2025 RN ATI CONCEPT-BASED ASSESSMENT, PROCTORED EXAM
FOR LEVEL 1|TEST BANK|
ATI:/RN Concept-Based Assessment Level 1
1. A nurse is admitting client who has pulmonary tuberculosis. Which of the
following transmission-based precautions should the nurse initiate?: Airborne
Rational: Pulmonary tuberculosis is an infection that is transmitted by airborne
droplets smaller than 5 microns in diameter. Therefore, this client requires airborne
precautions to prevent communicating this infection to others.
2. A nurse in a mental health facility is preparing an educational program
for a group of staff nurses about the proper use of restraints. Which of the
following information should the nurse plan to include?: An adult client may be in
a mechanical restraint for up to 4hr.
Rational: The nurse should specify that a client who is 18 years or older may be in a
restraint for no more than 4hr. Children who are 9 to 17 years old are limited to 2hr
and children who are younger than 9 years old are limited to 1 hr.
3. A nurse is teaching sleep hygiene to a client who has insomnia. Which of
the following statements should the nurse make?: "Exercise in the morning after
arising."
Rational: Daily exercise has many benefits, including enhancing cardiovascular,
psychological, and musculoskeletal health. The nurse should recommend that the
client avoid exercising within 2hr or bedtime to limit stimulation and enhance sleep.
4. A nurse is preparing to leave the room of a client who is on isolation precau-
tions. Which of the following actions should the nurse take when removing a
tied surgical mask?: Remove the mask by securely holding the ties and moving it
away from the face.
Rational: The nurse should untie the bottom strings and then the top strings. Finally,
while still holding the strings, the nurse should remove the mask from her face. This
action prevents the nurse from touching the front of the mask, which is contaminated.
5. A nurse is caring for an adolescent client who is in critical condition follow-
ing a motor vehicle crash in which he was the passenger. The client's parent
shouts at the nurse, asking why her son is dying instead of the driver. Which
, of the following actions should the nurse take to provide emotional support to
the parent?: Inform the parent that anger is a natural response when dealing with
loss.
Rational: The nurse should identify that the parent is in the anger stage of grief. The
nurse should assist the parent to understand that anger is a natural response to loss
and encourage her to talk about her feelings.
, 6. A community health nurse is planning prevention strategies for hyper-
tension among members of her community. The nurse should identify that
which of the following ethnic groups in the community is a greatest risk of
developing hypertension?: African Americans'
Rational: Evidence-based practice individuals of African-American ethnicity have the
highest prevalence of hypertension. Therefore, the nurse should identify community
members of this ethnicity are at the greatest risk of developing hypertension.
7. A community health nurse is planning interventions to promote Healthy
People 2020 initiatives in the community. Which of the following actions
should the nurse plan to take first?: Determine the level of health equity groups
in the community.
Rational: Health equity among all groups in the community is a Health People 2020
initiative. Using the nursing process, the first action the nurse should take is assess
the needs of the community health, the nurse can develop interventions targeted at
the community's specific needs.
8. A nurse is reviewing a client's new prescriptions that were just documented
in the client's medical record by the provider. Which of the following abbrevi-
ations should the nurse clarify with the provider?: Enoxaparin 40mg SQ QD
Rational: The nurse should clarify this prescription with the provider. The abbre-
viations "SQ" and "QD" are considered error-prone and should not be used in
documentation. The nurse should clarify that provider intends the prescription to be
administered subcutaneously once daily. "Subcutaneous" or "subcut" should be
used instead of "SQ" and "daily" should be used instead of "QD"
9. A nurse is talking with a client who has major depressive disorder. The client
states, "Nobody cares if I'm around or not." Which of the following responses
should the nurse make?: "It sounds as though you're feeling hopeless."
Rational: This statement by the nurse is an example of restating, which is a thera-
peutic response. This technique restated the main idea the client has expressed and
allows the client to clarify any misunderstanding.
