ATI RN CONCEPT-BASED ASSESSMENT LEVEL 1
ONLINE PRACTICE A
PROCTORED EXAM BANK 2026 ACTUAL EXAM
QUESTIONS & VERIFIED ANSWERS | PDF
A nurse at a providers office is counseling a client who reports insomnia. Which of
the following statements should the nurse make to include the clients preferences
into a sleep promotion plan?
1. "If alcoholic beverages are desired, consume them in the early evenings"
2. "Sleep in the location of your home where you feel your rest best"
3. "Turn on a favorite television show just before going to bed"
4. "Allow your sleep and wake times to vary depending on how you feel each day" -
ANSWER👀"Sleep in the location of your home where you feel your rest best"
Rationale: The nurse should encourage the client to sleep wherever she feels she
gets the most rest, whether it be a bed, couch, or chair.
A nurse is assessing the spiritual wellbeing and development of a preschooler. The
nurse asks the preschooler, "Why is it wrong to kick our baby sister?" Which of the
following responses should the nurse expect?
1. "It's not wrong because she made me mad."
2. "It's wrong because my dad said I can't kick her."
3. "It's wrong to kick her because the gods won't like it."
4. "It's wrong because she would get hurt and be sad." - ANSWER👀"It's wrong
because my dad said I can't kick her."
Rationale: The nurse should expect the preschooler to be motivated to choose right
from wrong because of rules taught to him by his parents. The nurse should
understand that, even though the preschooler might know the rules, he is not yet
able to understand the rationale for the rules.
A nurse in a long term care facility is admitting a new client following a brief stay in
acute care. In adherence with the Joint Commission National Patient Safety Goals
regarding medication administration, which of the following actions should the nurse
take?
,A. Inform the client that he will not be receiving the medications he took prior to his
hospitalization.
B. Compare a list of the client's current medications with the ones he will take in
long-term care.
C. Eliminate any over-the-counter products from the client's current medication list.
D. Omit the medication indications when listing the client's medication dose
information. - ANSWER👀Compare a list of the client's current medications with the
ones he will take in long-term care.
Rationale: The Joint Commission National Patient Safety Goals regarding medication
reconciliation includes maintaining and communicating accurate client medication
information. The nurse should complete a medication reconciliation to identify and
resolve any discrepancies by comparing the client's list of current medications with
the medications he will take in the long-term care facility and addressing any
duplications, omissions, or interactions.
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?
A. Inform the client that phantom limb pain is not real.
B. Administer a beta-blocking medication to the client.
C. Place the client on a soft mattress.
D. Loosen the bandage on the client's residual limb. - ANSWER👀Administer a beta-
blocking medication to the client
Rationale: 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 nurse is teaching the parent of a toddler about home injury prevention. When
discussing snacks, which of the following statements by the parent indicates an
understanding of the teaching?
1. "I can offer her grapes as long as I peel them first."
2. "I can give her watermelon pieces after I remove the seeds."
3. "I should give her popcorn that is air-popped and without salt or butter."
,4. "I should cut hot dogs into thin, round slices before giving them to her." -
ANSWER👀"I can give her watermelon pieces after I remove the seeds."
Rationale: The nurse should inform the parent that toddlers can easily choke on
seeds from fruits, such as watermelon seeds or cherry pits, because of their round
shape and size. Removing the seeds and cutting the watermelon into pieces provides
the toddler with a nutritious snack that does not increase the toddler's risk of foreign
body obstruction.
A nurse is searching electronic databases for clinical research about behavioral
indicators of pain in an infant. Which of the following online sources should the
nurse select to research this infant care issue?
1. Cumulative Index to Nursing and Allied Health Literature (CINAHL)
2. The Nursing Minimum Data Set
3. The Omaha System
4. The Nursing Interventions Classification (NIC) - ANSWER👀Cumulative Index to
Nursing and Allied Health Literature (CINAHL)
Rationale: The nurse should select the Cumulative Index to Nursing and Allied Health
Literature (CINAHL) to locate clinical research about health-related client care issues.
CINAHL is a cumulative index that the nurse can search electronically to locate
reliable data related to the specific topic being researched.
A nurse is caring for a client who has dysphagia following a stroke. Which of the
following actions should the nurse take to facilitate safe swallowing and decrease the
risk of aspiration?
1. Delay the client's meal-time if he is fatigued.
2. Instruct the client to tilt his head to the side when swallowing.
3. Assist the client with fluid intake by inserting it into the client's mouth with a
syringe.
