ATI RN CONCEPT BASED ASSESSMENT
LEVEL 3 PROCTORED EXAM QUESTIONS
AND CORRECT ANSWERS WITH
RATIONALES COVERING THE MOST TESTED
QUESTIONS GUARANTEE A+
Question 1
A nurse is administering ophthalmic solution to a client who has bacterial
conjunctivitis. Which of the following actions should the nurse take?
Correct Answer
Have the client lie supine.
(This is a comfortable position for the client, and it makes it easy for the nurse to
access the eye. It also reduces the risk of the medication escaping through the tear
duct.)
Question 2
A nurse is documenting an assessment in a clients electronic health record when an
assistive personnel asks to enter the morning blood glucose for the client. Which of
the following actions should the nurse take?
Correct Answer
Request that the AP use another computer to enter the data.
(The nurse should request that the AP to go to another computer that is not in use
to enter the morning blood glucose from the client. This is time sensitive data that
needs to be entered in the computer as soon as possible.)
Page 1 of 173
,Question 3
A nurse is caring for a older adult client who has a leg wound following a fall on the
stairs. The nurse would identify which of the following factors as an expected, age-
related change in older adults that can impair wound healing?
Correct Answer
Elastin fibers separate and thicken.
(The nurse should identify that elastin fibers in an older adult client thicken and
separate, which can cause delayed wound healing and lead to a "saggy" appearance
due to decreased skin elasticity.)
Question 4
A nurse is reviewing the medication administration record of a client who is 2 days
postoperative following abdominal surgery. The nurse should identify that which of
the following medications can result in delayed wound healing?
Correct Answer
Prednisone
(The nurse should identify that taking prednisone can result in delayed wound
healing. Prednisone is a corticosteroid used in the treatment of inflammatory
disorders. It can mask the manifestations of infection due to its ability to impair the
inflammatory response. Other medications, such as anticoagulants and broad-
spectrum antibiotics, can also play a role in delayed wound healing.)
Question 5
A nurse is counseling a client who has a family history of colorectal cancer about
management of nutrition to help prevent gastrointestinal cancers. Which of the
following images indicates a food or beverage the nurse should encourage the client
to include liberally in his diet?
Correct Answer
To help reduce the risk of cancers of the GI system, the nurse should instruct the
client to consume at least 2.5 cups of fruits and vegetables per day.
Page 2 of 173
,Question 6
A nurse is preparing to administer intermittent external nutrition via a clients NG tube.
In which order should the nurse take the following actions?
Correct Answer
1. Assist the client to an upright position.
2. Aspirate 5 mL of gastric contents.
3. Test the pH of gastric aspirate.
4. Measure gastric residual volume.
5. Flush the NG tube with 30 mL of water.
(First, the nurse should assist the client into high Fowler's position or raise the HOB
at least 30 degrees to help prevent aspiration. Then, the nurse should verify the
tubes placement by aspirating 5 mL of gastric contents and then testing the pH.
Then, the nurse should check for gastric residual volume. Excessive GRV is an
indication of delayed gastric emptying, which places the client at risk of aspiration if
additional formula is given. Finally, the nurse should flush the tubing with 30 mL of
water to ensure the tube is clear and patent.)
Question 7
A nurse is preparing to administer a unit of packed RBC's to a client. In adherence
with the Joint Commission National Patient Safety Goals regarding blood
administration, which of the following actions should the nurse plan to take?
Correct Answer
Verify the client and blood component using a two-person process.
(The Joint Commission National Patient Safety Goals regarding blood transfusions
includes improving the accuracy of client identification. The nurse should eliminate
transfusion errors related to client misidentification by using a two-person
verification process to identify the client and the blood component.)
Question 8
A nurse is developing a plan of care for an older adult client who is at risk of falling.
Which of the following fall prevention measures should the nurse include in the plan?
Correct Answer
Ask the client to demonstrate how to use the call light.
(The nurse should include asking the client for a demonstration of how to use the
call light in the plan of care. By ensuring the client understands the use of the call
light and teaching the client to call for assistance when getting out of bed, the
nurse will promote client safety and reduce the risk of falling.)
Page 3 of 173
, Question 9
A nurse is teaching about advance directives with an older adult client who has a
terminal illness. Which of the following statements should the nurse make?
Correct Answer
"Your advance directives can designate a grind to make your health care decisions."
(The nurse should inform the client that he may include a health care proxy or
durable power of attorney for health care as part of his advance directives. This
form designated a person of the clients choosing to make health care decisions for
him if he becomes unable to do so for himself. This may be a relative, personal
friend, or anyone the client designates. The nurse should ensure that this form is
witnessed or notarized according to state law.)
Question 10
A nurse is providing teaching to a client who has chronic fatigue syndrome. Which of
the following statements should the nurse make?
Correct Answer
"Take NSAIDs for body aches and pain."
(The nurse should instruct the client that NSAIDs can alleviate the body aches and
pain that are associated with chronic fatigue syndrome. Alternative therapies, such
as tai chi and massage, can also be helpful.)
Question 11
A nurse on a medical-surgical unit is caring for a group of clients. Which of the
following clients should the nurse monitor for the development of reflex urinary
incontinence?
Correct Answer
A client who has a T12 spinal cord injury.
(The nurse should identify that a client who has a C1 to S2 spinal cord injury is at
risk of developing reflex urinary incontinence. With this type of incontinence, the
client is unaware that the bladder is full and therefore lacks the urge to void,
resulting in the involuntary loss of urine. The nurse should monitor for this form of
incontinence and implement interventions such as intermittent catheterization.)
