ATI RN Concept-Based Assessment Level 3 Study Guide 2026 | Practice Review & Exam Prep

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ATI RN Concept-Based Assessment Level 3 Study Guide NEWEST 2026 ACTUAL
EXAM TEST- COMPLETE REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ (MOST RECENT!!) 2026




ATI RN Concept-Based Assessment Level 3 –

1–10: Safety & Infection Control

1. A patient with a central line develops a fever and chills. What is the priority action?

• A. Increase fluids
• B. Notify provider and obtain blood cultures
• C. Flush the line
• D. Document and monitor

Rationale: Fever and chills with central line indicate possible CLABSI; early culture and
provider notification are essential.



2. Which patient should the nurse see first?

• A. Post-op patient with stable vitals
• B. Patient with sudden shortness of breath and SpO2 88%
• C. Patient requesting pain medication
• D. Patient ready for routine dressing change

Rationale: ABC principle prioritizes airway and oxygenation problems first.



3. Standard precautions include:

• A. Gloves and hand hygiene for all patient contact
• B. Isolation of all patients
• C. Only masks and gowns
• D. No PPE if patient appears healthy



2026 2027 GRADED A+

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4. Patient is on airborne precautions. Required PPE:

• A. N95 respirator
• B. Surgical mask
• C. Gloves only
• D. Gown only



5. Nurse notices a wet floor near patient room. First action:

• A. Document in chart
• B. Place “wet floor” sign and clean immediately
• C. Notify family
• D. Wait for environmental services



6. Correct fire extinguisher technique:

• A. Pull, Aim, Squeeze, Sweep
• B. Aim, Pull, Sweep, Squeeze
• C. Sweep, Pull, Squeeze, Aim
• D. Squeeze, Sweep, Aim, Pull



7. Patient requires contact precautions. Which scenario applies?

• A. MRSA wound infection
• B. TB
• C. Influenza
• D. Measles



8. Proper body mechanics for lifting a patient:

• A. Bend at waist
• B. Bend knees, keep back straight
• C. Lift quickly without assistance
• D. Feet together



2026 2027 GRADED A+

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9. Which is a priority nursing intervention to prevent falls?

• A. Document risk assessment
• B. Remove clutter and ensure proper lighting
• C. Ask patient to stay in bed
• D. Assign a roommate



10. Which nursing action demonstrates infection control with Foley catheter?

• A. Secure catheter to thigh
• B. Reuse drainage bag
• C. Disconnect catheter from drainage bag
• D. Flush only once daily



11–20: Perfusion / Cardiac

11. Patient with chest pain and ST-elevation. First action:

• A. Administer PRN pain med
• B. Notify provider and prepare for intervention
• C. Document vitals
• D. Obtain weight



12. Lab indicator of myocardial injury:

• A. Creatinine 1.0
• B. Troponin I 2.5
• C. WBC 8,000
• D. Hemoglobin 13



13. Early sign of hypovolemic shock:

• A. Hypotension
• B. Tachycardia
• C. Decreased urine output



2026 2027 GRADED A+

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• D. Confusion



14. Patient with heart failure has lower extremity edema. Supporting symptom?

• A. Dyspnea on exertion
• B. Bradycardia
• C. Polyuria
• D. Hypotension



15. Best position for patient with dyspnea:

• A. Supine
• B. High Fowler’s
• C. Trendelenburg
• D. Prone



16. Patient on warfarin with INR 5.0. Priority action:

• A. Administer warfarin
• B. Hold warfarin and notify provider
• C. Encourage vitamin K
• D. No action



17. Acute angina treatment:

• A. Atenolol
• B. Nitroglycerin sublingual
• C. Lisinopril
• D. Furosemide



18. Patient with DVT. Safe intervention:

• A. Massage calf
• B. Elevate leg and monitor
• C. Encourage vigorous ambulation


2026 2027 GRADED A+