ATI RN Concept-Based Assessment Level 2 Online 2026 ACTUAL EXAM
REVIEW 150 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES
COVERING THE RECENT TESTED QUESTIONS GUARANTEE A+ GRADE
A nurse is developing a plan of care for a client who has urinary incontinence. What actions should the
nurse include?
Gently massage reddened areas of the client's skin.
Inspect the client's skin every other day.
Change the client's position every 4 hr.
Apply a moisture barrier cream to the client's skin. - correct answer -Apply a moisture barrier cream to
the client's skin.
A nurse is talking with a client who reports difficulty adjusting to the death of her partner. Which of
the following responses by the nurse demonstRat es the therapeutic communication technique of
reflecting?
"I am here to listen if you'd like to talk about your current situation."
"What do you think would help you cope with your loss?"
"You've expressed that you are having difficulty adjusting to the loss of your partner."
"Can you please provide an example of how you're having difficulty adjusting?" - correct answer -"I am
here to listen if you'd like to talk about your current situation."
Rat : The nurse uses the technique of reflecting when asking this question. Reflecting encourages the
client to explore her personal thoughts about a situation so that a plan can be developed to meet the
client's individual needs.
A nurse is planning care for a client who has an indwelling urinary catheter. What interventions should
the nurse include in the plan to prevent the development of a catheter-associated urinary tract
infection (CAUTI).
Ensure that the catheter tubing has a dependent loop.
Empty the urinary collection bag when it is 75% full.
Secure the catheter tubing to the client's leg.
, Use an open method for catheter irrigation. - correct answer -Secure the catheter tubing to the client's
leg.
Rat : The nurse should assess the client's need for urinary catheterization and should follow
evidencebased practice to prevent or reduce the risk of CAUTI development. This includes securing the
catheter tubing to the client's leg so that the catheter does not move, reducing the risk of urethral
trauma and introduction of bacteria into the urinary system.
A nurse is planning care for a client who has bacterial meningitis caused by Haemophilus influenza.
What of the following infection control interventions should the nurse include in the plan?
Stand at least 0.3 m (1 foot) from the client unless wearing a mask.
Apply a N95 respiRat or before entering the client's room.
Place a mask on the client during transport out of the room.
Assign the client to a room with negative air flow. - correct answer -Place a mask on the client during
transport out of the room.
Rat : The nurse should implement droplet precautions and standard precautions when caring for a
client who has bacterial meningitis caused by H. influenza. The nurse should avoid transporting the
client out of the room, if possible. However, if transport is necessary, then placing a mask on the client is
an effective infection control intervention.
A nurse is teaching an older adult client about accessing electronic resources for health care
information on the internet. What statement should the nurse include in the teaching?
"Websites that are evidence-based avoid placing direct links to other evidence-based websites on their
home pages."
"Websites that market products are credible as long as the products are beneficial for health care."
"Websites ending in 'dot-gov' are reliable sites for obtaining health information from government
agencies."
"Website forums with the opinions of other clients provide factual and trustworthy - correct answer
"Websites ending in 'dot-gov' are reliable sites for obtaining health information from government
agencies."
Rat : 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" (government agencies) and
".edu" (educational organizations) are considered reliable and credible sources for health information.
Websites ending in ".com" should not be used for researching credible health care information.
,A hospice nurse is planning care for a client who has terminal cancer. The client tells the nurse that
she practices the Hindu religion. What interventions should the nurse include in the plan of care to
support the client's cultural beliefs?
Position the client's bed in her home so that she faces east.
Arrange for the Sacrament of the Sick when the client nears death.
Allow time for a family member to perform a ritual bath after the client dies.
Coordinate with the funeral home for burial within 24 hr of the client's death. - correct answer -Allow
time for a family member to perform a ritual bath after the client dies.
Rat : The nurse should recognize a client who practices the Jewish, Muslim, or Hindu religions might
want a ritual bath after death. This ritual bath can be performed by a family member or by certain
members of the client's faith.
A nurse is reviewing the medication administRat ion record of a client who is 2 days post opeRat ive
following abdominal surgery. The nurse should identify that what medications can result in delayed
wound healing?
Metoprolol
Prednisone
Vitamin C
Ropinirole - correct answer -Prednisone
Rat : The nurse should identify that taking prednisone can result in delayed wound healing. Prednisone
is a corticosteroid used in the treatment of inflammatory disorders. It can mask the manifestations of
infection due to its ability to impair the inflammatory response. Other medications, such as
anticoagulants and broad-spectrum antibiotics, can also play a role in delayed wound healing.