Page 4 of 173
LEVEL 3 PROCTORED EXAM QUESTIONS
AND CORRECT ANSWERS WITH
RATIONALES COVERING THE MOST TESTED
QUESTIONS GUARANTEE A+
Question 1
A nurse is administering ophthalmic solution to a client who has bacterial
conjunctivitis. Which of the following actions should the nurse take?
Correct Answer
Have the client lie supine.
(This is a comfortable position for the client, and it makes it easy for the nurse to
access the eye. It also reduces the risk of the medication escaping through the tear
duct.)
Question 2
A nurse is documenting an assessment in a clients electronic health record when an
assistive personnel asks to enter the morning blood glucose for the client. Which of
the following actions should the nurse take?
Correct Answer
Request that the AP use another computer to enter the data.
(The nurse should request that the AP to go to another computer that is not in use
to enter the morning blood glucose from the client. This is time sensitive data that
needs to be entered in the computer as soon as possible.)
Page 1 of 173
,Question 3
A nurse is caring for a older adult client who has a leg wound following a fall on the
stairs. The nurse would identify which of the following factors as an expected, age-
related change in older adults that can impair wound healing?
Correct Answer
Elastin fibers separate and thicken.
(The nurse should identify that elastin fibers in an older adult client thicken and
separate, which can cause delayed wound healing and lead to a "saggy" appearance
due to decreased skin elasticity.)
Question 4
A nurse is reviewing the medication administration record of a client who is 2 days
postoperative following abdominal surgery. The nurse should identify that which of
the following medications can result in delayed wound healing?
Correct Answer
Prednisone
(The nurse should identify that taking prednisone can result in delayed wound
healing. Prednisone is a corticosteroid used in the treatment of inflammatory
disorders. It can mask the manifestations of infection due to its ability to impair the
inflammatory response. Other medications, such as anticoagulants and broad-
spectrum antibiotics, can also play a role in delayed wound healing.)
Question 5
A nurse is counseling a client who has a family history of colorectal cancer about
management of nutrition to help prevent gastrointestinal cancers. Which of the
following images indicates a food or beverage the nurse should encourage the client
to include liberally in his diet?
Correct Answer
To help reduce the risk of cancers of the GI system, the nurse should instruct the
client to consume at least 2.5 cups of fruits and vegetables per day.
Page 2 of 173
,Question 6
A nurse is preparing to administer intermittent external nutrition via a clients NG tube.
In which order should the nurse take the following actions?
Correct Answer
1. Assist the client to an upright position.
2. Aspirate 5 mL of gastric contents.
3. Test the pH of gastric aspirate.
4. Measure gastric residual volume.
5. Flush the NG tube with 30 mL of water.
(First, the nurse should assist the client into high Fowler's position or raise the HOB
at least 30 degrees to help prevent aspiration. Then, the nurse should verify the
tubes placement by aspirating 5 mL of gastric contents and then testing the pH.
Then, the nurse should check for gastric residual volume. Excessive GRV is an
indication of delayed gastric emptying, which places the client at risk of aspiration if
additional formula is given. Finally, the nurse should flush the tubing with 30 mL of
water to ensure the tube is clear and patent.)
Question 7
A nurse is preparing to administer a unit of packed RBC's to a client. In adherence
with the Joint Commission National Patient Safety Goals regarding blood
administration, which of the following actions should the nurse plan to take?
Correct Answer
Verify the client and blood component using a two-person process.
(The Joint Commission National Patient Safety Goals regarding blood transfusions
includes improving the accuracy of client identification. The nurse should eliminate
transfusion errors related to client misidentification by using a two-person
verification process to identify the client and the blood component.)
Question 8
A nurse is developing a plan of care for an older adult client who is at risk of falling.
Which of the following fall prevention measures should the nurse include in the plan?
Correct Answer
Ask the client to demonstrate how to use the call light.
(The nurse should include asking the client for a demonstration of how to use the
call light in the plan of care. By ensuring the client understands the use of the call
light and teaching the client to call for assistance when getting out of bed, the
nurse will promote client safety and reduce the risk of falling.)
Page 3 of 173
, Question 9
A nurse is teaching about advance directives with an older adult client who has a
terminal illness. Which of the following statements should the nurse make?
Correct Answer
"Your advance directives can designate a grind to make your health care decisions."
(The nurse should inform the client that he may include a health care proxy or
durable power of attorney for health care as part of his advance directives. This
form designated a person of the clients choosing to make health care decisions for
him if he becomes unable to do so for himself. This may be a relative, personal
friend, or anyone the client designates. The nurse should ensure that this form is
witnessed or notarized according to state law.)
Question 10
A nurse is providing teaching to a client who has chronic fatigue syndrome. Which of
the following statements should the nurse make?
Correct Answer
"Take NSAIDs for body aches and pain."
(The nurse should instruct the client that NSAIDs can alleviate the body aches and
pain that are associated with chronic fatigue syndrome. Alternative therapies, such
as tai chi and massage, can also be helpful.)
Question 11
A nurse on a medical-surgical unit is caring for a group of clients. Which of the
following clients should the nurse monitor for the development of reflex urinary
incontinence?
Correct Answer
A client who has a T12 spinal cord injury.
(The nurse should identify that a client who has a C1 to S2 spinal cord injury is at
risk of developing reflex urinary incontinence. With this type of incontinence, the
client is unaware that the bladder is full and therefore lacks the urge to void,
resulting in the involuntary loss of urine. The nurse should monitor for this form of
incontinence and implement interventions such as intermittent catheterization.)
Page 4 of 173