10. A nurse is preparing to administer a unit of packed RBCs to a client. In
adherence with the Joint Commission National Patient Safety Goals regarding
blood administration, which of following actions should the nurse plan to
take?: Verify the client and blood component using
Rational: The Joint Commission National Patient Safety Goals regarding blood trans-
,fusions includes improving the accuracy of client identification. The nurse should
eliminate transfusion errors related to client identification by using a two-person
verification process to identify the client and the blood component.
11. A nurse is documenting an assessment in a client's electronic health
record when an assistive personnel (AP) asks to enter the morning blood
glucose for the client. Which of the following actions should the nurse take?-
: Request that the AP use another computer to enter the data.
Rational: The nurse should request that the AP to go to another computer that is not in
use to enter the morning glucose from the client. This is time-sensitive data that
needs to be entered in the computer as soon as possible.
12. A nurse is providing teaching about nutrition management to the parent
of an 18-month old toddler who has phenylketonuria. Which of the following
foods should the nurse recommend?: Bake potato
Rational: The nurse should recommend low-protein foods to the parent of a toddler
who has phenylketonuria. The nurse should also recommend the parent offer the
toddler fruits, juices, and cereals with limited phenylketonuria.
13. A nurse is preparing to extinguish a small fire in a clients room. Which of
the following actions should the nurse take when using the fire extinguisher?-
: Slide the pin on the top of the fire extinguisher straight out.
Rational: The nurse should pull the pin on the top of the fire extinguisher to allow for
use to the extinguish the fire.
14. A nurse is planning meals for a client who practices Judaism and reports
that she strictly adhered to orthodox dietary laws. The nurse should recognize
that which of the following dietary practices applies to the clients beliefs?: The
client is permitted to eat fish that have scales.
Rational: The nurse should recognize that orthodox Jewish dietary laws permit the
client to eat fish that have fins and scales, such as tuna. However, fish that do not
have scales, such as catfish, are considered unclean and are not permitted.
15. A nurse is caring for a client who has a Clostridium difficile infection and
is incontinent of stool following long-term antibiotic therapy. Which of the
following actions should the nurse take?: Wear a gown when providing care for
the client.
Rational: The nurse should wear a gown when providing care for a client who
has C. Difficile infection and is incontinent of stool. Applying clean, water-resistant
FOR LEVEL 1|TEST BANK|
ATI:/RN Concept-Based Assessment Level 1
1. A nurse is admitting client who has pulmonary tuberculosis. Which of the
following transmission-based precautions should the nurse initiate?: Airborne
Rational: Pulmonary tuberculosis is an infection that is transmitted by airborne
droplets smaller than 5 microns in diameter. Therefore, this client requires airborne
precautions to prevent communicating this infection to others.
2. A nurse in a mental health facility is preparing an educational program
for a group of staff nurses about the proper use of restraints. Which of the
following information should the nurse plan to include?: An adult client may be in
a mechanical restraint for up to 4hr.
Rational: The nurse should specify that a client who is 18 years or older may be in a
restraint for no more than 4hr. Children who are 9 to 17 years old are limited to 2hr
and children who are younger than 9 years old are limited to 1 hr.
3. A nurse is teaching sleep hygiene to a client who has insomnia. Which of
the following statements should the nurse make?: "Exercise in the morning after
arising."
Rational: Daily exercise has many benefits, including enhancing cardiovascular,
psychological, and musculoskeletal health. The nurse should recommend that the
client avoid exercising within 2hr or bedtime to limit stimulation and enhance sleep.
4. A nurse is preparing to leave the room of a client who is on isolation precau-
tions. Which of the following actions should the nurse take when removing a
tied surgical mask?: Remove the mask by securely holding the ties and moving it
away from the face.
Rational: The nurse should untie the bottom strings and then the top strings. Finally,
while still holding the strings, the nurse should remove the mask from her face. This
action prevents the nurse from touching the front of the mask, which is contaminated.
5. A nurse is caring for an adolescent client who is in critical condition follow-
ing a motor vehicle crash in which he was the passenger. The client's parent
shouts at the nurse, asking why her son is dying instead of the driver. Which
, of the following actions should the nurse take to provide emotional support to
the parent?: Inform the parent that anger is a natural response when dealing with
loss.
