ATI RN Concept-Based Assessment Level 1
Exam V1 (New 2023/ 2024) Questions and
Verified Answers with Rationales| 100%
Correct| Graded A
QUESTION
... [Show More]
A nurse in a long-term care facility discovers a small fire in a client's trash can. After moving
the client to safety, which of the following actions should the nurse take next?
Answer:
Pull the alarm to notify emergency services.
Rationale: Evidence-based practice indicates the nurse should first rescue and remove clients in
immediate danger and then activate the alarm to notify authorities of the situation.)
QUESTION
A nurse is preparing to leave the room who is on isolation precautions. Which of the following
actions should the nurse take when removing a tied surgical mask?
Answer:
Remove the mask by securely holding the ties and moving it away from the face.
Rationale: The nurse should untie the bottom strings and then the top strings. Finally, while still
holding the strings, the nurse should remove the mask from her face. This action prevents the
nurse from touching the front of the mask, which is contaminated.)
QUESTION
A nurse is searching electronic databases for clinical research about behavioral indicators.
Which of the following online sources should the nurse select to research this infant care issue?
Answer:
Cumulative Index to Nursing and Allied Health Literature (CINAHL)
Rationale: The nurse should select the Cumulative Index to Nursing and Allied Health
Literature (CINAHL) to locate clinical research about health-related client care issues. CINAHL
is a cumulative index that the nurse can search electronically to locate reliable data related to the
specific topic being researched.)
QUESTION
A nurse is preparing to administer three medications to a client who has an NG tube: a
levothyroxine tablet, an ibuprofen gel cap, and a delayed-release omeprazole capsule. Which of
the following actions should the nurse take?
Answer:
Crush the levothyroxine tablet into a powder and dissolve it into 30 mL of warm sterile water.
Rationale: The nurse should prepare simple tablets for NG administration by crushing them into
a fine powder and dissolving them in at least 30 mL of warm sterile water. Cold water can cause
discomfort. Sterile water eliminates the possible problem of chemicals in tap water interacting
with the medication.)
QUESTION
A nurse is planning care who has an indwelling urinary catheter. Which of the following
interventions include in the plan to prevent the development of a catheter-associated urinary tract
infection (CAUTI)?
Answer:
Secure the catheter tubing to the client's leg.
Rationale: The nurse should assess the client's need for urinary catheterization and should
follow evidence-based practice to prevent or reduce the risk of CAUTI development. This
includes securing the catheter tubing to the client's leg so that the catheter does not move,
reducing the risk of urethral trauma and introduction of bacteria into the urinary system.)
QUESTION
A nurse is caring for a 2-year-old toddler who is immediately postoperative. Which of the
following pain scales should the nurse use to access the toddler's pain level?
Answer:
FLACC scale
Rationale: The nurse should use the FLACC scale to assess pain for a 2-year-old child. The
FLACC scale assesses facial expression, leg movement, activity, cry, and consolability in
children 2 months to 7 years of age. The nurse assigns a score of 0 to 2 for each area.)
QUESTION
A nurse is caring for a client who has cancer and is planning discharge to home with hospice
care. Which of the following statements by the client indicates that he is experiencing spiritual
distress?
Answer:
"I wish God had not allowed this cancer to invade my body."
Rationale: The nurse should identify that this statement indicates the client is experiencing
spiritual distress, which occurs when there is a disturbance in a client's belief system. This client
is expressing spiritual anger and not accepting his condition.)
QUESTION
A nurse is planning care for a client who has breast cancer and is scheduled for chemotherapy.
The client reports experiencing chemotherapy-induced nausea and vomiting (CINV) during her
previous round of treatment. Which of the following interventions should the nurse include in the
client's plan of care?
Answer:
Administer ondansetron to the client prior to chemotherapy administration.
Rationale: The nurse should incorporate evidence-based practice interventions into the client's
plan of care to prevent and treat CINV. Evidence-based research indicates that prevention of
CINV is best achieved when antiemetics, such as ondansetron, are given prior to the
administration of chemotherapy.)
QUESTION
A nurse in a long-term care facility is admitting a new client following a brief stay in acute care.
In adherence with the Joint Commission National Patient Safety Goals regarding medication
administration, which of the following actions should the nurse take?
Answer:
Compare a list of the client's current medications with the ones he will take in long-term care.
Rationale: The Joint Commission National Patient Safety Goals regarding medication
reconciliation includes maintaining and communicating accurate client medication information.
The nurse should complete a medication reconciliation to identify and resolve any discrepancies
by comparing the client's list of current medications with the medications he will take i [Show Less]