4. Encourage the client to focus on a television program during meal time. -
ANSWER👀Delay the client's meal-time if he is fatigued.
Rationale: To facilitate safe swallowing and decrease the risk of aspiration, the nurse
should encourage the client to rest prior to meal-time. If the client is fatigued, the
nurse should delay the meal-time and give the client time to rest.
, A nurse in a long term care facility is performing a fall risk assessment on a newly
admitted client using the Timed Up and Go (TUG) test. The client reports using a
tripod cane for ambulation. Which of the following actions should the nurse take
when using this test?
1. Observe the client ambulating a distance of 3 m (10 feet) during the TUG test.
2. Instruct the client to perform the TUG test without the use of the cane.
3. Assist the client to stand up from the chair when starting the TUG test.
4. Advise the client to use the arms of the chair to stand when starting the TUG test. -
ANSWER👀Observe the client ambulating a distance of 3 m (10 feet) during the TUG
test.
Rationale:The nurse should mark a spot 3 m (10 feet) away from the client's sitting
location. The nurse should instruct the client to stand, ambulate to the marked spot,
turn, ambulate back to the chair, and sit down. The nurse should observe the client's
ability to perform the test and use a stopwatch to time the client. The nurse should
identify that the client is at increased risk of falls if it takes longer than 14 seconds to
complete the test.
A nurse in an emergency is caring for an infant who requires emergency surgery. The
infant is accompanied by his 16-year-old mother and his maternal grandfather. Which
of the following actions should the nurse take when assisting with informed
consent?
1. Witness consent obtained from the infant's mother.
2. Inform the family that informed consent is not needed due to emergency surgery.
3. Notify the maternal grandfather that he is required to give informed consent.
4. Request that a court-appointed representative provide informed consent. -
ANSWER👀Witness consent obtained from the infant's mother.
Rationale: The nurse should assist in obtaining informed consent from the infant's
mother by witnessing her signature. Statutory guidelines indicate that a minor, even
if unemancipated, can provide consent for her infant. Unemancipated minors can
also legally provide informed consent for STI treatment, substance use treatment,
and care related to pregnancy in some states.
A nurse is planning care to prevent a catheter-related blood stream infection for a
client who is receiving IV fluid therapy. Which of the following interventions should
the nurse include in the plan?
ONLINE PRACTICE A
PROCTORED EXAM BANK 2026 ACTUAL EXAM
QUESTIONS & VERIFIED ANSWERS | PDF
A nurse at a providers office is counseling a client who reports insomnia. Which of
the following statements should the nurse make to include the clients preferences
into a sleep promotion plan?
1. "If alcoholic beverages are desired, consume them in the early evenings"
2. "Sleep in the location of your home where you feel your rest best"
3. "Turn on a favorite television show just before going to bed"
4. "Allow your sleep and wake times to vary depending on how you feel each day" -
ANSWER👀"Sleep in the location of your home where you feel your rest best"
Rationale: The nurse should encourage the client to sleep wherever she feels she
gets the most rest, whether it be a bed, couch, or chair.
A nurse is assessing the spiritual wellbeing and development of a preschooler. The
nurse asks the preschooler, "Why is it wrong to kick our baby sister?" Which of the
following responses should the nurse expect?
1. "It's not wrong because she made me mad."
2. "It's wrong because my dad said I can't kick her."
3. "It's wrong to kick her because the gods won't like it."
4. "It's wrong because she would get hurt and be sad." - ANSWER👀"It's wrong
because my dad said I can't kick her."
Rationale: The nurse should expect the preschooler to be motivated to choose right
from wrong because of rules taught to him by his parents. The nurse should
understand that, even though the preschooler might know the rules, he is not yet
able to understand the rationale for the rules.
A nurse in a long term care facility is admitting a new client following a brief stay in
acute care. In adherence with the Joint Commission National Patient Safety Goals
regarding medication administration, which of the following actions should the nurse
take?
,A. Inform the client that he will not be receiving the medications he took prior to his
hospitalization.
B. Compare a list of the client's current medications with the ones he will take in
long-term care.
C. Eliminate any over-the-counter products from the client's current medication list.
D. Omit the medication indications when listing the client's medication dose
information. - ANSWER👀Compare a list of the client's current medications with the
ones he will take in long-term care.
Rationale: The Joint Commission National Patient Safety Goals regarding medication
reconciliation includes maintaining and communicating accurate client medication
information. The nurse should complete a medication reconciliation to identify and
resolve any discrepancies by comparing the client's list of current medications with
the medications he will take in the long-term care facility and addressing any
duplications, omissions, or interactions.
