ATI RN CONCEPT - BASED ASSESSMENT
LEVEL 4 ONLINE PRACTICE A 2026/2027
ACTUAL QUESTIONS WITH VERIFIED
ANSWERS.
A nurse who works on a med-surg unit is asked to float to
the maternal newborn unit due to short staffing. Which
professional organization protects the nurse if she refuses
the assignment?
American Nurses Association (ANA)
A nurse is teaching a client who has a new prescription for
carvedilol following a myocardial infarction. What
information should the nurse include?
"You should check your pulse before taking this medication"
-The nurse should instruct a client who is taking carvedilol to
obtain his heart rate prior to taking the medication. The client
should withhold his medication and notify his provider if his
heart rate is less than 60/min
A nurse is assessing a newborn. Which of the following
findings should the nurse identify as a manifestation of
sepsis?
Grunting
-grunting, nasal flaring, retractions, apnea, tachycardia,
hypotension, lethargy, pallor, petechiae, hypoglycemia,
hypotonia, and/or decreased oxygen saturations are other
symptoms of sepsis
, A nurse is reviewing the lab values of a client who is in
hypovolemic shock. Which of the following findings
should the nurse expect?
pH level 7.25
- The nurse should expect the client's laboratory values to
reflect metabolic acidosis. The client's pH level is decreased
due to insufficient tissue perfusion. A pH level of 7.25 is below
the expected reference range.
A nurse is teaching an educational session about reducing
health care-associated infections. Which instruction
should the nurse include?
Bathe the clients daily with chlorhexidine wipes
A nurse is caring for a client who is post-op following a
craniotomy to remove a brain tumor. The nurse should
notify the provider about which of the following findings?
Fixed an nonreactive pupils to light
-This is an indication of a neurological deficit due to a herniation
of the brain
A nurse is teaching a client who had an organ transplant
about cyclosporine therapy. Which instruction should the
nurse include in the teaching?
"Avoid drinking grapefruit juice when taking this medication."
-Grapefruit juice can decrease the metabolism of cyclosporine,
which can cause an increase in serum levels and increase the
risk for toxicity
LEVEL 4 ONLINE PRACTICE A 2026/2027
ACTUAL QUESTIONS WITH VERIFIED
ANSWERS.
A nurse who works on a med-surg unit is asked to float to
the maternal newborn unit due to short staffing. Which
professional organization protects the nurse if she refuses
the assignment?
American Nurses Association (ANA)
A nurse is teaching a client who has a new prescription for
carvedilol following a myocardial infarction. What
information should the nurse include?
"You should check your pulse before taking this medication"
-The nurse should instruct a client who is taking carvedilol to
obtain his heart rate prior to taking the medication. The client
should withhold his medication and notify his provider if his
heart rate is less than 60/min
A nurse is assessing a newborn. Which of the following
findings should the nurse identify as a manifestation of
sepsis?
Grunting
-grunting, nasal flaring, retractions, apnea, tachycardia,
hypotension, lethargy, pallor, petechiae, hypoglycemia,
hypotonia, and/or decreased oxygen saturations are other
symptoms of sepsis
, A nurse is reviewing the lab values of a client who is in
hypovolemic shock. Which of the following findings
should the nurse expect?
pH level 7.25
- The nurse should expect the client's laboratory values to
reflect metabolic acidosis. The client's pH level is decreased
due to insufficient tissue perfusion. A pH level of 7.25 is below
the expected reference range.
A nurse is teaching an educational session about reducing
health care-associated infections. Which instruction
should the nurse include?
Bathe the clients daily with chlorhexidine wipes
A nurse is caring for a client who is post-op following a
craniotomy to remove a brain tumor. The nurse should
notify the provider about which of the following findings?
Fixed an nonreactive pupils to light
-This is an indication of a neurological deficit due to a herniation
of the brain
A nurse is teaching a client who had an organ transplant
about cyclosporine therapy. Which instruction should the
nurse include in the teaching?
"Avoid drinking grapefruit juice when taking this medication."
-Grapefruit juice can decrease the metabolism of cyclosporine,
which can cause an increase in serum levels and increase the
risk for toxicity
