ATI RN CONCEPT-BASED ASSESSMENT LEVEL 1 100
QUESTIONS AND ANSWERS WITH RATIONALES PLUS
ANSWER KEY 2026-2027 Q&A GRADED A+ GOOD
LUCK!!!
1. A nurse is caring for a client who has Clostridium difficile infection and is
incontinent of stool following long-term antibiotic therapy. Which of the following
actions should the nurse take?
A. Place the client on airborne precautions.
B. Wear a gown when providing care for the client.
C. Use an alcohol-based hand sanitizer for hand hygiene.
D. Place the client in a room with negative air pressure.
Rationale: Contact precautions are required for C. difficile. The nurse should
wear a gown and gloves when providing care. Handwashing with soap and
water is essential because alcohol-based hand sanitizers are not effective
against C. difficile spores.
2. A nurse is preparing an in-service on different types of pain. Which of the
following information should the nurse plan to include as a characteristic of acute
pain?
A. It is part of the body's attempt to protect itself.
B. It lasts for more than six months.
C. It is not associated with tissue damage.
D. It often leads to depression and social withdrawal.
Rationale: Acute pain is a normal physiological response to tissue injury and
serves a protective function, warning of potential or actual harm.
,3. A nurse is preparing to extinguish a small fire in a client's room. Which of the
following actions should the nurse take when using a fire extinguisher?
A. Aim the fire extinguisher at the top of the flames.
B. Pump the handles of the fire extinguisher up and down three times.
C. Sweep the fire extinguisher in a circular motion until the fire is extinguished.
D. Slide the pin on top of the fire extinguisher straight out.
Rationale: The nurse should pull the pin on the top of the fire extinguisher to
allow for use to extinguish the fire . This is part of the PASS technique (Pull, Aim,
Squeeze, Sweep).
4. A nurse is planning meals for a client who practices Judaism and reports that
she strictly adheres to Orthodox dietary laws. The nurse should recognize that
which of the following dietary practices applies to the client's beliefs?
A. The client is permitted to eat meat and milk together at meals.
B. The client can eat any type of fish.
C. The client is permitted to eat fish that have scales.
D. The client must eat dairy products with meals that contain meat.
Rationale: According to Orthodox Jewish dietary laws (kashrut), fish with both
scales and fins are permitted, but shellfish and other seafood are not.
5. A nurse is caring for a client who is receiving chemotherapy. Which of the
following actions should the nurse take to prevent infection in this
immunocompromised client?
A. Allow visitors with mild respiratory infections.
B. Encourage the client to consume fresh fruits and vegetables.
C. Wash hands before and after client contact.
D. Provide a room with negative air pressure.
Rationale: Hand hygiene is the most important measure to prevent infection in
immunocompromised clients. Fresh produce and visitors with infections should
be avoided.
6. A nurse is caring for a client who has a new-onset seizure. Which of the
following actions should the nurse take as the priority?
A. Insert a tongue depressor to prevent biting the tongue.
,B. Move objects away from the client to prevent injury.
C. Administer an antiepileptic medication immediately.
D. Place the client in a supine position.
Rationale: Safety is the priority. The nurse should clear the area of dangerous
objects to prevent injury during the seizure. The client should be placed on their
side to maintain airway patency and prevent aspiration.
7. A nurse is documenting information on a client's medical record. Which of the
following entries should the nurse make?
A. "Client seems to be in good spirits today."
B. "Client reports no pain while ambulating in the hallway."
C. "Client might be developing a pressure ulcer."
D. "Client had a good day."
Rationale: Documentation should be objective, accurate, and based on observed
or reported data. Subjective opinions or assumptions should be avoided.
8. A nurse is caring for a preschooler who has a urinary tract infection (UTI). Which
of the following findings should the nurse expect?
A. Diarrhea.
B. Abdominal pain.
C. Increased thirst.
D. Skin rash.
Rationale: A preschooler with a UTI typically experiences abdominal pain,
dysuria, foul-smelling urine, and fever. Constipation may also be present.
9. A nurse is teaching a group of newly licensed nurses about the purpose of the
national patient safety goals. Which of the following objectives should the nurse
include as a component?
A. Increase healthcare costs.
B. Decrease errors related to invasive procedures.
C. Reduce the number of hospital beds.
D. Limit patient visits to the emergency department.
Rationale: The National Patient Safety Goals focus on improving client safety by
, reducing errors and harm, particularly in areas like invasive procedures,
medication administration, and infection prevention .
10. A nurse is caring for a client who has a history of depressive disorder. The client
states, "It feels pointless to get up in the morning." Which of the following
responses should the nurse make?
A. "You should try to think more positively."
B. "Everyone feels that way sometimes."
C. "It sounds as if life seems meaningless to you now."
D. "Why do you feel that way?"
Rationale: This response uses the therapeutic communication technique of
restating, which validates the client's feelings and encourages further
expression. It is non-judgmental and promotes exploration of the client's
feelings.
11. A charge nurse is providing an educational session to a group of newly licensed
nurses about the purpose of the national patient safety goals. Which of the
following objectives should the nurse include as a component of the national
patient safety goals?
A. Increase healthcare costs.
B. Decrease errors related to invasive procedures.
C. Reduce the number of hospital beds.
D. Limit patient visits to the emergency department.
Rationale: The National Patient Safety Goals are designed to improve patient
safety and reduce the risk of harm, including errors related to invasive
procedures .
12. A nurse is planning to teach a class about standard precautions and preventing
percutaneous injuries. Which of the following information should the nurse include
in the plan?