A nurse is planning a menu for a client who practices Seventh-Day Adventism. What food selection
should the nurse take?
Shellfish
Scrambled eggs
Pork chop
Tuna fish - correct answer -Scrambled eggs
Rat : The nurse should select scrambled eggs in the client's dietary meal plan for a client who practices
Seventh-Day Adventism. Most clients who practice Seventh-Day Adventistism are lacto-ovo vegetarians
who consume vegetables, eggs, and dairy, but not meat. Clients who practice this religion also do not
consume caffeine or alcohol.
, A nurse is providing teaching to the parent of a 6 year old girl about preventing urinary tract
infections. Which of the following statements by the parent indicates an understanding of the
teaching?
"I will have her wear panties made of nylon."
"I will teach her how to wipe from back to front."
"I will increase her intake of foods high in fiber."
"I will limit her fluid intake in the evenings." - correct answer -"I will increase her intake of foods high in
fiber."
Rat : Constipation increases the risk of development of a urinary tract infection. Therefore, the nurse
should instruct the parent to increase the child's daily intake of fiber to prevent constipation. Other
interventions include increasing physical activity and using a stool softener as needed.
A home health nurse manager is assisting in the implementation of an electronic medical record (EMR)
system for client care. What actions should the nurse manager take the promote interoperability.
Scan each client's prescribed medications into the individual EMR.
Recommend a single coding system for each department to use.
Seek reimbursement opportunities for the use of an EMR system.
Establish a personal health record (PHR) for each client. - correct answer -Recommend a single coding
system for each department to use.
Rat : The nurse manager should recommend a unified coding system for each department to use when
documenting in the EMR system. This use of a single coding system ensures that data is shared accuRat
ely among interprofessional departments and that each department's system is able to process the
coded information. This continuity of shared data and the ability to use the data is referred to
interoperability.
A nurse is developing a plan of care for an older adult client who is experiencing functional
incontinence following hip arthroplasty, what interventions should the nurse include?
Dress the client in pants with a zipper.
Measure residual after each void.
Insert a urinary catheter.
Place grab bars by the toilet. - correct answer -Place grab bars by the toilet.
REVIEW 150 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES
COVERING THE RECENT TESTED QUESTIONS GUARANTEE A+ GRADE
A nurse is developing a plan of care for a client who has urinary incontinence. What actions should the
nurse include?
Gently massage reddened areas of the client's skin.
Inspect the client's skin every other day.
Change the client's position every 4 hr.
Apply a moisture barrier cream to the client's skin. - correct answer -Apply a moisture barrier cream to
the client's skin.
A nurse is talking with a client who reports difficulty adjusting to the death of her partner. Which of
the following responses by the nurse demonstRat es the therapeutic communication technique of
reflecting?
"I am here to listen if you'd like to talk about your current situation."
"What do you think would help you cope with your loss?"
"You've expressed that you are having difficulty adjusting to the loss of your partner."
"Can you please provide an example of how you're having difficulty adjusting?" - correct answer -"I am
here to listen if you'd like to talk about your current situation."
Rat : The nurse uses the technique of reflecting when asking this question. Reflecting encourages the
client to explore her personal thoughts about a situation so that a plan can be developed to meet the
client's individual needs.
A nurse is planning care for a client who has an indwelling urinary catheter. What interventions should
the nurse include in the plan to prevent the development of a catheter-associated urinary tract
infection (CAUTI).
Ensure that the catheter tubing has a dependent loop.
Empty the urinary collection bag when it is 75% full.
Secure the catheter tubing to the client's leg.
, Use an open method for catheter irrigation. - correct answer -Secure the catheter tubing to the client's
leg.
Rat : The nurse should assess the client's need for urinary catheterization and should follow
evidencebased practice to prevent or reduce the risk of CAUTI development. This includes securing the
catheter tubing to the client's leg so that the catheter does not move, reducing the risk of urethral
trauma and introduction of bacteria into the urinary system.
A nurse is planning care for a client who has bacterial meningitis caused by Haemophilus influenza.
What of the following infection control interventions should the nurse include in the plan?
Stand at least 0.3 m (1 foot) from the client unless wearing a mask.
Apply a N95 respiRat or before entering the client's room.
Place a mask on the client during transport out of the room.
