ATI RN CONCEPT BASED ASSESSMENT EXAM
QUESTIONS WITH VERIFIED ANSWERS
2025/2026
A patient with suspected neurogenic shock after a diving accident has
arrived in the emergency department. A cervical collar is in place.
Which actions should the nurse take (select all that apply)?
- CORRECT ANSWER>> ✔️ Prepare to administer atropine IV, Obtain baseline body
temperature, Provide high-flow oxygen (100%) by non rebreather mask, Prepare for
emergent intubation and mechanical ventilation.
The nurse is caring for postoperative clients at risk for hypovolemic
shock. Which condition represents an early symptom of shock? -
CORRECT ANSWER>> ✔️ Tachycardia
Which problem in the clients below best demonstrates the highest risk for
hypovolemic shock? - CORRECT ANSWER>> ✔️ Client with severe
ascites
A client with septic shock has been started on dopamine (Intropin) at
12 mcg/kg/min. Which response indicates a positive outcome? -
CORRECT ANSWER>> ✔️ Blood pressure 90/60 mm Hg and mean
arterial pressure of
70
The client with which problem is at highest risk for hypovolemic shock?
- CORRECT ANSWER>> ✔️ Esophageal varices
,The client with which laboratory result is at risk for hemorrhagic shock? -
CORRECT ANSWER>> ✔️ International normalized ratio (INR) 7.9 What
typical sign/symptom indicates the early stage of septic shock? - CORRECT
ANSWER>> ✔️ Tachypnea and tachycardia
Which problem places a person at highest risk for septic shock? -
CORRECT ANSWER>> ✔️ 40% burn injury
Which problem places a client at highest risk for sepsis? -
CORRECT ANSWER>> ✔️ Post kidney transplant
How does the nurse caring for a client with septic shock recognize that
severe tissue hypoxia is present? - CORRECT ANSWER>> ✔️ Lactate 9.0
What laboratory result is seen in late sepsis? - CORRECT ANSWER>> ✔️
Decreased segmented neutrophil count
The nurse plans to administer an antibiotic to a client newly admitted
with septic shock. What action does the nurse take first?
- CORRECT ANSWER>> ✔️ Ensure that blood cultures were drawn A
postoperative client is admitted to the intensive care unit with
hypovolemic shock. Which nursing action does the nurse delegate to an
experienced nursing assistant? - CORRECT ANSWER>> ✔️
Measure hourly urine output
Which clinical symptoms in a postoperative client indicate early sepsis with
an excellent recovery rate if treated? - CORRECT ANSWER>> ✔️
Low grade fever and mild hypotension
, A client recovering from an open reduction of the femur suddenly feels
light-headed, with increased anxiety and agitation. Which key vital sign
differentiates a pulmonary embolism from early sepsis? -
CORRECT ANSWER>> ✔️ Temperature
A client is exhibiting signs and symptoms of early shock. What is important for the
nurse to do to support the psychosocial integrity of the client? (Select all that apply.) -
CORRECT ANSWER>> ✔️ Ask family members to stay with the client, Remain with
the client, Reassure the client that everything is being done for him or her. A nurse is
caring for a patient with ARDS who is being treated with mechanical ventilation and
high levels of positive end expiratory pressure (PEEP). Which assessment finding by the
nurse indicates that the PEEP may need to be reduced? -
CORRECT ANSWER>> ✔️ The patient has subcutaneous emphysema on the upper
thorax.
During the primary assessment of a victim of a motor vehicle collision, the
nurse
determines that the patient has an unobstructed airway. Which action
should the nurse take next? - CORRECT ANSWER>> ✔️ Observe the
patients respiratory effort
During the primary survey of a patient with severe leg trauma, the nurse
observes that the patient's left pedal and posterior tibial pulses are
absent, and the entire leg is swollen. Which action will the nurse take
next? - CORRECT ANSWER>> ✔️ Start normal saline fluid infusion
with a large bore IV line
After the return of spontaneous circulation following the resuscitation of
a patient who had a cardiac arrest, therapeutic hypothermia is
QUESTIONS WITH VERIFIED ANSWERS
2025/2026
A patient with suspected neurogenic shock after a diving accident has
arrived in the emergency department. A cervical collar is in place.
