ATI RN Concept-Based Assessment Level 1 Latest
Update 2026 | Exam Prep
1. If a nurse encounters a patient who has been prescribed an opioid and is
experiencing constipation, what should be the nurse's initial intervention?
Encourage the patient to stop taking the opioid medication.
Document the patient's complaint and wait for the physician's orders.
Immediately administer a laxative without consulting the physician.
Assess the patient's bowel habits and provide education on
preventive measures.
2. Describe the importance of emotional support in nursing care for clients
dealing with loss.
Emotional support is primarily about providing medication.
Emotional support focuses solely on physical health.
Emotional support helps clients process their grief and fosters a
therapeutic nurse-client relationship.
Emotional support is not necessary in nursing care.
3. If the nurse fails to report the client's scheduled chest x-ray during the
handoff, what potential consequence could arise?
The client may miss the scheduled chest x-ray, leading to delays in
diagnosis and treatment.
The next nurse may misunderstand the client's family history.
The client may experience increased headaches due to lack of
communication.
The next nurse may not be aware of the client's allergies.
,4. Where should a nurse administer enoxaparin for a subcutaneous injection?
Upper arm
Gluteal region
Abdomen
Thigh
5. The nurse understands the implications of the advance directive. She
recognizes that
The mechanism is in effect as soon as the document is signed by the
client
Information cannot be discussed with the proxy
It focuses strictly on rejection of the life supporting measures
Clients designate a proxy to make the treatment decisions
6. Why is the abdomen the preferred site for administering enoxaparin via
subcutaneous injection?
The abdomen allows for deeper injections.
The abdomen has a higher absorption rate for subcutaneous
medications.
The abdomen is less painful than other sites.
The abdomen is easier to access than other sites.
7. In a scenario where a nurse has to obtain a culture from a pressure ulcer but
notices the patient is in severe pain, what should the nurse prioritize before
proceeding with the culture?
Manage the patient's pain effectively.
, Obtain the culture immediately to avoid delay.
Notify the physician about the pain level.
Document the pain level before proceeding.
8. A patient with urolithiasis presents with severe flank pain and is anxious about
their condition. What is the most appropriate nursing intervention to address
their pain?
Reassure the patient that the pain will resolve on its own.
Administer prescribed analgesics as ordered.
Schedule a follow-up appointment for next week.
Encourage the patient to drink more fluids immediately.
9. The nurse is planning care for a newly admitted client receiving opioids for
acute pain. For which problem should the nurse monitor the client?
urinary Incontinence
bowel Incontinence
diarrhea
constipation
10. Which beverage should a nurse exclude from meals for a client who follows
Mormon dietary practices?
Coffee
Pork
Tea
Alcohol
, 11. A male client had a right below-the-knee amputation 4 days ago. His incision
is healing well. He has gotten out of bed several times and sat at the side of
the bed. Each time after returning to bed, he has experienced pain as if it
were located in his right foot. Which nursing measure indicates the nurse has
a thorough understanding of phantom pain and its management?
Phantom pain is entirely in the client's mind. The client should be
instructed that the pain is psychological and should not be treated.
The basis for phantom pain may occur because the nerves still carry
pain sensation to the brain even though the limb has been
amputated. The pain is real, intense, and should be treated.
Phantom pain is caused by trauma, spasms, and edema at the incis
The cause of phantom pain is unknown. The nurse should provide the
client with support, promote sleep, and handle the injured limb
smoothly and gently.
12. A patient with a urinary tract infection is allergic to penicillin. Which
medication should the nurse prioritize for teaching about treatment options?
Ciprofloxacin
Vancomycin
Nitrofurantoin
Amoxicillin
13. Describe how standardized procedures contribute to patient safety in the
operating room.
Standardized procedures are optional and depend on the surgeon's
preference.
Standardized procedures focus solely on equipment sterilization.
Standardized procedures are only necessary for complex surgeries.
Update 2026 | Exam Prep
1. If a nurse encounters a patient who has been prescribed an opioid and is
experiencing constipation, what should be the nurse's initial intervention?
Encourage the patient to stop taking the opioid medication.
Document the patient's complaint and wait for the physician's orders.
Immediately administer a laxative without consulting the physician.
Assess the patient's bowel habits and provide education on
preventive measures.
2. Describe the importance of emotional support in nursing care for clients
dealing with loss.
Emotional support is primarily about providing medication.
Emotional support focuses solely on physical health.
Emotional support helps clients process their grief and fosters a
therapeutic nurse-client relationship.
Emotional support is not necessary in nursing care.
3. If the nurse fails to report the client's scheduled chest x-ray during the
handoff, what potential consequence could arise?
The client may miss the scheduled chest x-ray, leading to delays in
diagnosis and treatment.
The next nurse may misunderstand the client's family history.
The client may experience increased headaches due to lack of
communication.
The next nurse may not be aware of the client's allergies.
,4. Where should a nurse administer enoxaparin for a subcutaneous injection?
Upper arm
Gluteal region
Abdomen
Thigh
5. The nurse understands the implications of the advance directive. She
recognizes that
The mechanism is in effect as soon as the document is signed by the
client
Information cannot be discussed with the proxy
It focuses strictly on rejection of the life supporting measures
Clients designate a proxy to make the treatment decisions
6. Why is the abdomen the preferred site for administering enoxaparin via
subcutaneous injection?
The abdomen allows for deeper injections.
The abdomen has a higher absorption rate for subcutaneous
medications.
The abdomen is less painful than other sites.
The abdomen is easier to access than other sites.
7. In a scenario where a nurse has to obtain a culture from a pressure ulcer but
notices the patient is in severe pain, what should the nurse prioritize before
proceeding with the culture?
Manage the patient's pain effectively.
, Obtain the culture immediately to avoid delay.
Notify the physician about the pain level.
Document the pain level before proceeding.
8. A patient with urolithiasis presents with severe flank pain and is anxious about
their condition. What is the most appropriate nursing intervention to address
their pain?
Reassure the patient that the pain will resolve on its own.
Administer prescribed analgesics as ordered.
Schedule a follow-up appointment for next week.
Encourage the patient to drink more fluids immediately.
9. The nurse is planning care for a newly admitted client receiving opioids for
acute pain. For which problem should the nurse monitor the client?
urinary Incontinence
bowel Incontinence
diarrhea
constipation
10. Which beverage should a nurse exclude from meals for a client who follows
Mormon dietary practices?
Coffee
Pork
Tea
Alcohol
, 11. A male client had a right below-the-knee amputation 4 days ago. His incision
is healing well. He has gotten out of bed several times and sat at the side of
the bed. Each time after returning to bed, he has experienced pain as if it
were located in his right foot. Which nursing measure indicates the nurse has
a thorough understanding of phantom pain and its management?
Phantom pain is entirely in the client's mind. The client should be
instructed that the pain is psychological and should not be treated.
The basis for phantom pain may occur because the nerves still carry
pain sensation to the brain even though the limb has been
amputated. The pain is real, intense, and should be treated.
Phantom pain is caused by trauma, spasms, and edema at the incis
The cause of phantom pain is unknown. The nurse should provide the
client with support, promote sleep, and handle the injured limb
smoothly and gently.
12. A patient with a urinary tract infection is allergic to penicillin. Which
medication should the nurse prioritize for teaching about treatment options?
Ciprofloxacin
Vancomycin
Nitrofurantoin
Amoxicillin
13. Describe how standardized procedures contribute to patient safety in the
operating room.
Standardized procedures are optional and depend on the surgeon's
preference.
Standardized procedures focus solely on equipment sterilization.
Standardized procedures are only necessary for complex surgeries.