A. Recap needles using a two-handed method.
B. Dispose of sharps in a regular trash can.
C. Recap needles using the one-hand scoop method.
D. Break needles before disposal.
QUESTIONS AND ANSWERS WITH RATIONALES PLUS
ANSWER KEY 2026-2027 Q&A GRADED A+ GOOD
LUCK!!!
1. A nurse is caring for a client who has Clostridium difficile infection and is
incontinent of stool following long-term antibiotic therapy. Which of the following
actions should the nurse take?
A. Place the client on airborne precautions.
B. Wear a gown when providing care for the client.
C. Use an alcohol-based hand sanitizer for hand hygiene.
D. Place the client in a room with negative air pressure.
Rationale: Contact precautions are required for C. difficile. The nurse should
wear a gown and gloves when providing care. Handwashing with soap and
water is essential because alcohol-based hand sanitizers are not effective
against C. difficile spores.
2. A nurse is preparing an in-service on different types of pain. Which of the
following information should the nurse plan to include as a characteristic of acute
pain?
A. It is part of the body's attempt to protect itself.
B. It lasts for more than six months.
C. It is not associated with tissue damage.
D. It often leads to depression and social withdrawal.
Rationale: Acute pain is a normal physiological response to tissue injury and
serves a protective function, warning of potential or actual harm.
,3. A nurse is preparing to extinguish a small fire in a client's room. Which of the
following actions should the nurse take when using a fire extinguisher?
A. Aim the fire extinguisher at the top of the flames.
B. Pump the handles of the fire extinguisher up and down three times.
C. Sweep the fire extinguisher in a circular motion until the fire is extinguished.
D. Slide the pin on top of the fire extinguisher straight out.
Rationale: The nurse should pull the pin on the top of the fire extinguisher to
allow for use to extinguish the fire . This is part of the PASS technique (Pull, Aim,
Squeeze, Sweep).
4. A nurse is planning meals for a client who practices Judaism and reports that
she strictly adheres to Orthodox dietary laws. The nurse should recognize that
which of the following dietary practices applies to the client's beliefs?
A. The client is permitted to eat meat and milk together at meals.
B. The client can eat any type of fish.
C. The client is permitted to eat fish that have scales.
D. The client must eat dairy products with meals that contain meat.
Rationale: According to Orthodox Jewish dietary laws (kashrut), fish with both
scales and fins are permitted, but shellfish and other seafood are not.
5. A nurse is caring for a client who is receiving chemotherapy. Which of the
following actions should the nurse take to prevent infection in this
immunocompromised client?
A. Allow visitors with mild respiratory infections.
B. Encourage the client to consume fresh fruits and vegetables.
C. Wash hands before and after client contact.
D. Provide a room with negative air pressure.
Rationale: Hand hygiene is the most important measure to prevent infection in
immunocompromised clients. Fresh produce and visitors with infections should
be avoided.
6. A nurse is caring for a client who has a new-onset seizure. Which of the
following actions should the nurse take as the priority?
A. Insert a tongue depressor to prevent biting the tongue.
,B. Move objects away from the client to prevent injury.
C. Administer an antiepileptic medication immediately.
D. Place the client in a supine position.
Rationale: Safety is the priority. The nurse should clear the area of dangerous
objects to prevent injury during the seizure. The client should be placed on their
side to maintain airway patency and prevent aspiration.
7. A nurse is documenting information on a client's medical record. Which of the
following entries should the nurse make?
A. "Client seems to be in good spirits today."
B. "Client reports no pain while ambulating in the hallway."
C. "Client might be developing a pressure ulcer."
D. "Client had a good day."
Rationale: Documentation should be objective, accurate, and based on observed
or reported data. Subjective opinions or assumptions should be avoided.
8. A nurse is caring for a preschooler who has a urinary tract infection (UTI). Which
of the following findings should the nurse expect?
A. Diarrhea.
B. Abdominal pain.
C. Increased thirst.
D. Skin rash.
Rationale: A preschooler with a UTI typically experiences abdominal pain,
dysuria, foul-smelling urine, and fever. Constipation may also be present.
9. A nurse is teaching a group of newly licensed nurses about the purpose of the
national patient safety goals. Which of the following objectives should the nurse
include as a component?
A. Increase healthcare costs.
B. Decrease errors related to invasive procedures.
C. Reduce the number of hospital beds.
D. Limit patient visits to the emergency department.
Rationale: The National Patient Safety Goals focus on improving client safety by
, reducing errors and harm, particularly in areas like invasive procedures,
medication administration, and infection prevention .
10. A nurse is caring for a client who has a history of depressive disorder. The client
states, "It feels pointless to get up in the morning." Which of the following
responses should the nurse make?
A. "You should try to think more positively."
B. "Everyone feels that way sometimes."
C. "It sounds as if life seems meaningless to you now."
D. "Why do you feel that way?"
Rationale: This response uses the therapeutic communication technique of
restating, which validates the client's feelings and encourages further
expression. It is non-judgmental and promotes exploration of the client's
feelings.
11. A charge nurse is providing an educational session to a group of newly licensed
nurses about the purpose of the national patient safety goals. Which of the
following objectives should the nurse include as a component of the national
patient safety goals?
A. Increase healthcare costs.
B. Decrease errors related to invasive procedures.
C. Reduce the number of hospital beds.
D. Limit patient visits to the emergency department.
Rationale: The National Patient Safety Goals are designed to improve patient
safety and reduce the risk of harm, including errors related to invasive
procedures .
12. A nurse is planning to teach a class about standard precautions and preventing
percutaneous injuries. Which of the following information should the nurse include
in the plan?
A. Recap needles using a two-handed method.
B. Dispose of sharps in a regular trash can.
C. Recap needles using the one-hand scoop method.
D. Break needles before disposal.
