2024-2025 ATI RN CONCEPT BASED
ASSESSMENT LEVEL 1 PROCTORED
EXAM QUESTIONS WITH ACTUAL
ANSWERS
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? - correct answer-Administer a beta-blocking medication to the client.
(The nurse should administer a beta-blocking medication to the client. This classification of
medication has been shown to relieve the phantom limb pain manifestations of constant dull
and burning type pain.)
A newly licensed nurse asks a charge nurse where to find information about scope of practice
for registered nurses. Which of the following responses should the charge nurse make? - correct
answer-"The state board of nursing can provide this information"
(each state develops a nurse practice act, which defines scope of practice for nurses in that
state. This practice act is available on the board of nursing website for each state.)
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? - correct answer-Perform hand hygiene before touching the IV tubing.
(The nurse should perform thorough hand hygiene before touching any part of the infusion
system or the client to reduce the risk of catheter-related blood stream infections.)
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? - correct answer-Offer the client a glass of water every two hour when
repositioning.
(The nurse should offer the client a glass of water every two hours on the clients repositioning
schedule. This helps prevent dehydration, which increases the risk of skin breakdown.)
,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)? - correct answer-"I should expect to feel a firm ridge along the bottom curve of each
breast."
(The nurse should instruct the client at a firm ridge is expected along the bottom curve of each
breast. The client should be able to feel this area during the BSE. Performing a BSE promotes
breast self awareness so that the client knows how her breast normally feel. The awareness
increases the clients ability to identify changes that require further evaluation.)
A nurse is caring for an adolescent who is in critical condition following a motor vehicle crash
which he was the passenger. The clients parent shout 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? - correct answer-Inform the parent that anger is a natural response
when dealing with loss.
(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.)
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? - correct answer-"Websites ending in '.gov' are reliable sites for obtaining health
information from government agencies."
(The nurse should teach the client how to select reliable internet websites when researching
health care information. The nurse should identify that websites ending in '.gov' and '.edu' are
considered reliable and credible sources for health information. Websites ending in '.com'
should not be used for researching credible healthcare information.)
A nurse enters a clients 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? - correct answer-Check the client for injuries.
(The first action the nurse should take when using the nursing process is to assess the client.
The nurse should first check the client for injuries and measure vital signs to help determine
physiologic stability. The nurse should also inform the provider of the clients fall and of the
assessment findings.)
, 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? -
correct answer-"I should use a warm paraffin dip for my hands and feet."
(The nurse should instruct the client to dip her hands and feet in warm paraffin to alleviate pain
and stiffness. The client can more easily perform hand and finger exercises following the
treatment.)
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? - correct answer-African American
(Evidence-based practice indicates that individuals of AA ethnicity have the highest prevalence
of hypertension. Therefore, the nurse should identify community members of this ethnicity are
at greatest risk of developing hypertension.)
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? - correct answer-Slide the pin on top of
the fire extinguisher straight out.
(The nurse should pull the pin on top of the fire extinguisher to allow for use to extinguish the
fire.)
A nurse is preparing to administer intermittent external nutrition via a clients NG tube. In which
order should the nurse take the following actions? - correct answer-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.
(First, the nurse should assist the client into high Fowler's position or raise the HOB at least 30
degrees to help prevent aspiration. Then, the nurse should verify the tubes placement by
aspirating 5 mL of gastric contents and then testing the pH. Then, the nurse should check for
gastric residual volume. Excessive GRV is an indication of delayed gastric emptying, which places
the client at risk of aspiration if additional formula is given. Finally, the nurse should flush the
tubing with 30 mL of water to ensure the tube is clear and patent.)
ASSESSMENT LEVEL 1 PROCTORED
EXAM QUESTIONS WITH ACTUAL
ANSWERS
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? - correct answer-Administer a beta-blocking medication to the client.
(The nurse should administer a beta-blocking medication to the client. This classification of
medication has been shown to relieve the phantom limb pain manifestations of constant dull
and burning type pain.)
A newly licensed nurse asks a charge nurse where to find information about scope of practice
for registered nurses. Which of the following responses should the charge nurse make? - correct
answer-"The state board of nursing can provide this information"
(each state develops a nurse practice act, which defines scope of practice for nurses in that
state. This practice act is available on the board of nursing website for each state.)
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? - correct answer-Perform hand hygiene before touching the IV tubing.
(The nurse should perform thorough hand hygiene before touching any part of the infusion
system or the client to reduce the risk of catheter-related blood stream infections.)
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? - correct answer-Offer the client a glass of water every two hour when
repositioning.
(The nurse should offer the client a glass of water every two hours on the clients repositioning
schedule. This helps prevent dehydration, which increases the risk of skin breakdown.)
,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)? - correct answer-"I should expect to feel a firm ridge along the bottom curve of each
breast."
(The nurse should instruct the client at a firm ridge is expected along the bottom curve of each
breast. The client should be able to feel this area during the BSE. Performing a BSE promotes
breast self awareness so that the client knows how her breast normally feel. The awareness
increases the clients ability to identify changes that require further evaluation.)
A nurse is caring for an adolescent who is in critical condition following a motor vehicle crash
which he was the passenger. The clients parent shout 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? - correct answer-Inform the parent that anger is a natural response
when dealing with loss.
(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.)
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? - correct answer-"Websites ending in '.gov' are reliable sites for obtaining health
information from government agencies."
(The nurse should teach the client how to select reliable internet websites when researching
health care information. The nurse should identify that websites ending in '.gov' and '.edu' are
considered reliable and credible sources for health information. Websites ending in '.com'
should not be used for researching credible healthcare information.)
A nurse enters a clients 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? - correct answer-Check the client for injuries.
(The first action the nurse should take when using the nursing process is to assess the client.
The nurse should first check the client for injuries and measure vital signs to help determine
physiologic stability. The nurse should also inform the provider of the clients fall and of the
assessment findings.)
, 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? -
correct answer-"I should use a warm paraffin dip for my hands and feet."
(The nurse should instruct the client to dip her hands and feet in warm paraffin to alleviate pain
and stiffness. The client can more easily perform hand and finger exercises following the
treatment.)
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? - correct answer-African American
(Evidence-based practice indicates that individuals of AA ethnicity have the highest prevalence
of hypertension. Therefore, the nurse should identify community members of this ethnicity are
at greatest risk of developing hypertension.)
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? - correct answer-Slide the pin on top of
the fire extinguisher straight out.
(The nurse should pull the pin on top of the fire extinguisher to allow for use to extinguish the
fire.)
A nurse is preparing to administer intermittent external nutrition via a clients NG tube. In which
order should the nurse take the following actions? - correct answer-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.
(First, the nurse should assist the client into high Fowler's position or raise the HOB at least 30
degrees to help prevent aspiration. Then, the nurse should verify the tubes placement by
aspirating 5 mL of gastric contents and then testing the pH. Then, the nurse should check for
gastric residual volume. Excessive GRV is an indication of delayed gastric emptying, which places
the client at risk of aspiration if additional formula is given. Finally, the nurse should flush the
tubing with 30 mL of water to ensure the tube is clear and patent.)
