Test Bank for ATI RN Concepts Level 3
Comprehensive Nursing Concepts
Original Practice Examination (2026–2027 Edition)
Question 1
A nurse is caring for a client who develops sudden shortness of breath, chest pain, and
tachycardia after surgery. Which action should the nurse take first?
A. Encourage the client to cough and deep breathe.
B. Assess oxygen saturation, apply oxygen as indicated, and notify the rapid response team or
healthcare provider according to facility protocol.
C. Administer oral fluids.
D. Place the client in Trendelenburg position.
Correct Answer
✅ B. Assess oxygen saturation, apply oxygen as indicated, and notify the rapid
response team or healthcare provider according to facility protocol.
Solution
The client may be experiencing a pulmonary embolism, a life-threatening emergency. The
priority is to assess airway, breathing, and circulation (ABC), support oxygenation, and obtain
immediate assistance.
Rationales
● A. Incorrect. Helpful for preventing atelectasis but not the priority during suspected
pulmonary embolism.
, ● B. ✅ Correct.
● C. Incorrect. Oral fluids do not address the emergency.
● D. Incorrect. Trendelenburg is not indicated.
Question 2
Which assessment finding requires the most immediate nursing intervention?
A. Temperature of 38.1°C (100.6°F)
B. Blood pressure of 86/54 mm Hg with dizziness
C. Pain rating of 6/10
D. Blood glucose of 150 mg/dL
Correct Answer
✅ B. Blood pressure of 86/54 mm Hg with dizziness
Solution
Hypotension with symptoms may indicate inadequate tissue perfusion or shock and requires
immediate assessment and intervention.
Question 3
The nurse enters a client's room and finds the client unresponsive. What is the nurse's first
action?
A. Call the healthcare provider.
B. Check for responsiveness and activate the emergency response system according to facility
protocol if indicated.
C. Obtain the client's medical record.
D. Document the event.
Correct Answer
,✅ B. Check for responsiveness and activate the emergency response system according
to facility protocol if indicated.
Solution
The nurse should first assess responsiveness. If the client is unresponsive, activate the
emergency response system and begin appropriate life support measures.
Question 4
Which client is at the highest risk for developing a pressure injury?
A. A 22-year-old recovering from appendectomy who ambulates independently
B. An 80-year-old who is immobile and incontinent
C. A 40-year-old with seasonal allergies
D. A 30-year-old with a wrist fracture
Correct Answer
✅ B. An 80-year-old who is immobile and incontinent
Solution
Immobility, advanced age, moisture, and incontinence significantly increase the risk of pressure
injuries.
Question 5
Which action by the nurse demonstrates proper hand hygiene?
A. Wearing gloves instead of washing hands
B. Performing hand hygiene before and after every client contact
C. Washing hands only when visibly soiled
D. Using alcohol-based hand rub after contact with spores from Clostridioides difficile
, Correct Answer
✅ B. Performing hand hygiene before and after every client contact
Solution
Hand hygiene is the most effective measure for preventing healthcare-associated infections.
Soap and water are preferred after caring for clients with C. difficile because alcohol-based
hand rubs are not effective against spores.
Question 6
A client receiving heparin develops bleeding gums and blood in the urine. Which action is the
priority?
A. Continue the infusion.
B. Stop the infusion and notify the healthcare provider.
C. Encourage increased fluid intake.
D. Administer vitamin K.
Correct Answer
✅ B. Stop the infusion and notify the healthcare provider.
Solution
Bleeding may indicate excessive anticoagulation. The infusion should be stopped, and the client
assessed. Protamine sulfate is the reversal agent for heparin if indicated.
Question 7
Which electrolyte imbalance is most commonly associated with loop diuretics such as
furosemide?
A. Hyperkalemia
B. Hypokalemia
Comprehensive Nursing Concepts
Original Practice Examination (2026–2027 Edition)
Question 1
A nurse is caring for a client who develops sudden shortness of breath, chest pain, and
tachycardia after surgery. Which action should the nurse take first?
A. Encourage the client to cough and deep breathe.
B. Assess oxygen saturation, apply oxygen as indicated, and notify the rapid response team or
healthcare provider according to facility protocol.
C. Administer oral fluids.
D. Place the client in Trendelenburg position.
Correct Answer
✅ B. Assess oxygen saturation, apply oxygen as indicated, and notify the rapid
response team or healthcare provider according to facility protocol.
Solution
The client may be experiencing a pulmonary embolism, a life-threatening emergency. The
priority is to assess airway, breathing, and circulation (ABC), support oxygenation, and obtain
immediate assistance.
Rationales
● A. Incorrect. Helpful for preventing atelectasis but not the priority during suspected
pulmonary embolism.
, ● B. ✅ Correct.
● C. Incorrect. Oral fluids do not address the emergency.
● D. Incorrect. Trendelenburg is not indicated.
Question 2
Which assessment finding requires the most immediate nursing intervention?
A. Temperature of 38.1°C (100.6°F)
B. Blood pressure of 86/54 mm Hg with dizziness
C. Pain rating of 6/10
D. Blood glucose of 150 mg/dL
Correct Answer
✅ B. Blood pressure of 86/54 mm Hg with dizziness
Solution
Hypotension with symptoms may indicate inadequate tissue perfusion or shock and requires
immediate assessment and intervention.
Question 3
The nurse enters a client's room and finds the client unresponsive. What is the nurse's first
action?
A. Call the healthcare provider.
B. Check for responsiveness and activate the emergency response system according to facility
protocol if indicated.
C. Obtain the client's medical record.
D. Document the event.
Correct Answer
,✅ B. Check for responsiveness and activate the emergency response system according
to facility protocol if indicated.
Solution
The nurse should first assess responsiveness. If the client is unresponsive, activate the
emergency response system and begin appropriate life support measures.
Question 4
Which client is at the highest risk for developing a pressure injury?
A. A 22-year-old recovering from appendectomy who ambulates independently
B. An 80-year-old who is immobile and incontinent
C. A 40-year-old with seasonal allergies
D. A 30-year-old with a wrist fracture
Correct Answer
✅ B. An 80-year-old who is immobile and incontinent
Solution
Immobility, advanced age, moisture, and incontinence significantly increase the risk of pressure
injuries.
Question 5
Which action by the nurse demonstrates proper hand hygiene?
A. Wearing gloves instead of washing hands
B. Performing hand hygiene before and after every client contact
C. Washing hands only when visibly soiled
D. Using alcohol-based hand rub after contact with spores from Clostridioides difficile
, Correct Answer
✅ B. Performing hand hygiene before and after every client contact
Solution
Hand hygiene is the most effective measure for preventing healthcare-associated infections.
Soap and water are preferred after caring for clients with C. difficile because alcohol-based
hand rubs are not effective against spores.
Question 6
A client receiving heparin develops bleeding gums and blood in the urine. Which action is the
priority?
A. Continue the infusion.
B. Stop the infusion and notify the healthcare provider.
C. Encourage increased fluid intake.
D. Administer vitamin K.
Correct Answer
✅ B. Stop the infusion and notify the healthcare provider.
Solution
Bleeding may indicate excessive anticoagulation. The infusion should be stopped, and the client
assessed. Protamine sulfate is the reversal agent for heparin if indicated.
Question 7
Which electrolyte imbalance is most commonly associated with loop diuretics such as
furosemide?
A. Hyperkalemia
B. Hypokalemia
