ATI RN CONCEPT-BASED ASSESSMENT
LEVEL 3 EXAM 2025
A nurse is reviewing the medical history of a client. The nurse should
identify that which of the following findings indicates the client is at a risk for
a stroke?
-History of hypopituitarism
-Takes a combination oral contraceptive
-Drinks 150 mL (5 oz) of wine each day
-Avoids saturated fats in cooking - ANSWER>>-Takes a combination oral
contraceptive (A client who takes combination oral contraceptives is at risk
for a stroke caused by a thromboembolism. Thromboembolism is an
adverse effect of the estrogen found in oral contraceptives.)
-History of hypopituitarism
-Drinks 150 mL (5 oz) of wine each day
-Avoids saturated fats in cooking
A nurse assessing an adolescent client who has Ewing sarcoma. Which of
the following manifestations should the nurse expect?
-Client reports pain in the upper thigh.
-Client reports increased urination.
-Client reports swelling of the fingers.
-Client reports blood in the stool. - ANSWER>>-Client reports pain in the
upper thigh.(The nurse should expect a client who has Ewing sarcoma to
report pain. Other manifestations include a palpable mass and fever.)
A nurse is assessing a client who has multiple sclerosis (MS). Which of the
following manifestations should the nurse expect?
Fasciculations of the face
Decreased visual acuity
, Shuffling gait
Muscle rigidity - ANSWER>>The nurse should expect to find a decrease in
visual acuity in a client who has MS. Other manifestations involving the
eyes include diplopia, changes in peripheral vision, and nystagmus
A nurse is assessing a client who has borderline personality disorder.
Which of the following characteristics should the nurse expect?
Arrogance
Attention-seeking behavior
Impulsiveness
Suspicion - ANSWER>>The nurse should expect a client who has
borderline personality disorder to exhibit impulsive behaviors, such as
selfharm. Clients who have borderline personality disorder often experience
frequent suicidal ideation and substance use disorders.
A nurse is caring for an infant born at 31 weeks of gestation. For which of
the following complications should the nurse anticipate and monitor the
newborn? (Select all that apply.)
Hyperthermia
Apnea
Thrombocytopenia
Necrotizing enterocolitis
Hypoglycemia - ANSWER>>Hyperthermia is incorrect. Newborns who are
premature are more prone to heat loss due to decreased fat stores and a
limited ability to maintain a flexed position.Apnea is correct. Newborns who
are premature can experience a delay of spontaneous breathing for 20 or
more seconds. This is called apnea of prematurity and can be due to CNS
immaturity or obstruction of the upper airways. This occurs in more than
half of newborns delivered at less than 32 weeks of
gestation.Thrombocytopenia is incorrect. Newborns who are premature are
at risk for anemia and polycythemia, rather than
thrombocytopenia.Necrotizing enterocolitis is correct. Newborns who are
premature have an increased risk of developing necrotizing enterocolitis
due to intestinal ischemia, immature immune systems, and the type of
LEVEL 3 EXAM 2025
A nurse is reviewing the medical history of a client. The nurse should
identify that which of the following findings indicates the client is at a risk for
a stroke?
-History of hypopituitarism
-Takes a combination oral contraceptive
-Drinks 150 mL (5 oz) of wine each day
-Avoids saturated fats in cooking - ANSWER>>-Takes a combination oral
contraceptive (A client who takes combination oral contraceptives is at risk
for a stroke caused by a thromboembolism. Thromboembolism is an
adverse effect of the estrogen found in oral contraceptives.)
-History of hypopituitarism
-Drinks 150 mL (5 oz) of wine each day
-Avoids saturated fats in cooking
A nurse assessing an adolescent client who has Ewing sarcoma. Which of
the following manifestations should the nurse expect?
-Client reports pain in the upper thigh.
-Client reports increased urination.
-Client reports swelling of the fingers.
-Client reports blood in the stool. - ANSWER>>-Client reports pain in the
upper thigh.(The nurse should expect a client who has Ewing sarcoma to
report pain. Other manifestations include a palpable mass and fever.)
A nurse is assessing a client who has multiple sclerosis (MS). Which of the
following manifestations should the nurse expect?
Fasciculations of the face
Decreased visual acuity
, Shuffling gait
Muscle rigidity - ANSWER>>The nurse should expect to find a decrease in
visual acuity in a client who has MS. Other manifestations involving the
eyes include diplopia, changes in peripheral vision, and nystagmus
A nurse is assessing a client who has borderline personality disorder.
Which of the following characteristics should the nurse expect?
Arrogance
Attention-seeking behavior
Impulsiveness
Suspicion - ANSWER>>The nurse should expect a client who has
borderline personality disorder to exhibit impulsive behaviors, such as
selfharm. Clients who have borderline personality disorder often experience
frequent suicidal ideation and substance use disorders.
A nurse is caring for an infant born at 31 weeks of gestation. For which of
the following complications should the nurse anticipate and monitor the
newborn? (Select all that apply.)
Hyperthermia
Apnea
Thrombocytopenia
Necrotizing enterocolitis
Hypoglycemia - ANSWER>>Hyperthermia is incorrect. Newborns who are
premature are more prone to heat loss due to decreased fat stores and a
limited ability to maintain a flexed position.Apnea is correct. Newborns who
are premature can experience a delay of spontaneous breathing for 20 or
more seconds. This is called apnea of prematurity and can be due to CNS
immaturity or obstruction of the upper airways. This occurs in more than
half of newborns delivered at less than 32 weeks of
gestation.Thrombocytopenia is incorrect. Newborns who are premature are
at risk for anemia and polycythemia, rather than
thrombocytopenia.Necrotizing enterocolitis is correct. Newborns who are
premature have an increased risk of developing necrotizing enterocolitis
due to intestinal ischemia, immature immune systems, and the type of
