prolapsed or retracted

into the abdominal wall. The nurse should report these findings to the provider as well as a

change in the appearance of the stoma color to pale, bluish, or dark in color.

Q: A nurse is caring for a newborn who was born prematurely. which of the following findings

is the priority for the nurse to investigate further

Answer:

grunting on expiration

Rationale: When using the airway, breathing, circulation approach to client care, the nurse

should determine the priority finding to investigate further is expiratory grunting. This finding

indicates respiratory distress, which can be life-threatening for the preterm newborn.

Q: a nurse in an emergency department is speaking with the parent of a school age child who

has conduct disorder which of the following parent characteristics places the child at risk for

maltreatment

Answer:

the parent makes most decisions on impulse

r - A parent who has poor impulse control puts the child at risk for child maltreatment.

Q: A nurse manager is conducting an in-service about medication's for substance use disorders

with a group of staff nurses. Which of the following medication should the nurse manager

include as an opioid agonist used in withdrawal therapy

Answer:

methadone

Rationale: The nurse should include in the in-service that methadone is an opioid agonist used

for withdrawal therapy for clients addicted to opioids. The client can use methadone in place of

an illegal substance to prevent withdrawal as part of maintenance therapy or to build tolerance to

opioids through suppressive therapy

Q: A nurse is assessing a client who is at 24 weeks of gestation. Which of the following

findings should the nurse identify as an indication of gestational hypertension

Answer:

diastolic blood pressure 98 mm Hg

Rationale: Gestational hypertension is characterized by a systolic blood pressure greater than

140 mm Hg or a diastolic blood pressure greater than 90 mm Hg in a client who is at or past 20

weeks of gestation. To diagnose gestational hypertension, the nurse should record the increased

levels on two occasions that are 4 hr apart.

Q: A nurse is assessing a seven month old infant who is experiencing developmental delays

which of the following findings should the nurse expect.

Answer:

Restricts attention to large objects

Rationale: The nurse should expect a 7-month-old infant to begin to focus on very small objects.

However, a 7-month-old infant who restricts attention to large objects is displaying a sensory

developmental delay.

Q: a nurse Is assessing a client who has lung cancer which of the following manifestations

should the nurse expect

Answer:

Persistent cough

Rationale: The nurse should expect a client who has lung cancer to have a persistent cough or

any change in the pattern of coughing, such as increased frequency, longer duration, or

producing more sputum.

Q: a nurse is planning care for a client who has adenocarcinoma and associated

thrombocytopenia. which of the following actions should the nurse plan to take

Answer:

Initiate fall precautions for the client.

Rationale: The nurse should plan to initiate fall precautions for the client who has

thrombocytopenia to prevent injury.

Q: a nurse is caring for a client who was recently diagnosed with a terminal illness and is

experiencing an intrapersonal crisis which of the following client statements indicates the use of

rationalization

Answer:

i think this disease happened to me to test my belief system

Rationale: This statement is an example of rationalization, in which a client attempts to justify

the presence of her illness by giving an illogical explanation.

Q: a nurse is caring for a client who has eclampsia and has just experienced a tonic-clonic

seizure. which of the following actions should the nurse take

Answer:

apply oxygen via nonbreather at 10 L/min

Rationale: The nurse should administer oxygen at 10L/min via nonrebreather face mask

following a seizure. Also, the nurse should use suction as needed, apply a pulse oximetry

monitor, initiate intravenous fluids, administer magnesium sulfate, insert an indwelling urinary

catheter, and monitor vital signs.

Q: a nurse in an emergency department is creating a plan of care for a client who reports a

recent sexual assault. which of the following interventions should the nurse plan to include

Answer:

explain to the client the reason each procedure is conducted

Rationale: The nurse should explain the reason each assessment procedure is conducted and

why because a client who reports a recent sexual assault is extremely vulnerable in the

immediate postcrisis period. Explaining the purpose for each procedure will decrease the client's

anxiety and fear and increase feelings of trust.

Q: a nurse on an acute care unit is caring for a newly admitted client who has bipolar disorder.

which of the following actions should the nurse take

(exhibit question)

Answer:

prepare the client for hemodialysis