Which actions should the nurse take (select all that apply)?
- CORRECT ANSWER>> ✔️ Prepare to administer atropine IV, Obtain baseline body
temperature, Provide high-flow oxygen (100%) by non rebreather mask, Prepare for
emergent intubation and mechanical ventilation.
The nurse is caring for postoperative clients at risk for hypovolemic
shock. Which condition represents an early symptom of shock? -
CORRECT ANSWER>> ✔️ Tachycardia
Which problem in the clients below best demonstrates the highest risk for
hypovolemic shock? - CORRECT ANSWER>> ✔️ Client with severe
ascites
A client with septic shock has been started on dopamine (Intropin) at
12 mcg/kg/min. Which response indicates a positive outcome? -
CORRECT ANSWER>> ✔️ Blood pressure 90/60 mm Hg and mean
arterial pressure of
70
The client with which problem is at highest risk for hypovolemic shock?
- CORRECT ANSWER>> ✔️ Esophageal varices
,The client with which laboratory result is at risk for hemorrhagic shock? -
CORRECT ANSWER>> ✔️ International normalized ratio (INR) 7.9 What
typical sign/symptom indicates the early stage of septic shock? - CORRECT
ANSWER>> ✔️ Tachypnea and tachycardia
Which problem places a person at highest risk for septic shock? -
CORRECT ANSWER>> ✔️ 40% burn injury
Which problem places a client at highest risk for sepsis? -
CORRECT ANSWER>> ✔️ Post kidney transplant
How does the nurse caring for a client with septic shock recognize that
severe tissue hypoxia is present? - CORRECT ANSWER>> ✔️ Lactate 9.0
What laboratory result is seen in late sepsis? - CORRECT ANSWER>> ✔️
Decreased segmented neutrophil count
The nurse plans to administer an antibiotic to a client newly admitted
with septic shock. What action does the nurse take first?
- CORRECT ANSWER>> ✔️ Ensure that blood cultures were drawn A
postoperative client is admitted to the intensive care unit with
hypovolemic shock. Which nursing action does the nurse delegate to an
experienced nursing assistant? - CORRECT ANSWER>> ✔️
Measure hourly urine output
Which clinical symptoms in a postoperative client indicate early sepsis with
an excellent recovery rate if treated? - CORRECT ANSWER>> ✔️
Low grade fever and mild hypotension
, A client recovering from an open reduction of the femur suddenly feels
light-headed, with increased anxiety and agitation. Which key vital sign
differentiates a pulmonary embolism from early sepsis? -
CORRECT ANSWER>> ✔️ Temperature
A client is exhibiting signs and symptoms of early shock. What is important for the
nurse to do to support the psychosocial integrity of the client? (Select all that apply.) -
CORRECT ANSWER>> ✔️ Ask family members to stay with the client, Remain with
the client, Reassure the client that everything is being done for him or her. A nurse is
caring for a patient with ARDS who is being treated with mechanical ventilation and
high levels of positive end expiratory pressure (PEEP). Which assessment finding by the
nurse indicates that the PEEP may need to be reduced? -
CORRECT ANSWER>> ✔️ The patient has subcutaneous emphysema on the upper
thorax.
During the primary assessment of a victim of a motor vehicle collision, the
nurse
determines that the patient has an unobstructed airway. Which action
should the nurse take next? - CORRECT ANSWER>> ✔️ Observe the
patients respiratory effort
During the primary survey of a patient with severe leg trauma, the nurse
observes that the patient's left pedal and posterior tibial pulses are
absent, and the entire leg is swollen. Which action will the nurse take
next? - CORRECT ANSWER>> ✔️ Start normal saline fluid infusion
with a large bore IV line
After the return of spontaneous circulation following the resuscitation of
a patient who had a cardiac arrest, therapeutic hypothermia is
