RN ATI CONCEPT-BASED ASSESSMENT,
PROCTORED 2026/2027 EXAM FOR LEVEL 4 W I T H
CORRECT ANSWERS
CKD Diet - ANS-May include iron supplements, low protein, and avoidance of salt
substitutes
Grunting in Infants - ANS-Indicates sepsis
Nonmaleficence - ANS-Involves doing no harm
RSV Precautions - ANS-Include droplet, contact, and standard precautions
Fluid Offer to Infant with RSV - ANS-Every 10 minutes
Potassium Administration - ANS-Not to exceed 10 ml/hr
Hepatic Encephalopathy - ANS-Causes impaired ammonia metabolism, leading to
cerebral edema and altered mental status
Wound Care from Pressure Ulcer - ANS-Involves warm cleaning solution, square
gauze, no drying, and isotonic saline
Cullen Sign - ANS-Associated with acute pancreatitis
, Kernig's Sign - ANS-Indicates meningeal irritation, preventing the straightening of legs
Zidovudine (AZT) - ANS-Used for HIV and requires monitoring for fever and seizures
Lactulose in Hepatic Encephalopathy - ANS-Decreases ammonia levels
Parts of Medicare (A, B, C, & D) - ANS-A: Acute care, short-term rehab, and skilled
nursing facility; B: Outpatient services; C: Medicare Advantage Plans; D: Prescription
drug benefits
Acute Renal Insufficiency - ANS-Manifests as hypoglycemia, hyperkalemia, and
hyponatremia
Halo Device - ANS-Requires the use of a pillow, prohibits driving, and allows for sexual
activity
Sentinel Event - ANS-Involves unexpected occurrences resulting in death or serious
injury
Acyclovir Monitoring - ANS-Requires renal function monitoring
Benchmarking Nursing - ANS-Compares performance with top organizations
Ischemia on EKG - ANS-Manifests as ST segment depression and T wave inversion
MI EKG Findings - ANS-Include ST elevation with pathological Q waves
Silver Sulfadiazine Application - ANS-Requires cleaning with soap and water before
application
Altruism - ANS-Involves unselfish regard for the welfare of others
ANA Nursing Definition - ANS-Involves protecting clients from dangerous situations
Cardiogenic Shock Manifestation - ANS-Results in decreased cardiac output
Complication from Lumbar Spinal Surgery - ANS-Clear drainage on dressing
SLE Sun Protection Factor - ANS-Requires SPF 30 or higher
Refusal of Patient to Learn of Cancer Diagnosis - ANS-Not acceptable, as the patient
has the right to know about their health
Initial Action for Heart Failure Patient - ANS-Evaluate breath sounds to assess
respiratory status
PROCTORED 2026/2027 EXAM FOR LEVEL 4 W I T H
CORRECT ANSWERS
CKD Diet - ANS-May include iron supplements, low protein, and avoidance of salt
substitutes
Grunting in Infants - ANS-Indicates sepsis
Nonmaleficence - ANS-Involves doing no harm
RSV Precautions - ANS-Include droplet, contact, and standard precautions
Fluid Offer to Infant with RSV - ANS-Every 10 minutes
Potassium Administration - ANS-Not to exceed 10 ml/hr
Hepatic Encephalopathy - ANS-Causes impaired ammonia metabolism, leading to
cerebral edema and altered mental status
Wound Care from Pressure Ulcer - ANS-Involves warm cleaning solution, square
gauze, no drying, and isotonic saline
Cullen Sign - ANS-Associated with acute pancreatitis
, Kernig's Sign - ANS-Indicates meningeal irritation, preventing the straightening of legs
Zidovudine (AZT) - ANS-Used for HIV and requires monitoring for fever and seizures
Lactulose in Hepatic Encephalopathy - ANS-Decreases ammonia levels
Parts of Medicare (A, B, C, & D) - ANS-A: Acute care, short-term rehab, and skilled
nursing facility; B: Outpatient services; C: Medicare Advantage Plans; D: Prescription
drug benefits
Acute Renal Insufficiency - ANS-Manifests as hypoglycemia, hyperkalemia, and
hyponatremia
Halo Device - ANS-Requires the use of a pillow, prohibits driving, and allows for sexual
activity
Sentinel Event - ANS-Involves unexpected occurrences resulting in death or serious
injury
Acyclovir Monitoring - ANS-Requires renal function monitoring
Benchmarking Nursing - ANS-Compares performance with top organizations
Ischemia on EKG - ANS-Manifests as ST segment depression and T wave inversion
MI EKG Findings - ANS-Include ST elevation with pathological Q waves
Silver Sulfadiazine Application - ANS-Requires cleaning with soap and water before
application
Altruism - ANS-Involves unselfish regard for the welfare of others
ANA Nursing Definition - ANS-Involves protecting clients from dangerous situations
Cardiogenic Shock Manifestation - ANS-Results in decreased cardiac output
Complication from Lumbar Spinal Surgery - ANS-Clear drainage on dressing
SLE Sun Protection Factor - ANS-Requires SPF 30 or higher
Refusal of Patient to Learn of Cancer Diagnosis - ANS-Not acceptable, as the patient
has the right to know about their health
Initial Action for Heart Failure Patient - ANS-Evaluate breath sounds to assess
respiratory status