Rational: The nurse should identify that the parent is in the anger stage of grief. The
nurse should assist the parent to understand that anger is a natural response to loss
and encourage her to talk about her feelings.
, 6. A community health nurse is planning prevention strategies for hyper-
tension among members of her community. The nurse should identify that
which of the following ethnic groups in the community is a greatest risk of
developing hypertension?: African Americans'
Rational: Evidence-based practice individuals of African-American ethnicity have the
highest prevalence of hypertension. Therefore, the nurse should identify community
members of this ethnicity are at the greatest risk of developing hypertension.
7. A community health nurse is planning interventions to promote Healthy
People 2020 initiatives in the community. Which of the following actions
should the nurse plan to take first?: Determine the level of health equity groups
in the community.
Rational: Health equity among all groups in the community is a Health People 2020
initiative. Using the nursing process, the first action the nurse should take is assess
the needs of the community health, the nurse can develop interventions targeted at
the community's specific needs.
8. A nurse is reviewing a client's new prescriptions that were just documented
in the client's medical record by the provider. Which of the following abbrevi-
ations should the nurse clarify with the provider?: Enoxaparin 40mg SQ QD
Rational: The nurse should clarify this prescription with the provider. The abbre-
viations "SQ" and "QD" are considered error-prone and should not be used in
documentation. The nurse should clarify that provider intends the prescription to be
administered subcutaneously once daily. "Subcutaneous" or "subcut" should be
used instead of "SQ" and "daily" should be used instead of "QD"
9. A nurse is talking with a client who has major depressive disorder. The client
states, "Nobody cares if I'm around or not." Which of the following responses
should the nurse make?: "It sounds as though you're feeling hopeless."
Rational: This statement by the nurse is an example of restating, which is a thera-
peutic response. This technique restated the main idea the client has expressed and
allows the client to clarify any misunderstanding.
10. A nurse is preparing to administer a unit of packed RBCs to a client. In
adherence with the Joint Commission National Patient Safety Goals regarding
blood administration, which of following actions should the nurse plan to
take?: Verify the client and blood component using
Rational: The Joint Commission National Patient Safety Goals regarding blood trans-
,fusions includes improving the accuracy of client identification. The nurse should
eliminate transfusion errors related to client identification by using a two-person
verification process to identify the client and the blood component.
11. A nurse is documenting an assessment in a client's electronic health
record when an assistive personnel (AP) asks to enter the morning blood
glucose for the client. Which of the following actions should the nurse take?-
: Request that the AP use another computer to enter the data.
Rational: The nurse should request that the AP to go to another computer that is not in
use to enter the morning glucose from the client. This is time-sensitive data that
needs to be entered in the computer as soon as possible.
12. A nurse is providing teaching about nutrition management to the parent
of an 18-month old toddler who has phenylketonuria. Which of the following
foods should the nurse recommend?: Bake potato
Rational: The nurse should recommend low-protein foods to the parent of a toddler
who has phenylketonuria. The nurse should also recommend the parent offer the
toddler fruits, juices, and cereals with limited phenylketonuria.
13. A nurse is preparing to extinguish a small fire in a clients room. Which of
the following actions should the nurse take when using the fire extinguisher?-
: Slide the pin on the top of the fire extinguisher straight out.
Rational: The nurse should pull the pin on the top of the fire extinguisher to allow for
use to the extinguish the fire.
14. A nurse is planning meals for a client who practices Judaism and reports
that she strictly adhered to orthodox dietary laws. The nurse should recognize
that which of the following dietary practices applies to the clients beliefs?: The
client is permitted to eat fish that have scales.
Rational: The nurse should recognize that orthodox Jewish dietary laws permit the
client to eat fish that have fins and scales, such as tuna. However, fish that do not
have scales, such as catfish, are considered unclean and are not permitted.
15. A nurse is caring for a client who has a Clostridium difficile infection and
is incontinent of stool following long-term antibiotic therapy. Which of the
following actions should the nurse take?: Wear a gown when providing care for
the client.
Rational: The nurse should wear a gown when providing care for a client who
has C. Difficile infection and is incontinent of stool. Applying clean, water-resistant
