RN ATI CONCEPT-BASED ASSESSMENT
LEVEL 4 2026 FULL QUESTIONS AND
ANSWERS WITH RATIONALES GRADED A+
⩥ A nurse is counseling a client who has a family history of colorectal
cancer about management of nutrition to help prevent gastrointestinal
(GI) cancers. Which of the following images indicates a food or
beverage the nurse should encourage the client to include liberally in his
diet. Answer: Fruits and Veggies
Rat: To help reduce the risk of cancers of the GI system, the nurse
should instruct the client to consume at least 2.5 cups of fruits and
vegetables per day.
⩥ 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?
1. Aim the fire extinguisher at the top of the flames.
2. Pump the handles of the fire extinguisher up and down three times.
3. Sweep the fire extinguisher in a circular motion until the fire is
extinguished.
,4. Slide the pin on top of the fire extinguisher straight out. Answer: Slide
the pin on top of the fire extinguisher straight out.
Rat: The nurse should pull the pin on the top of the fire extinguisher to
allow for use to extinguish the fire.
⩥ A nurse is caring for a child who has celiac disease. Which of the
following items should the nurse remove from the child's meal tray?
1. Corn-flake cereal
2. Orange juice
3. Scrambled eggs
4. Oatmeal with raisins. Answer: Oatmeal with raisins
Rat: Celiac disease is the intolerance to dietary gluten, which is a protein
in wheat, rye, oats, and barley. This intolerance causes diarrhea, weight
loss, abdominal pain, and fatigue. Therefore, the nurse should remove
oatmeal from the child's meal tray.
⩥ A nurse at a providers office is counseling a client who reports
insomnia. Which of the following statements should the nurse make to
include the clients preferences into a sleep promotion plan?
,1. "If alcoholic beverages are desired, consume them in the early
evenings"
2. "Sleep in the location of your home where you feel your rest best"
3. "Turn on a favorite television show just before going to bed"
4. "Allow your sleep and wake times to vary depending on how you feel
each day". Answer: "Sleep in the location of your home where you feel
your rest best"
Rat: The nurse should encourage the client to sleep wherever she feels
she gets the most rest, whether it be a bed, couch, or chair.
⩥ A nurse is assessing the spiritual wellbeing and development of a
preschooler. The nurse asks the preschooler, "Why is it wrong to kick
our baby sister?" Which of the following responses should the nurse
expect?
1. "It's not wrong because she made me mad."
2. "It's wrong because my dad said I can't kick her."
3. "It's wrong to kick her because the gods won't like it."
4. "It's wrong because she would get hurt and be sad.". Answer: "It's
wrong because my dad said I can't kick her."
Rat: The nurse should expect the preschooler to be motivated to choose
right from wrong because of rules taught to him by his parents. The
, nurse should understand that, even though the preschooler might know
the rules, he is not yet able to understand the rationale for the rules.
⩥ 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?
A. Inform the client that he will not be receiving the medications he took
prior to his hospitalization.
B. Compare a list of the client's current medications with the ones he
will take in long-term care.
C. Eliminate any over-the-counter products from the client's current
medication list.
D. Omit the medication indications when listing the client's medication
dose information.. Answer: Compare a list of the client's current
medications with the ones he will take in long-term care.
Rat: 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 in the long-term care facility and addressing any
duplications, omissions, or interactions.
LEVEL 4 2026 FULL QUESTIONS AND
ANSWERS WITH RATIONALES GRADED A+
⩥ A nurse is counseling a client who has a family history of colorectal
cancer about management of nutrition to help prevent gastrointestinal
(GI) cancers. Which of the following images indicates a food or
beverage the nurse should encourage the client to include liberally in his
diet. Answer: Fruits and Veggies
Rat: To help reduce the risk of cancers of the GI system, the nurse
should instruct the client to consume at least 2.5 cups of fruits and
vegetables per day.
⩥ 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?
1. Aim the fire extinguisher at the top of the flames.
2. Pump the handles of the fire extinguisher up and down three times.
3. Sweep the fire extinguisher in a circular motion until the fire is
extinguished.
,4. Slide the pin on top of the fire extinguisher straight out. Answer: Slide
the pin on top of the fire extinguisher straight out.
Rat: The nurse should pull the pin on the top of the fire extinguisher to
allow for use to extinguish the fire.
⩥ A nurse is caring for a child who has celiac disease. Which of the
following items should the nurse remove from the child's meal tray?
1. Corn-flake cereal
2. Orange juice
3. Scrambled eggs
4. Oatmeal with raisins. Answer: Oatmeal with raisins
Rat: Celiac disease is the intolerance to dietary gluten, which is a protein
in wheat, rye, oats, and barley. This intolerance causes diarrhea, weight
loss, abdominal pain, and fatigue. Therefore, the nurse should remove
oatmeal from the child's meal tray.
⩥ A nurse at a providers office is counseling a client who reports
insomnia. Which of the following statements should the nurse make to
include the clients preferences into a sleep promotion plan?
,1. "If alcoholic beverages are desired, consume them in the early
evenings"
2. "Sleep in the location of your home where you feel your rest best"
3. "Turn on a favorite television show just before going to bed"
4. "Allow your sleep and wake times to vary depending on how you feel
each day". Answer: "Sleep in the location of your home where you feel
your rest best"
Rat: The nurse should encourage the client to sleep wherever she feels
she gets the most rest, whether it be a bed, couch, or chair.
⩥ A nurse is assessing the spiritual wellbeing and development of a
preschooler. The nurse asks the preschooler, "Why is it wrong to kick
our baby sister?" Which of the following responses should the nurse
expect?
1. "It's not wrong because she made me mad."
2. "It's wrong because my dad said I can't kick her."
3. "It's wrong to kick her because the gods won't like it."
4. "It's wrong because she would get hurt and be sad.". Answer: "It's
wrong because my dad said I can't kick her."
Rat: The nurse should expect the preschooler to be motivated to choose
right from wrong because of rules taught to him by his parents. The
, nurse should understand that, even though the preschooler might know
the rules, he is not yet able to understand the rationale for the rules.
⩥ 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?
A. Inform the client that he will not be receiving the medications he took
prior to his hospitalization.
B. Compare a list of the client's current medications with the ones he
will take in long-term care.
C. Eliminate any over-the-counter products from the client's current
medication list.
D. Omit the medication indications when listing the client's medication
dose information.. Answer: Compare a list of the client's current
medications with the ones he will take in long-term care.
Rat: 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 in the long-term care facility and addressing any
duplications, omissions, or interactions.
