ATI CBC Level 4 (A) Exam Answer Key & Explanations 2026|2027
Edition
1. A nurse manager notices that he involve statt nurses in budge planning.
has exceeded the amount of mon-ey
allocated for labor costs for the -this promotes awareness of the costs of staflng a unit and
quarter. Which action should the encourages cost-ettective care.
nurse manager take?
2. A nurse is caring for a client who Monitor the client's WBC.
has a partial-thickness burn and a
prescription for a silver sulfa- -A drop in the WBC count can be an indication of an allergic
diazine cream. Which intervention reaction to the silver sulfadiazine cream
should the nurse take?
3. A community health nurse is plan- Older Adults
ning a public health presentation
aimed at minimizing health care -Older adults have the lowest level of health literacy com-
disparities. Which of the following pared to other age groups
age groups should the nurse iden-
tify as the priority for increasing
health literacy?
4. A charge nurse is planning care Obtain a blood glucose level from a client who has type 1
for a group of clients. Which task diabetes mellitus.
should the nurse delegate to the
LPN?
5. A nurse is caring for a female client Evaluate the client daily for the necessity of continued
who has an indwelling uri-nary catheterization.
catheter. Which action should
the nurse take to minimize the risk -increased dwelling time increases the client's risk for
for catheter-related infection? infection. Catheter should be DC'd as early as possible
6. A nurse in a substance use treat- The nurse keeps a promise to take a walk outside with a
ment facility is caring for a group client after group therapy
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, ATI CBC Level 4 (A) Exam Answer Key & Explanations 2026|2027
Edition
of clients. Which action by the
nurse demonstrates the ethical -The nurse kept a promise made to a client.
concept of fidelity?
7. A nurse is teaching a client who "You should check your pulse before taking this medica-
has a new prescription for tion"
carvedilol following a myocar-
dial infarction. What information -The client should withhold his med and notify his provider if
should the nurse include? his heart rate is less than 60/min
8. A nurse is assessing a newborn. Grunting
Which of the following findings
should the nurse identify as a -grunting, nasal flaring, retractions, apnea, tachycardia,
manifestation of sepsis? hypotension, lethargy, pallor, petechiae, hypoglycemia,
hypotonia, and/or decreased oxygen saturations are other
symptoms of sepsis
9. A nurse is reviewing the lab values pH level 7.25 of
a client who is in hypovolemic
shock. Which of the following find- -metabolic acidosis; the client's pH level is decreased due
ings should the nurse expect? to insuflcient tissue perfusion
10. A nurse is caring for a client who is Fixed an nonreactive pupils to light
post-op following a craniotomy to
remove a brain tumor. The nurse -This is an indication of a neurological deficit due to a
should notify the provider about herniation of the brain
which of the following findings?
11. A nurse is caring for a group Measure the urine output of a client who is receiving
of postpartum clients. Which task magnesium sulfate
should the nurse delegate to an
assistive personnel?
2/5
Edition
1. A nurse manager notices that he involve statt nurses in budge planning.
has exceeded the amount of mon-ey
allocated for labor costs for the -this promotes awareness of the costs of staflng a unit and
quarter. Which action should the encourages cost-ettective care.
nurse manager take?
2. A nurse is caring for a client who Monitor the client's WBC.
has a partial-thickness burn and a
prescription for a silver sulfa- -A drop in the WBC count can be an indication of an allergic
diazine cream. Which intervention reaction to the silver sulfadiazine cream
should the nurse take?
3. A community health nurse is plan- Older Adults
ning a public health presentation
aimed at minimizing health care -Older adults have the lowest level of health literacy com-
disparities. Which of the following pared to other age groups
age groups should the nurse iden-
tify as the priority for increasing
health literacy?
4. A charge nurse is planning care Obtain a blood glucose level from a client who has type 1
for a group of clients. Which task diabetes mellitus.
should the nurse delegate to the
LPN?
5. A nurse is caring for a female client Evaluate the client daily for the necessity of continued
who has an indwelling uri-nary catheterization.
catheter. Which action should
the nurse take to minimize the risk -increased dwelling time increases the client's risk for
for catheter-related infection? infection. Catheter should be DC'd as early as possible
6. A nurse in a substance use treat- The nurse keeps a promise to take a walk outside with a
ment facility is caring for a group client after group therapy
1/5
, ATI CBC Level 4 (A) Exam Answer Key & Explanations 2026|2027
Edition
of clients. Which action by the
nurse demonstrates the ethical -The nurse kept a promise made to a client.
concept of fidelity?
7. A nurse is teaching a client who "You should check your pulse before taking this medica-
has a new prescription for tion"
carvedilol following a myocar-
dial infarction. What information -The client should withhold his med and notify his provider if
should the nurse include? his heart rate is less than 60/min
8. A nurse is assessing a newborn. Grunting
Which of the following findings
should the nurse identify as a -grunting, nasal flaring, retractions, apnea, tachycardia,
manifestation of sepsis? hypotension, lethargy, pallor, petechiae, hypoglycemia,
hypotonia, and/or decreased oxygen saturations are other
symptoms of sepsis
9. A nurse is reviewing the lab values pH level 7.25 of
a client who is in hypovolemic
shock. Which of the following find- -metabolic acidosis; the client's pH level is decreased due
ings should the nurse expect? to insuflcient tissue perfusion
10. A nurse is caring for a client who is Fixed an nonreactive pupils to light
post-op following a craniotomy to
remove a brain tumor. The nurse -This is an indication of a neurological deficit due to a
should notify the provider about herniation of the brain
which of the following findings?
11. A nurse is caring for a group Measure the urine output of a client who is receiving
of postpartum clients. Which task magnesium sulfate
should the nurse delegate to an
assistive personnel?
2/5
