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2025 ATI RN CONCEPT BASED ASSESSMENT LEVEL 1
PROCTORED EXAM ACTUAL EXAM TEST BANK
1. A nurse is caring for a client who is 2 days postoperative following an above-the-knee amputation.
The client states he is experiencing a dull, burning pain in the leg that was amputated. Which of the
following actions should the nurse take to treat the client's neuropathic pain?
A) Administer a beta-blocking medication to the client.
B) Apply a warm compress to the residual limb.
C) Encourage the client to ambulate.
D) Administer an opioid medication.
Answer: A) Administer a beta-blocking medication to the client.
Rationale: Beta-blocking medications have been shown to relieve phantom limb pain, which often
manifests as a dull, burning sensation.
2. A newly licensed nurse asks a charge nurse where to find information about the scope of practice
for registered nurses. Which of the following responses should the charge nurse make?
A) "The state board of nursing can provide this information."
B) "Ask the hospital administrator."
C) "Check the hospital policy manual."
D) "Refer to the American Nurses Association guidelines."
Answer: A) "The state board of nursing can provide this information."
Rationale: Each state's nurse practice act, available through the state board of nursing, defines the
scope of practice for nurses in that state.
3. A nurse is planning care to prevent a catheter-related bloodstream infection for a client who is
receiving IV fluid therapy. Which of the following interventions should the nurse include in the plan?
A) Perform hand hygiene before touching the IV tubing.
B) Change the IV site every 24 hours.
C) Use sterile gloves to handle the IV tubing.
D) Flush the IV line with saline every 4 hours.
Answer: A) Perform hand hygiene before touching the IV tubing.
Rationale: Hand hygiene is a critical step in reducing the risk of catheter-related bloodstream infections.
,estudyr
4. A nurse is creating a plan of care for a client who is non-ambulatory and has bladder and bowel
incontinence. Which of the following interventions should the nurse include to prevent skin
breakdown?
A) Offer the client a glass of water every two hours when repositioning.
B) Apply talcum powder to the client's skin.
C) Use a plastic sheet under the client.
D) Limit fluid intake to reduce incontinence.
Answer: A) Offer the client a glass of water every two hours when repositioning.
Rationale: Adequate hydration helps prevent skin breakdown, which is a risk for clients with
incontinence.
5. A nurse is teaching a young adult female client about health screening for breast cancer. Which of
the following statements by the client indicates an understanding of breast self-examination (BSE)?
A) "I should expect to feel a firm ridge along the bottom curve of each breast."
B) "I should perform BSE only if I notice a lump."
C) "I should avoid BSE if I have no family history of breast cancer."
D) "I should perform BSE once a year."
Answer: A) "I should expect to feel a firm ridge along the bottom curve of each breast."
Rationale: A firm ridge along the bottom curve of the breast is a normal finding during BSE.
6. A nurse is caring for an adolescent who is in critical condition following a motor vehicle crash. 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?
A) Inform the parent that anger is a natural response when dealing with loss.
B) Tell the parent to calm down.
C) Avoid the parent until she is calmer.
D) Explain that the driver's condition is not relevant.
Answer: A) Inform the parent that anger is a natural response when dealing with loss.
Rationale: Acknowledging the parent's anger as a natural part of grief helps provide emotional support.
7. A nurse is teaching an older adult client about accessing electronic resources for healthcare
information on the internet. Which of the following statements should the nurse include in the
teaching?
,estudyr
A) "Websites ending in '.gov' are reliable sites for obtaining health information from government
agencies."
B) "Websites ending in '.com' are the most reliable."
C) "Avoid websites ending in '.edu' as they are not credible."
D) "All websites provide accurate health information."
Answer: A) "Websites ending in '.gov' are reliable sites for obtaining health information from
government agencies."
Rationale: Websites ending in '.gov' and '.edu' are considered reliable sources for health information.
8. A nurse enters a client's room and finds the client lying on the floor. The client states that on the
way to the bathroom her "knee locked," causing her to fall. Which of the following actions should the
nurse take first?
A) Check the client for injuries.
B) Notify the provider.
C) Help the client back to bed.
D) Document the incident.
