ATI RN CONCEPT-BASED ASSESSMENT LEVEL 2
PRACTICE A 2025: COMPREHENSIVE NURSING
EXAM PREPARATION GUIDE
SECTION 1: MANAGEMENT OF CARE
1. A nurse manager is reviewing the staffing plan for a medical-surgical unit with 24
patients. Six patients require total care, 10 require moderate assistance, and 8 are self-
care. The nurse-to-patient ratio is 1:6 for total care, 1:8 for moderate, and 1:12 for self-care.
How many registered nurses (RNs) are needed for the shift?
A. 3
B. 4
C. 5
D. 6
Answer: C
2. A charge nurse is assigning tasks to the healthcare team. Which task should be
delegated to a licensed practical nurse (LPN)?
A. Administering a blood transfusion to a stable patient
B. Performing the initial assessment of a newly admitted patient with chest pain
,C. Reinforcing teaching about wound care to a patient with a new colostomy
D. Evaluating the effectiveness of pain medication for a patient with chronic pain
Answer: C
3. A nurse is caring for four patients. Which patient should the nurse assess first?
A. A patient with diabetes who has a blood glucose of 180 mg/dL and is asymptomatic
B. A patient with pneumonia who has a sudden onset of pleuritic chest pain and dyspnea
C. A patient with a urinary tract infection who has a temperature of 38.5°C (101.3°F) and
chills
D. A patient with a fractured femur who reports pain of 6 on a 0-10 scale after receiving
analgesia
Answer: B
4. A nurse is preparing to discharge a patient with a new diagnosis of heart failure. Which
instruction is most critical to include in the discharge teaching?
A. Weigh yourself daily and report a weight gain of more than 2 pounds in 24 hours
B. Limit your intake of high-fiber foods to prevent bloating
C. Take your diuretic only when you feel short of breath
D. Avoid using the incentive spirometer after surgery
Answer: A
,5. A nurse is leading a quality improvement initiative to reduce central line-associated
bloodstream infections (CLABSI). Which intervention should be prioritized?
A. Changing the central line dressing every 7 days
B. Using a chlorhexidine-impregnated sponge at the insertion site
C. Ensuring all providers use a central line insertion checklist
D. Sending daily blood cultures from the central line
Answer: C
6. A nurse is coordinating care for a patient with multiple chronic conditions. The patient
expresses confusion about medication schedules. Which action best demonstrates the
nurse's role in care coordination?
A. Providing a written medication schedule and reviewing it with the patient
B. Contacting the primary care provider to simplify the medication regimen
C. Referring the patient to a home health aide for medication administration
D. Documenting the confusion in the medical record
Answer: B
7. A nurse discovers that a colleague has been diverting opioids from the medication
supply. What is the nurse's priority action?
A. Confront the colleague privately
B. Report the suspicion to the nurse manager
C. Ignore the behavior unless there is direct evidence
, D. Submit an anonymous report to the state board of nursing
Answer: B
8. A patient with a do-not-resuscitate (DNR) order experiences respiratory arrest. The family
insists on intubation. What should the nurse do?
A. Honor the family's request and intubate
B. Explain that the DNR order is legally binding and cannot be overridden
C. Call the provider to clarify the DNR order
D. Initiate resuscitation while contacting the ethics committee
Answer: B
9. A nurse is preparing a patient for surgery. The patient asks, "What will happen if I don't
have this surgery?" The nurse's best response is:
A. "You should discuss that with your surgeon."
B. "Without the surgery, your condition may worsen."
C. "Why are you asking that question now?"
D. "Let me call the surgeon to speak with you."
Answer: A
10. A nurse is caring for a patient who is being discharged against medical advice (AMA).
Which action should the nurse take?
PRACTICE A 2025: COMPREHENSIVE NURSING
EXAM PREPARATION GUIDE
SECTION 1: MANAGEMENT OF CARE
1. A nurse manager is reviewing the staffing plan for a medical-surgical unit with 24
patients. Six patients require total care, 10 require moderate assistance, and 8 are self-
care. The nurse-to-patient ratio is 1:6 for total care, 1:8 for moderate, and 1:12 for self-care.
How many registered nurses (RNs) are needed for the shift?
A. 3
B. 4
C. 5
D. 6
Answer: C
2. A charge nurse is assigning tasks to the healthcare team. Which task should be
delegated to a licensed practical nurse (LPN)?
A. Administering a blood transfusion to a stable patient
B. Performing the initial assessment of a newly admitted patient with chest pain
,C. Reinforcing teaching about wound care to a patient with a new colostomy
D. Evaluating the effectiveness of pain medication for a patient with chronic pain
Answer: C
3. A nurse is caring for four patients. Which patient should the nurse assess first?
A. A patient with diabetes who has a blood glucose of 180 mg/dL and is asymptomatic
B. A patient with pneumonia who has a sudden onset of pleuritic chest pain and dyspnea
C. A patient with a urinary tract infection who has a temperature of 38.5°C (101.3°F) and
chills
D. A patient with a fractured femur who reports pain of 6 on a 0-10 scale after receiving
analgesia
Answer: B
4. A nurse is preparing to discharge a patient with a new diagnosis of heart failure. Which
instruction is most critical to include in the discharge teaching?
A. Weigh yourself daily and report a weight gain of more than 2 pounds in 24 hours
B. Limit your intake of high-fiber foods to prevent bloating
C. Take your diuretic only when you feel short of breath
D. Avoid using the incentive spirometer after surgery
Answer: A
,5. A nurse is leading a quality improvement initiative to reduce central line-associated
bloodstream infections (CLABSI). Which intervention should be prioritized?
A. Changing the central line dressing every 7 days
B. Using a chlorhexidine-impregnated sponge at the insertion site
C. Ensuring all providers use a central line insertion checklist
D. Sending daily blood cultures from the central line
Answer: C
6. A nurse is coordinating care for a patient with multiple chronic conditions. The patient
expresses confusion about medication schedules. Which action best demonstrates the
nurse's role in care coordination?
A. Providing a written medication schedule and reviewing it with the patient
B. Contacting the primary care provider to simplify the medication regimen
C. Referring the patient to a home health aide for medication administration
D. Documenting the confusion in the medical record
Answer: B
7. A nurse discovers that a colleague has been diverting opioids from the medication
supply. What is the nurse's priority action?
A. Confront the colleague privately
B. Report the suspicion to the nurse manager
C. Ignore the behavior unless there is direct evidence
, D. Submit an anonymous report to the state board of nursing
Answer: B
8. A patient with a do-not-resuscitate (DNR) order experiences respiratory arrest. The family
insists on intubation. What should the nurse do?
A. Honor the family's request and intubate
B. Explain that the DNR order is legally binding and cannot be overridden
C. Call the provider to clarify the DNR order
D. Initiate resuscitation while contacting the ethics committee
Answer: B
9. A nurse is preparing a patient for surgery. The patient asks, "What will happen if I don't
have this surgery?" The nurse's best response is:
A. "You should discuss that with your surgeon."
B. "Without the surgery, your condition may worsen."
C. "Why are you asking that question now?"
D. "Let me call the surgeon to speak with you."
Answer: A
10. A nurse is caring for a patient who is being discharged against medical advice (AMA).
Which action should the nurse take?
