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ATI RN Concept-Based Assessment Level 3 Practice B (ATI-RN301) – 250 Questions on Med-Surg, Mental Health & Pharmacology Exam 2026

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This document contains approximately 250 ATI RN Concept-Based Assessment Level 3 Practice B questions with detailed, verified answers, designed for advanced nursing students preparing for high-level ATI and NCLEX-style exams. It covers a broad range of complex nursing topics including medical-surgical conditions, mental health disorders, pharmacology, maternal-newborn care, pediatrics, and critical care scenarios, as demonstrated throughout pages 1–78 . The questions are primarily scenario-based, requiring application of clinical judgment, prioritization, and evidence-based nursing interventions. The material provides an in-depth and comprehensive review of advanced nursing concepts such as management of COPD complications (e.g., digital clubbing), psychiatric conditions (schizophrenia, PTSD, gambling disorder), obstetric complications (preeclampsia, placental abruption, postpartum hemorrhage), and neurological disorders (stroke, epilepsy, Parkinson’s disease). It also includes pharmacological management (lithium, valproic acid, memantine, nifedipine), drug interactions, and adverse effects, along with critical nursing interventions like fundal massage, oxygen therapy, and infection control precautions. Additionally, the document emphasizes clinical reasoning and prioritization, including identifying life-threatening conditions (e.g., intracranial pressure, hemorrhage, substance toxicity), patient education strategies, and safe medication administration practices. It integrates multidisciplinary care approaches and highlights key nursing responsibilities such as patient advocacy, ethical care, and communication in diverse clinical settings. The inclusion of pediatric, geriatric, and community health scenarios ensures a holistic preparation for real-world nursing practice and licensure exams. This resource is particularly relevant for students enrolled in: Registered Nursing (RN) programs (advanced level) Medical-Surgical Nursing II/III Psychiatric Mental Health Nursing Pharmacology for Nursing NCLEX-RN preparation and ATI Capstone courses It is ideal for senior nursing students, ATI Level 3 candidates, and healthcare trainees preparing for final exams, exit exams, or licensure assessments requiring advanced clinical reasoning. The content aligns closely with widely used textbooks such as ATI Comprehensive NCLEX Review and Medical-Surgical Nursing by Lewis et al., which are standard references in advanced nursing education and ATI preparation. Keywords: ati rn level 3, nclex advanced practice, medical surgical nursing, mental health nursing, pharmacology nursing, nursing exam questions, patient care scenarios, obstetric nursing complications, pediatric nursing care, neurological disorders nursing, infection control nursing, clinical reasoning nursing, ati practice exam, advanced nursing concepts

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ATI RN Concept Based
Assessment Level 3 Practice B
2026 Exam Questions and
Detailed Answers | Get it 100%
Correct Answers



a nurse in a mental health clinic is assessing a client who states, "I don't

think my gambling is as big of a problem as my friends think it is." which of

the following findings should the nurse identify as meeting the diagnostic

criteria of gambling disorder?

,a. the client makes no attempts to stop gambling.

b. the client gambles when feeling happy or enthusiastic.

c. the client gambles the same amount of money each week.

d. the client asks others for money to compensate for gambling losses. -

🧠ANSWER ✔✔the client asks others for money to compensate for

gambling losses.

one of the diagnostic criteria for this is a reliance on others to provide

money to help with negative financial situations that are a direct result of

gambling losses. according to the american psychiatric association, a

diagnosis of this requires that the client's behavior meets four of the

defined criteria over the period of the past 12 months. - 🧠ANSWER

✔✔gambling disorder


a nurse is assessing a client who has schizophrenia. which of the following

manifestations should the nurse identify as positive symptoms of

schizophrenia? select all that apply.

a. magical thinking.

b. clang association.

,c. auditory hallucinations.

d. flat affect.


e. emotional ambivalence. - 🧠ANSWER ✔✔magical thinking.


clang association.

auditory hallucinations.

the nurse should identify that magical thinking, or the belief that one's

thoughts affect others, is a positive symptom of this disorder. - 🧠ANSWER

✔✔schizophrenia manifestation


the nurse should identify that clang association, or choosing words based

on their sounds, is a positive symptom of this disorder. - 🧠ANSWER

✔✔schizophrenia manifestation


the nurse should identify that experiencing auditory hallucinations, or

hearing voices or sounds that do not exist, is a positive symptom of this

disorder. - 🧠ANSWER ✔✔schizophrenia manifestation


the nurse is assessing a client who has end stage COPD. which of the

following images should the nurse identify as a late manifestation of this

terminal illness?



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, a. flexion or contraction of the joints.

b. swan neck deformation.

c. tophi, related to chronic gout.


d. digital clubbing. - 🧠ANSWER ✔✔digital clubbing


the nurse should identify digital clubbing when assessing a client who has

this disorder. - 🧠ANSWER ✔✔late manifestation of COPD


evidence of decreased arterial oxygen levels, which occurs over time and is

evident as a late manifestation of COPD. - 🧠ANSWER ✔✔digital clubbing


a nurse in an ED is assessing a newly admitted client. the nurse should

identify that which of the following findings is a manifestation of acute

cocaine toxicity?

a. hypotension.

b. pinpoint pupils.

c. agitation.


d. hypothermia. - 🧠ANSWER ✔✔agitation


agitation, dizziness, and tremor. - 🧠ANSWER ✔✔acute cocaine toxicity s/s

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