ESTUDY
RN ATI CONCEPT-BASED ASSESSMENT LEVEL 4, PROCTORED
2025 UPDATE EXAM FOR LEVEL 4|TEST BANK | WITH
RATIONALES
1. What are common symptoms of meningitis in infants?
A) Fever, vomiting, and nuchal rigidity
B) Cough, runny nose, and diarrhea
C) Rash, joint pain, and fatigue
D) Headache, dizziness, and blurred vision
Answer: A) Fever, vomiting, and nuchal rigidity
Rationale: Meningitis in infants often presents with fever, vomiting, seizures, and nuchal rigidity (stiff
neck). These symptoms indicate inflammation of the meninges.
2. What is the initial action for managing heart failure?
A) Administer diuretics
B) Assess breath sounds
C) Check blood pressure
D) Order a chest X-ray
Answer: B) Assess breath sounds
Rationale: The first step in managing heart failure is to assess the patient’s respiratory status by
listening to breath sounds, as pulmonary congestion is a common complication.
3. What does EMTALA require?
A) Immediate discharge of stable patients
B) Refusal of care for uninsured patients
C) Stabilization of patients before discharge
D) Transfer of all patients to specialty hospitals
,ESTUDY
Answer: C) Stabilization of patients before discharge
Rationale: EMTALA (Emergency Medical Treatment and Labor Act) mandates that patients must be
stabilized before discharge or transfer, and care cannot be denied based on insurance status.
4. How can a vasovagal response be prevented?
A) Encourage bearing down
B) Use cold compresses
C) Avoid triggering the gag reflex
D) Apply heat to the abdomen
Answer: C) Avoid triggering the gag reflex
Rationale: Vasovagal responses can be prevented by avoiding actions that stimulate the vagus nerve,
such as bearing down, cold compresses, or triggering the gag reflex.
5. What is the recommended diet for viral hepatitis?
A) Low carb, low calorie
B) High carb, high calorie, moderate fat and protein
C) High protein, low fat
D) Low sodium, low potassium
Answer: B) High carb, high calorie, moderate fat and protein
Rationale: A high-carb, high-calorie diet with moderate fat and protein supports liver healing and energy
needs during viral hepatitis.
6. How often should expired items in disaster planning be checked?
A) Every 3 months
B) Every 6 months
C) Annually
D) Every 2 years
, ESTUDY
Answer: B) Every 6 months
Rationale: Expired items in disaster kits should be checked every 6 months to ensure readiness and
functionality.
7. What is the first action when managing an impaired nurse?
A) Report to the state board
B) Remove the nurse from the work environment
C) Provide counseling
D) Document the incident
Answer: B) Remove the nurse from the work environment
Rationale: The priority is to ensure patient safety by removing the impaired nurse from the clinical
setting.
8. What is a side effect of thiazide medications?
A) Hypocalcemia
B) Hypercalcemia
C) Hypokalemia
D) Hypernatremia
Answer: B) Hypercalcemia
Rationale: Thiazide diuretics can increase calcium levels by reducing its excretion in the urine.
9. Which conflict resolution strategy focuses on positive aspects?
A) Competing
B) Smoothing
C) Avoiding
D) Collaborating
RN ATI CONCEPT-BASED ASSESSMENT LEVEL 4, PROCTORED
2025 UPDATE EXAM FOR LEVEL 4|TEST BANK | WITH
RATIONALES
1. What are common symptoms of meningitis in infants?
A) Fever, vomiting, and nuchal rigidity
B) Cough, runny nose, and diarrhea
C) Rash, joint pain, and fatigue
D) Headache, dizziness, and blurred vision
Answer: A) Fever, vomiting, and nuchal rigidity
Rationale: Meningitis in infants often presents with fever, vomiting, seizures, and nuchal rigidity (stiff
neck). These symptoms indicate inflammation of the meninges.
2. What is the initial action for managing heart failure?
A) Administer diuretics
B) Assess breath sounds
C) Check blood pressure
D) Order a chest X-ray
Answer: B) Assess breath sounds
Rationale: The first step in managing heart failure is to assess the patient’s respiratory status by
listening to breath sounds, as pulmonary congestion is a common complication.
3. What does EMTALA require?
A) Immediate discharge of stable patients
B) Refusal of care for uninsured patients
C) Stabilization of patients before discharge
D) Transfer of all patients to specialty hospitals
,ESTUDY
Answer: C) Stabilization of patients before discharge
Rationale: EMTALA (Emergency Medical Treatment and Labor Act) mandates that patients must be
stabilized before discharge or transfer, and care cannot be denied based on insurance status.
4. How can a vasovagal response be prevented?
A) Encourage bearing down
B) Use cold compresses
C) Avoid triggering the gag reflex
D) Apply heat to the abdomen
Answer: C) Avoid triggering the gag reflex
Rationale: Vasovagal responses can be prevented by avoiding actions that stimulate the vagus nerve,
such as bearing down, cold compresses, or triggering the gag reflex.
5. What is the recommended diet for viral hepatitis?
A) Low carb, low calorie
B) High carb, high calorie, moderate fat and protein
C) High protein, low fat
D) Low sodium, low potassium
Answer: B) High carb, high calorie, moderate fat and protein
Rationale: A high-carb, high-calorie diet with moderate fat and protein supports liver healing and energy
needs during viral hepatitis.
6. How often should expired items in disaster planning be checked?
A) Every 3 months
B) Every 6 months
C) Annually
D) Every 2 years
, ESTUDY
Answer: B) Every 6 months
Rationale: Expired items in disaster kits should be checked every 6 months to ensure readiness and
functionality.
7. What is the first action when managing an impaired nurse?
A) Report to the state board
B) Remove the nurse from the work environment
C) Provide counseling
D) Document the incident
Answer: B) Remove the nurse from the work environment
Rationale: The priority is to ensure patient safety by removing the impaired nurse from the clinical
setting.
8. What is a side effect of thiazide medications?
A) Hypocalcemia
B) Hypercalcemia
C) Hypokalemia
D) Hypernatremia
Answer: B) Hypercalcemia
Rationale: Thiazide diuretics can increase calcium levels by reducing its excretion in the urine.
9. Which conflict resolution strategy focuses on positive aspects?
A) Competing
B) Smoothing
C) Avoiding
D) Collaborating