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?
A. Inform the client that phantom limb pain is not real.
B. Administer a beta-blocking medication to the client.
C. Place the client on a soft mattress.
D. Loosen the bandage on the client's residual limb. - ANSWER👀Administer a beta-
blocking medication to the client
Rationale: 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 nurse is teaching the parent of a toddler about home injury prevention. When
discussing snacks, which of the following statements by the parent indicates an
understanding of the teaching?
1. "I can offer her grapes as long as I peel them first."
2. "I can give her watermelon pieces after I remove the seeds."
3. "I should give her popcorn that is air-popped and without salt or butter."
,4. "I should cut hot dogs into thin, round slices before giving them to her." -
ANSWER👀"I can give her watermelon pieces after I remove the seeds."
Rationale: The nurse should inform the parent that toddlers can easily choke on
seeds from fruits, such as watermelon seeds or cherry pits, because of their round
shape and size. Removing the seeds and cutting the watermelon into pieces provides
the toddler with a nutritious snack that does not increase the toddler's risk of foreign
body obstruction.
A nurse is searching electronic databases for clinical research about behavioral
indicators of pain in an infant. Which of the following online sources should the
nurse select to research this infant care issue?
1. Cumulative Index to Nursing and Allied Health Literature (CINAHL)
2. The Nursing Minimum Data Set
3. The Omaha System
4. The Nursing Interventions Classification (NIC) - ANSWER👀Cumulative Index to
Nursing and Allied Health Literature (CINAHL)
Rationale: The nurse should select the Cumulative Index to Nursing and Allied Health
Literature (CINAHL) to locate clinical research about health-related client care issues.
CINAHL is a cumulative index that the nurse can search electronically to locate
reliable data related to the specific topic being researched.
A nurse is caring for a client who has dysphagia following a stroke. Which of the
following actions should the nurse take to facilitate safe swallowing and decrease the
risk of aspiration?
1. Delay the client's meal-time if he is fatigued.
2. Instruct the client to tilt his head to the side when swallowing.
3. Assist the client with fluid intake by inserting it into the client's mouth with a
syringe.
4. Encourage the client to focus on a television program during meal time. -
ANSWER👀Delay the client's meal-time if he is fatigued.
Rationale: To facilitate safe swallowing and decrease the risk of aspiration, the nurse
should encourage the client to rest prior to meal-time. If the client is fatigued, the
nurse should delay the meal-time and give the client time to rest.
, A nurse in a long term care facility is performing a fall risk assessment on a newly
admitted client using the Timed Up and Go (TUG) test. The client reports using a
tripod cane for ambulation. Which of the following actions should the nurse take
when using this test?
1. Observe the client ambulating a distance of 3 m (10 feet) during the TUG test.
2. Instruct the client to perform the TUG test without the use of the cane.
3. Assist the client to stand up from the chair when starting the TUG test.
4. Advise the client to use the arms of the chair to stand when starting the TUG test. -
ANSWER👀Observe the client ambulating a distance of 3 m (10 feet) during the TUG
test.
Rationale:The nurse should mark a spot 3 m (10 feet) away from the client's sitting
location. The nurse should instruct the client to stand, ambulate to the marked spot,
turn, ambulate back to the chair, and sit down. The nurse should observe the client's
ability to perform the test and use a stopwatch to time the client. The nurse should
identify that the client is at increased risk of falls if it takes longer than 14 seconds to
complete the test.
A nurse in an emergency is caring for an infant who requires emergency surgery. The
infant is accompanied by his 16-year-old mother and his maternal grandfather. Which
of the following actions should the nurse take when assisting with informed
consent?
1. Witness consent obtained from the infant's mother.
2. Inform the family that informed consent is not needed due to emergency surgery.
3. Notify the maternal grandfather that he is required to give informed consent.
4. Request that a court-appointed representative provide informed consent. -
ANSWER👀Witness consent obtained from the infant's mother.
Rationale: The nurse should assist in obtaining informed consent from the infant's
mother by witnessing her signature. Statutory guidelines indicate that a minor, even
if unemancipated, can provide consent for her infant. Unemancipated minors can
also legally provide informed consent for STI treatment, substance use treatment,
and care related to pregnancy in some states.
A nurse is planning care to prevent a catheter-related blood stream infection for a
client who is receiving IV fluid therapy. Which of the following interventions should
the nurse include in the plan?
