ATI CBC Level 4 (A) Mock Exam 2026 | Trusted Practice Questions
& Answers
1. What is one of the primary responsibilities of a nurse as a case manager?
Advocates for services the client needs
Manages the hospital budget
Coordinates only with physicians
Performs all medical procedures
2. The nurse is caring for a client one day after the client suffered a stroke. The
client is fully alert and has weakness on the right side of the body. Which
assessment finding indicates an increasing ICP?
The client reports numbness in the right leg
The client has a blood pressure of 90-62 mm Hg.
The client has developed urinary incontinence
The client has dilated and nonreactive pupils
3. Which of the following is the appropriate nursing care outcome for a woman
who suddenly develops an amniotic fluid embolism during her labor?
Client will exhibit normal breathing function at discharge.
Client will void without pain at discharge.
Client will be infection free at discharge.
Client will exhibit normal gastrointestinal function at discharge.
4. A problem has been identified in the health care facility. What should the
nurse who has been assigned the task of change agent do first?
Gather data
, Empower staff
Collaborate with others
Develop an alternative plan
5. Mass casualty survivors are brought to the emergency department (ED) after
a disaster. The nurse is assigned to four clients who were triaged in the field
and have just arrived in the ED. Which client will the nurse care for first?
The person with multiple wounds and an open fracture
The person with head trauma requiring mechanical ventilation
The person with hypotension and a sucking chest wound
The person with an undisplaced fracture of the radius
6. A 2-year-old client is brought into the emergency department (ED) by a
single-parent who reports that their child was playing with a candle as they
stepped out of the room for a minute. The client presents with scald burns at
different stages of healing on their arms and legs. Which action is the most
important legal responsibility of the nurse?
Select one:
Document the parent's report along with the client's physical
assessment findings in a timely manner
Initiate a comprehensive family assessment which includes identifying
resources for support
Report the incident as suspected child abuse to the local authorities
Question the parenting skills of the parent by asking, "Why did you
leave your child unsupervised?"
,7. A nurse assigns care for a client who has diabetes mellitus to the LPN and AP.
Which of the following tasks should be delegated to the LPN?
Assist with bedside commode
Obtain capillary blood glucose
Measure urinary output
Apply antiembolic stockings
8. Describe how an elevated temperature can be related to myocardial
infarction in a patient.
An elevated temperature suggests dehydration rather than myocardial
infarction.
An elevated temperature can indicate an inflammatory response
due to myocardial necrosis following a myocardial infarction.
An elevated temperature is unrelated to myocardial infarction and
indicates a respiratory infection.
An elevated temperature is a normal response to stress and does not
indicate myocardial infarction.
9. What type of exercises should a nurse instruct a client with Parkinson's
disease to perform to promote mobility?
Aerobic exercises
Balance exercises
Strength training exercises
Range-of-motion exercises
, 10. What is one preventive measure a nurse might suggest to reduce the risk of
encephalitis at a community health fair?
Providing educational pamphlets on encephalitis
Setting up hand sanitizing stations
Encouraging attendees to wear masks
Vaccination against mosquito-borne viruses
11. In a scenario where a nurse promises a patient to follow up on their
treatment plan, what would be an appropriate demonstration of fidelity?
The nurse regularly checks in with the patient and updates them on
their treatment progress.
The nurse ignores the patient's concerns about their treatment.
The nurse only follows up if the patient requests it.
The nurse delegates the follow-up to another staff member without
informing the patient.
12. In a mass casualty situation, which client should be prioritized for treatment?
A client with a minor laceration
A client who is exhibiting manifestations of shock
A client who is stable and awaiting surgery
A client with a broken arm
13. If a nurse observes that a client with Parkinson's disease is hesitant to
perform range-of-motion exercises due to fear of falling, what should the
nurse do to address this concern?
Limit the client's mobility to prevent falls.
& Answers
1. What is one of the primary responsibilities of a nurse as a case manager?
Advocates for services the client needs
Manages the hospital budget
Coordinates only with physicians
Performs all medical procedures
2. The nurse is caring for a client one day after the client suffered a stroke. The
client is fully alert and has weakness on the right side of the body. Which
assessment finding indicates an increasing ICP?
The client reports numbness in the right leg
The client has a blood pressure of 90-62 mm Hg.
The client has developed urinary incontinence
The client has dilated and nonreactive pupils
3. Which of the following is the appropriate nursing care outcome for a woman
who suddenly develops an amniotic fluid embolism during her labor?
Client will exhibit normal breathing function at discharge.
Client will void without pain at discharge.
Client will be infection free at discharge.
Client will exhibit normal gastrointestinal function at discharge.
4. A problem has been identified in the health care facility. What should the
nurse who has been assigned the task of change agent do first?
Gather data
, Empower staff
Collaborate with others
Develop an alternative plan
5. Mass casualty survivors are brought to the emergency department (ED) after
a disaster. The nurse is assigned to four clients who were triaged in the field
and have just arrived in the ED. Which client will the nurse care for first?
The person with multiple wounds and an open fracture
The person with head trauma requiring mechanical ventilation
The person with hypotension and a sucking chest wound
The person with an undisplaced fracture of the radius
6. A 2-year-old client is brought into the emergency department (ED) by a
single-parent who reports that their child was playing with a candle as they
stepped out of the room for a minute. The client presents with scald burns at
different stages of healing on their arms and legs. Which action is the most
important legal responsibility of the nurse?
Select one:
Document the parent's report along with the client's physical
assessment findings in a timely manner
Initiate a comprehensive family assessment which includes identifying
resources for support
Report the incident as suspected child abuse to the local authorities
Question the parenting skills of the parent by asking, "Why did you
leave your child unsupervised?"
,7. A nurse assigns care for a client who has diabetes mellitus to the LPN and AP.
Which of the following tasks should be delegated to the LPN?
Assist with bedside commode
Obtain capillary blood glucose
Measure urinary output
Apply antiembolic stockings
8. Describe how an elevated temperature can be related to myocardial
infarction in a patient.
An elevated temperature suggests dehydration rather than myocardial
infarction.
An elevated temperature can indicate an inflammatory response
due to myocardial necrosis following a myocardial infarction.
An elevated temperature is unrelated to myocardial infarction and
indicates a respiratory infection.
An elevated temperature is a normal response to stress and does not
indicate myocardial infarction.
9. What type of exercises should a nurse instruct a client with Parkinson's
disease to perform to promote mobility?
Aerobic exercises
Balance exercises
Strength training exercises
Range-of-motion exercises
, 10. What is one preventive measure a nurse might suggest to reduce the risk of
encephalitis at a community health fair?
Providing educational pamphlets on encephalitis
Setting up hand sanitizing stations
Encouraging attendees to wear masks
Vaccination against mosquito-borne viruses
11. In a scenario where a nurse promises a patient to follow up on their
treatment plan, what would be an appropriate demonstration of fidelity?
The nurse regularly checks in with the patient and updates them on
their treatment progress.
The nurse ignores the patient's concerns about their treatment.
The nurse only follows up if the patient requests it.
The nurse delegates the follow-up to another staff member without
informing the patient.
12. In a mass casualty situation, which client should be prioritized for treatment?
A client with a minor laceration
A client who is exhibiting manifestations of shock
A client who is stable and awaiting surgery
A client with a broken arm
13. If a nurse observes that a client with Parkinson's disease is hesitant to
perform range-of-motion exercises due to fear of falling, what should the
nurse do to address this concern?
Limit the client's mobility to prevent falls.