Answer: A) Check the client for injuries.
Rationale: The nurse's first priority is to assess the client for injuries and ensure physiological stability.
9. A nurse is teaching a client who has rheumatoid arthritis about chronic pain management. Which of
the following statements by the client indicates an understanding of the teaching?
A) "I should use a warm paraffin dip for my hands and feet."
B) "I should avoid all physical activity."
C) "I should apply ice packs to my joints daily."
D) "I should take aspirin on an empty stomach."
Answer: A) "I should use a warm paraffin dip for my hands and feet."
Rationale: Warm paraffin dips help alleviate pain and stiffness in clients with rheumatoid arthritis.
10. A community health nurse is planning prevention strategies for hypertension among members of
her community. The nurse should identify that which of the following ethnic groups in the community
is at greatest risk of developing hypertension?
A) African American
B) Asian American
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C) Hispanic
D) Caucasian
Answer: A) African American
Rationale: African Americans have the highest prevalence of hypertension among ethnic groups.
11. A nurse is preparing to extinguish a small fire in a client's room. Which of the following actions
should the nurse take when using the fire extinguisher?
A) Slide the pin on top of the fire extinguisher straight out.
B) Aim the extinguisher at the base of the fire.
C) Stand 10 feet away from the fire.
D) Use a circular motion to spray the extinguisher.
Answer: A) Slide the pin on top of the fire extinguisher straight out.
Rationale: Pulling the pin allows the nurse to activate the fire extinguisher.
12. A nurse is preparing to administer intermittent enteral nutrition via a client's NG tube. In which
order should the nurse take the following actions?
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.
Answer: 1, 2, 3, 4, 5
Rationale: This sequence ensures proper positioning, verifies tube placement, checks for delayed gastric
emptying, and ensures tube patency.
13. A nurse is caring for a 47-year-old female client who has urinary incontinence. Which of the
following actions should the nurse take first?
A) Obtain a specimen from the client for culture.
B) Teach the client Kegel exercises.
C) Limit the client's fluid intake.
D) Insert a Foley catheter.
2025 ATI RN CONCEPT BASED ASSESSMENT LEVEL 1
PROCTORED EXAM ACTUAL EXAM TEST BANK
1. A nurse is caring for a client who is 2 days postoperative following an above-the-knee amputation.
The client states he is experiencing a dull, burning pain in the leg that was amputated. Which of the
following actions should the nurse take to treat the client's neuropathic pain?
A) Administer a beta-blocking medication to the client.
B) Apply a warm compress to the residual limb.
C) Encourage the client to ambulate.
D) Administer an opioid medication.
Answer: A) Administer a beta-blocking medication to the client.
Rationale: Beta-blocking medications have been shown to relieve phantom limb pain, which often
manifests as a dull, burning sensation.
2. A newly licensed nurse asks a charge nurse where to find information about the scope of practice
for registered nurses. Which of the following responses should the charge nurse make?
A) "The state board of nursing can provide this information."
B) "Ask the hospital administrator."
C) "Check the hospital policy manual."
D) "Refer to the American Nurses Association guidelines."
Answer: A) "The state board of nursing can provide this information."
Rationale: Each state's nurse practice act, available through the state board of nursing, defines the
scope of practice for nurses in that state.
3. A nurse is planning care to prevent a catheter-related bloodstream infection for a client who is
receiving IV fluid therapy. Which of the following interventions should the nurse include in the plan?
A) Perform hand hygiene before touching the IV tubing.
B) Change the IV site every 24 hours.
C) Use sterile gloves to handle the IV tubing.
D) Flush the IV line with saline every 4 hours.
Answer: A) Perform hand hygiene before touching the IV tubing.
Rationale: Hand hygiene is a critical step in reducing the risk of catheter-related bloodstream infections.
,estudyr
4. A nurse is creating a plan of care for a client who is non-ambulatory and has bladder and bowel
incontinence. Which of the following interventions should the nurse include to prevent skin
breakdown?
A) Offer the client a glass of water every two hours when repositioning.
B) Apply talcum powder to the client's skin.
C) Use a plastic sheet under the client.