Assign the client to a room with negative air flow. - correct answer -Place a mask on the client during
transport out of the room.
Rat : The nurse should implement droplet precautions and standard precautions when caring for a
client who has bacterial meningitis caused by H. influenza. The nurse should avoid transporting the
client out of the room, if possible. However, if transport is necessary, then placing a mask on the client is
an effective infection control intervention.
A nurse is teaching an older adult client about accessing electronic resources for health care
information on the internet. What statement should the nurse include in the teaching?
"Websites that are evidence-based avoid placing direct links to other evidence-based websites on their
home pages."
"Websites that market products are credible as long as the products are beneficial for health care."
"Websites ending in 'dot-gov' are reliable sites for obtaining health information from government
agencies."
"Website forums with the opinions of other clients provide factual and trustworthy - correct answer
"Websites ending in 'dot-gov' are reliable sites for obtaining health information from government
agencies."
Rat : 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" (government agencies) and
".edu" (educational organizations) are considered reliable and credible sources for health information.
Websites ending in ".com" should not be used for researching credible health care information.
,A hospice nurse is planning care for a client who has terminal cancer. The client tells the nurse that
she practices the Hindu religion. What interventions should the nurse include in the plan of care to
support the client's cultural beliefs?
Position the client's bed in her home so that she faces east.
Arrange for the Sacrament of the Sick when the client nears death.
Allow time for a family member to perform a ritual bath after the client dies.
Coordinate with the funeral home for burial within 24 hr of the client's death. - correct answer -Allow
time for a family member to perform a ritual bath after the client dies.
Rat : The nurse should recognize a client who practices the Jewish, Muslim, or Hindu religions might
want a ritual bath after death. This ritual bath can be performed by a family member or by certain
members of the client's faith.
A nurse is reviewing the medication administRat ion record of a client who is 2 days post opeRat ive
following abdominal surgery. The nurse should identify that what medications can result in delayed
wound healing?
Metoprolol
Prednisone
Vitamin C
Ropinirole - correct answer -Prednisone
Rat : The nurse should identify that taking prednisone can result in delayed wound healing. Prednisone
is a corticosteroid used in the treatment of inflammatory disorders. It can mask the manifestations of
infection due to its ability to impair the inflammatory response. Other medications, such as
anticoagulants and broad-spectrum antibiotics, can also play a role in delayed wound healing.
A nurse is planning a menu for a client who practices Seventh-Day Adventism. What food selection
should the nurse take?
Shellfish
Scrambled eggs
Pork chop
Tuna fish - correct answer -Scrambled eggs
Rat : The nurse should select scrambled eggs in the client's dietary meal plan for a client who practices
Seventh-Day Adventism. Most clients who practice Seventh-Day Adventistism are lacto-ovo vegetarians
who consume vegetables, eggs, and dairy, but not meat. Clients who practice this religion also do not
consume caffeine or alcohol.
, A nurse is providing teaching to the parent of a 6 year old girl about preventing urinary tract
infections. Which of the following statements by the parent indicates an understanding of the
teaching?
"I will have her wear panties made of nylon."
"I will teach her how to wipe from back to front."
"I will increase her intake of foods high in fiber."
"I will limit her fluid intake in the evenings." - correct answer -"I will increase her intake of foods high in
fiber."
Rat : Constipation increases the risk of development of a urinary tract infection. Therefore, the nurse
should instruct the parent to increase the child's daily intake of fiber to prevent constipation. Other
interventions include increasing physical activity and using a stool softener as needed.
A home health nurse manager is assisting in the implementation of an electronic medical record (EMR)
system for client care. What actions should the nurse manager take the promote interoperability.
Scan each client's prescribed medications into the individual EMR.
Recommend a single coding system for each department to use.
Seek reimbursement opportunities for the use of an EMR system.
Establish a personal health record (PHR) for each client. - correct answer -Recommend a single coding
system for each department to use.
Rat : The nurse manager should recommend a unified coding system for each department to use when
documenting in the EMR system. This use of a single coding system ensures that data is shared accuRat
ely among interprofessional departments and that each department's system is able to process the
coded information. This continuity of shared data and the ability to use the data is referred to
interoperability.
A nurse is developing a plan of care for an older adult client who is experiencing functional
incontinence following hip arthroplasty, what interventions should the nurse include?
Dress the client in pants with a zipper.
Measure residual after each void.
Insert a urinary catheter.
Place grab bars by the toilet. - correct answer -Place grab bars by the toilet.
