Page 1 of 62
RN ATI Concept Based Assessment Level 4 EXAM
A&B ALL 250 QUESTIONS AND CORRECT ANSWERS
LATEST UPDATE THIS YEAR
RN Concept-Based Assessments Level 4
A nurse in the ED is caring for a client who is experiencing an acute MI and reports chest pain
that has an intensity of 8 on a scale of 0-10. Which of the following medications is the nurse's
priority to administer to this client?
morphine
- MONA
A nurse manager is conducting QI audits for the unit. Which of the following findings requires
further evaluation?
increased client falls
A nurse is reviewing laboratory reports for a client who has sepsis and has been receiving IV
antibiotics for 2 days. Which of the following laboratory results should the nurse report to the
provider immediately?
WBC 45,000
1
, Page 2 of 62
A nurse is reviewing the laboratory results for a client who sustained major burns after a
motor vehicle crash where a fuel spill ignited. Which of the following laboratory values
should the nurse expect during the resuscitation phase of care?
potassium 6.2
- increases from burns
A nurse is reviewing the medical record of a client. Which of the following findings should the
nurse identify as a risk factor for developing a DVT?
prescription for oral contraceptives
A nurse in an ICU is assessing a client who has cardiogenic shock resulting from
postmyocardial infarction heart failure. Which of the following findings should the nurse
expect?
tachypnea
A nurse is teaching a client who has AIDS about self-management strategies for preventing
infection. Which of the following client statements indicates an understanding of the
teaching?
i should not share deodorant sticks with others
A nurse is assessing a client who has cushing's disease. Which of the following manifestations
should the nurse expect?
2
, Page 3 of 62
increased blood pressure
- b/c retain Na and H2O
A charge nurse is working on an acute care floor when a natural disaster occurs. Which of the
following emergency response actions should the nurse take?
prepare medically stable clients for early discharge
A nurse is teaching a group of clients about degenerative disk disease. Which of the following
information should the nurse include regarding the prevention of low back pain and injury?
maintain weight within 10% of ideal body weight
A nurse is performing mass casualty triage following a disaster. To which of the following
clients should the nurse assign a black tag?
a client who has a penetrating head wound and agonal respirations
A nurse is developing a plan of care for a toddler who has heart failure and is receiving
furosemide. Which of the following actions should the nurse include in the plan?
increase the toddler's intake of foods high in potassium
A public health nurse is participating in the recovery phase of emergency response to a
hurricane. Which of the following actions should the nurse take first?
determine the needs of the community
3
, Page 4 of 62
A nurse is discussing hepatitis C with a newly licensed nurse. Which of the following
information should the nurse include?
hepatitis C frequently results in a chronic infection
A nurse manager is conducting an in-service about hepatitis A for a group of nurses. Which of
the following information should the nurse manager include as a risk factor for acquiring the
hepatitis A virus?
ingesting shellfish
A nurse is working at a community health center with clients who have limited socioeconomic
resources. Which of the following actions should the nurse take as a primary prevention
strategy to address health care disparities for these clients?
provide free influenza immunizations
A charge nurse on a medical-surgical unit is working with a LPN. Which of the following tasks
should the nurse assign to the LPN?
administer an IM pain medication to a postoperative client
A nurse is planning care for a client who is experiencing an Addisonian crisis and has
hyperkalemia. According to research-based care, which of the following interventions should
the nurse include in the plan?
initiate cardiac monitoring of the client
4
RN ATI Concept Based Assessment Level 4 EXAM
A&B ALL 250 QUESTIONS AND CORRECT ANSWERS
LATEST UPDATE THIS YEAR
RN Concept-Based Assessments Level 4
A nurse in the ED is caring for a client who is experiencing an acute MI and reports chest pain
that has an intensity of 8 on a scale of 0-10. Which of the following medications is the nurse's
priority to administer to this client?
morphine
- MONA
A nurse manager is conducting QI audits for the unit. Which of the following findings requires
further evaluation?
increased client falls
A nurse is reviewing laboratory reports for a client who has sepsis and has been receiving IV
antibiotics for 2 days. Which of the following laboratory results should the nurse report to the
provider immediately?
WBC 45,000
1
, Page 2 of 62
A nurse is reviewing the laboratory results for a client who sustained major burns after a
motor vehicle crash where a fuel spill ignited. Which of the following laboratory values
should the nurse expect during the resuscitation phase of care?
potassium 6.2
- increases from burns
A nurse is reviewing the medical record of a client. Which of the following findings should the
nurse identify as a risk factor for developing a DVT?
prescription for oral contraceptives
A nurse in an ICU is assessing a client who has cardiogenic shock resulting from
postmyocardial infarction heart failure. Which of the following findings should the nurse
expect?
tachypnea
A nurse is teaching a client who has AIDS about self-management strategies for preventing
infection. Which of the following client statements indicates an understanding of the
teaching?
i should not share deodorant sticks with others
A nurse is assessing a client who has cushing's disease. Which of the following manifestations
should the nurse expect?
2
, Page 3 of 62
increased blood pressure
- b/c retain Na and H2O
A charge nurse is working on an acute care floor when a natural disaster occurs. Which of the
following emergency response actions should the nurse take?
prepare medically stable clients for early discharge
A nurse is teaching a group of clients about degenerative disk disease. Which of the following
information should the nurse include regarding the prevention of low back pain and injury?
maintain weight within 10% of ideal body weight
A nurse is performing mass casualty triage following a disaster. To which of the following
clients should the nurse assign a black tag?
a client who has a penetrating head wound and agonal respirations
A nurse is developing a plan of care for a toddler who has heart failure and is receiving
furosemide. Which of the following actions should the nurse include in the plan?
increase the toddler's intake of foods high in potassium
A public health nurse is participating in the recovery phase of emergency response to a
hurricane. Which of the following actions should the nurse take first?
determine the needs of the community
3
, Page 4 of 62
A nurse is discussing hepatitis C with a newly licensed nurse. Which of the following
information should the nurse include?
hepatitis C frequently results in a chronic infection
A nurse manager is conducting an in-service about hepatitis A for a group of nurses. Which of
the following information should the nurse manager include as a risk factor for acquiring the
hepatitis A virus?
ingesting shellfish
A nurse is working at a community health center with clients who have limited socioeconomic
resources. Which of the following actions should the nurse take as a primary prevention
strategy to address health care disparities for these clients?
provide free influenza immunizations
A charge nurse on a medical-surgical unit is working with a LPN. Which of the following tasks
should the nurse assign to the LPN?
administer an IM pain medication to a postoperative client
A nurse is planning care for a client who is experiencing an Addisonian crisis and has
hyperkalemia. According to research-based care, which of the following interventions should
the nurse include in the plan?
initiate cardiac monitoring of the client
4