D) Limit fluid intake to reduce incontinence.
Answer: A) Offer the client a glass of water every two hours when repositioning.
Rationale: Adequate hydration helps prevent skin breakdown, which is a risk for clients with
incontinence.
5. A nurse is teaching a young adult female client about health screening for breast cancer. Which of
the following statements by the client indicates an understanding of breast self-examination (BSE)?
A) "I should expect to feel a firm ridge along the bottom curve of each breast."
B) "I should perform BSE only if I notice a lump."
C) "I should avoid BSE if I have no family history of breast cancer."
D) "I should perform BSE once a year."
Answer: A) "I should expect to feel a firm ridge along the bottom curve of each breast."
Rationale: A firm ridge along the bottom curve of the breast is a normal finding during BSE.
6. A nurse is caring for an adolescent who is in critical condition following a motor vehicle crash. 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?
A) Inform the parent that anger is a natural response when dealing with loss.
B) Tell the parent to calm down.
C) Avoid the parent until she is calmer.
D) Explain that the driver's condition is not relevant.
Answer: A) Inform the parent that anger is a natural response when dealing with loss.
Rationale: Acknowledging the parent's anger as a natural part of grief helps provide emotional support.
7. A nurse is teaching an older adult client about accessing electronic resources for healthcare
information on the internet. Which of the following statements should the nurse include in the
teaching?
,estudyr
A) "Websites ending in '.gov' are reliable sites for obtaining health information from government
agencies."
B) "Websites ending in '.com' are the most reliable."
C) "Avoid websites ending in '.edu' as they are not credible."
D) "All websites provide accurate health information."
Answer: A) "Websites ending in '.gov' are reliable sites for obtaining health information from
government agencies."
Rationale: Websites ending in '.gov' and '.edu' are considered reliable sources for health information.
8. A nurse enters a client's room and finds the client lying on the floor. The client states that on the
way to the bathroom her "knee locked," causing her to fall. Which of the following actions should the
nurse take first?
A) Check the client for injuries.
B) Notify the provider.
C) Help the client back to bed.
D) Document the incident.
Answer: A) Check the client for injuries.
Rationale: The nurse's first priority is to assess the client for injuries and ensure physiological stability.
9. A nurse is teaching a client who has rheumatoid arthritis about chronic pain management. Which of
the following statements by the client indicates an understanding of the teaching?
A) "I should use a warm paraffin dip for my hands and feet."
B) "I should avoid all physical activity."
C) "I should apply ice packs to my joints daily."
D) "I should take aspirin on an empty stomach."
Answer: A) "I should use a warm paraffin dip for my hands and feet."
Rationale: Warm paraffin dips help alleviate pain and stiffness in clients with rheumatoid arthritis.
10. A community health nurse is planning prevention strategies for hypertension among members of
her community. The nurse should identify that which of the following ethnic groups in the community
is at greatest risk of developing hypertension?
A) African American
B) Asian American
, estudyr
C) Hispanic
D) Caucasian
Answer: A) African American
Rationale: African Americans have the highest prevalence of hypertension among ethnic groups.
11. A nurse is preparing to extinguish a small fire in a client's room. Which of the following actions
should the nurse take when using the fire extinguisher?
A) Slide the pin on top of the fire extinguisher straight out.
B) Aim the extinguisher at the base of the fire.
C) Stand 10 feet away from the fire.
D) Use a circular motion to spray the extinguisher.
Answer: A) Slide the pin on top of the fire extinguisher straight out.
Rationale: Pulling the pin allows the nurse to activate the fire extinguisher.
12. A nurse is preparing to administer intermittent enteral nutrition via a client's NG tube. In which
order should the nurse take the following actions?
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.
Answer: 1, 2, 3, 4, 5
Rationale: This sequence ensures proper positioning, verifies tube placement, checks for delayed gastric
emptying, and ensures tube patency.
13. A nurse is caring for a 47-year-old female client who has urinary incontinence. Which of the
following actions should the nurse take first?
A) Obtain a specimen from the client for culture.
B) Teach the client Kegel exercises.
C) Limit the client's fluid intake.
D) Insert a Foley catheter.
