ATI RN CONCEPT BASED ASSESSMENT LEVEL
4 2026 CERTIFICATION EVALUATION TEST
PAPER QUESTIONS SOLUTIONS GRADED A
PLUS
◉ gambling disorder
Answer: 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.
◉ magical thinking.
clang association.
auditory hallucinations.
Answer: 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.
◉ schizophrenia manifestation
Answer: the nurse should identify that magical thinking, or the belief
that one's thoughts affect others, is a positive symptom of this
disorder.
◉ schizophrenia manifestation
Answer: the nurse should identify that clang association, or choosing
words based on their sounds, is a positive symptom of this disorder.
◉ schizophrenia manifestation
Answer: the nurse should identify that experiencing auditory
hallucinations, or hearing voices or sounds that do not exist, is a
positive symptom of this disorder.
◉ digital clubbing
Answer: 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?
a. flexion or contraction of the joints.
b. swan neck deformation.
c. tophi, related to chronic gout.
d. digital clubbing.
,◉ late manifestation of COPD
Answer: the nurse should identify digital clubbing when assessing a
client who has this disorder.
◉ digital clubbing
Answer: evidence of decreased arterial oxygen levels, which occurs
over time and is evident as a late manifestation of COPD.
◉ agitation
Answer: 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.
◉ acute cocaine toxicity s/s
Answer: agitation, dizziness, and tremor.
◉ severe cocaine toxicity
Answer: can cause convulsions and myocardial infarction.
, ◉ cocaine
Answer: a CNS stimulant
◉ use a side lying position when resting in bed or on the couch.
Answer: a nurse is providing teaching to a client who has
preeclampsia without severe symptoms. which of the following
instructions should the nurse include?
a. monitor temperature twice each day.
b. restrict fluid intake to four 245 mL glasses a day.
c. maintain a dark, quiet environment as much as possible.
d. use a side lying position when resting in bed or on the couch.
◉ side lying position
Answer: increases blood flow to the uterus and placenta optimizing
the delivery of nutrients and oxygen to the fetus.
◉ supine positioning
Answer: can result in hypotension, which diminishes blood flow to
the uterus and placenta.
◉ recommend joining a self help group.
4 2026 CERTIFICATION EVALUATION TEST
PAPER QUESTIONS SOLUTIONS GRADED A
PLUS
◉ gambling disorder
Answer: 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.
◉ magical thinking.
clang association.
auditory hallucinations.
Answer: 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.
◉ schizophrenia manifestation
Answer: the nurse should identify that magical thinking, or the belief
that one's thoughts affect others, is a positive symptom of this
disorder.
◉ schizophrenia manifestation
Answer: the nurse should identify that clang association, or choosing
words based on their sounds, is a positive symptom of this disorder.
◉ schizophrenia manifestation
Answer: the nurse should identify that experiencing auditory
hallucinations, or hearing voices or sounds that do not exist, is a
positive symptom of this disorder.
◉ digital clubbing
Answer: 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?
a. flexion or contraction of the joints.
b. swan neck deformation.
c. tophi, related to chronic gout.
d. digital clubbing.
,◉ late manifestation of COPD
Answer: the nurse should identify digital clubbing when assessing a
client who has this disorder.
◉ digital clubbing
Answer: evidence of decreased arterial oxygen levels, which occurs
over time and is evident as a late manifestation of COPD.
◉ agitation
Answer: 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.
◉ acute cocaine toxicity s/s
Answer: agitation, dizziness, and tremor.
◉ severe cocaine toxicity
Answer: can cause convulsions and myocardial infarction.
, ◉ cocaine
Answer: a CNS stimulant
◉ use a side lying position when resting in bed or on the couch.
Answer: a nurse is providing teaching to a client who has
preeclampsia without severe symptoms. which of the following
instructions should the nurse include?
a. monitor temperature twice each day.
b. restrict fluid intake to four 245 mL glasses a day.
c. maintain a dark, quiet environment as much as possible.
d. use a side lying position when resting in bed or on the couch.
◉ side lying position
Answer: increases blood flow to the uterus and placenta optimizing
the delivery of nutrients and oxygen to the fetus.
◉ supine positioning
Answer: can result in hypotension, which diminishes blood flow to
the uterus and placenta.
◉ recommend joining a self help group.
