RN ATI CONCEPT BASED ASSESSMENT
LEVEL 1 2026 UPDATE QUESTIONS AND
CORRECT VERIFIED ANSWERS ALREADY
GRADED A+ (BRAND NEW VISION)
A nurse is preparing to leave the room who is on isolation precautions. Which of the
following actions should the nurse take when removing a tied surgical mask? - ANS-
Remove the mask by securely holding the ties and moving it away from the face.
(The nurse should untie the bottom strings and then the top strings. Finally, while
still holding the strings, the nurse should remove the mask from her face. This
action prevents the nurse from touching the front of the mask, which is
contaminated.)
A nurse is searching electronic databases for clinical research about behavioral
indicators. Which of the following online sources should the nurse select to research this
infant care issue? - ANS-Cumulative Index to Nursing and Allied Health Literature
(CINAHL)
(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 preparing to administer three medications to a client who has an NG tube: a
levothyroxine tablet, an ibuprofen gel cap, and a delayed-release omeprazole capsule.
Which of the following actions should the nurse take? - ANS-Crush the levothyroxine
tablet into a powder and dissolve it into 30 mL of warm sterile water.
(The nurse should prepare simple tablets for NG administration by crushing them
into a fine powder and dissolving them in at least 30 mL of warm sterile water.
Cold water can cause discomfort. Sterile water eliminates the possible problem of
chemicals in tap water interacting with the medication.)
A nurse is planning care who has an indwelling urinary catheter. Which of the following
interventions include in the plan to prevent the development of a catheter-associated
urinary tract infection (CAUTI)? - ANS-Secure the catheter tubing to the client's leg.
(The nurse should assess the client's need for urinary catheterization and should
follow evidence-based practice to prevent or reduce the risk of CAUTI
development. This includes securing the catheter tubing to the client's leg so that
the catheter does not move, reducing the risk of urethral trauma and introduction
of bacteria into the urinary system.)
,A nurse is caring for a 2-year-old toddler who is immediately postoperative. Which of the
following pain scales should the nurse use to access the toddler's pain level? - ANS-
FLACC scale
(The nurse should use the FLACC scale to assess pain for a 2-year-old child. The
FLACC scale assesses facial expression, leg movement, activity, cry, and
consolability in children 2 months to 7 years of age. The nurse assigns a score of
0 to 2 for each area.)
A nurse is caring for a client who has cancer and is planning discharge to home with
hospice care. Which of the following statements by the client indicates that he is
experiencing spiritual distress? - ANS-"I wish God had not allowed this cancer to
invade my body."
(The nurse should identify that this statement indicates the client is experiencing
spiritual distress, which occurs when there is a disturbance in a client's belief
system. This client is expressing spiritual anger and not accepting his condition.)
A nurse is planning care for a client who has breast cancer and is scheduled for
chemotherapy. The client reports experiencing chemotherapy-induced nausea and
vomiting (CINV) during her previous round of treatment. Which of the following
interventions should the nurse include in the client's plan of care? - ANS-Administer
ondansetron to the client prior to chemotherapy administration.
(The nurse should incorporate evidence-based practice interventions into the
client's plan of care to prevent and treat CINV. Evidence-based research indicates
that prevention of CINV is best achieved when antiemetics, such as ondansetron,
are given prior to the administration of chemotherapy.)
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? - ANS-Compare a list of the client's current medications with the ones he
will take in long-term care.
(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 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? - ANS-Observe the client ambulating a distance of 3 m (10 feet) during
the TUG test.
(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 orthopedic clinic is documenting data about several clients. Which of the
following actions should the nurse take to comply with the regulations of the Health
Portability and Accountability Act (HIPAA)? - ANS-Lock or log off computers
whenever he leaves the area.
(To prevent unauthorized access to clients' protected health information, all clinic
staff should lock or log off computer terminals and turn off the monitor anytime
they leave the computer unattended. This action demonstrates compliance with
the HIPAA Security Rule.)
A home health nurse is providing teaching to the parent of a child who is receiving
chemotherapy and experiencing nausea. Which of the following statements should the
nurse make? - ANS-"Have your child rest with his head elevated after meals."
(The nurse should instruct the parent to have the child rest with his head elevated
after meals. This will allow for easier digestion and help to decrease the nausea
associated with eating.)
A nurse is preparing to document care in a client's medical record. In adherence with
the Joint Commission National Patient Safety Goals regarding communication errors,
which of the following entries should the nurse make? - ANS-"Client medicated with
morphine 5 mg IM for pain."
(The nurse is using approved abbreviations and providing accurate and detailed
information, which should reduce communication errors according to the Joint
Commission National Patient Safety Goals.)
A nurse on a medical-surgical unit is caring for a group of clients. Which of the following
clients should the nurse monitor for the development of reflex urinary incontinence? -
ANS-A client who has a T12 spinal cord injury.
(The nurse should identify that a client who has a C1 to S2 spinal cord injury is at
risk of developing reflex urinary incontinence. With this type of incontinence, the
client is unaware that the bladder is full and therefore lacks the urge to void,
resulting in the involuntary loss of urine. The nurse should monitor for this form
of incontinence and implement interventions such as intermittent
catheterization.)
A nurse is reviewing a client's new prescriptions that were just documented in the
client's medical record by the provider. Which of the following abbreviations should the
nurse clarify with the provider? - ANS-Enoxaparin 40 mg SQ QD
(The nurse should clarify this prescription with the provider. The abbreviations
"SQ" and "QD" are considered error-prone and should not be used in
documentation. The nurse should clarify that the provider intends the
prescription to be administered subcutaneously once daily. "Subcutaneous" or
LEVEL 1 2026 UPDATE QUESTIONS AND
CORRECT VERIFIED ANSWERS ALREADY
GRADED A+ (BRAND NEW VISION)
A nurse is preparing to leave the room who is on isolation precautions. Which of the
following actions should the nurse take when removing a tied surgical mask? - ANS-
Remove the mask by securely holding the ties and moving it away from the face.
(The nurse should untie the bottom strings and then the top strings. Finally, while
still holding the strings, the nurse should remove the mask from her face. This
action prevents the nurse from touching the front of the mask, which is
contaminated.)
A nurse is searching electronic databases for clinical research about behavioral
indicators. Which of the following online sources should the nurse select to research this
infant care issue? - ANS-Cumulative Index to Nursing and Allied Health Literature
(CINAHL)
(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 preparing to administer three medications to a client who has an NG tube: a
levothyroxine tablet, an ibuprofen gel cap, and a delayed-release omeprazole capsule.
Which of the following actions should the nurse take? - ANS-Crush the levothyroxine
tablet into a powder and dissolve it into 30 mL of warm sterile water.
(The nurse should prepare simple tablets for NG administration by crushing them
into a fine powder and dissolving them in at least 30 mL of warm sterile water.
Cold water can cause discomfort. Sterile water eliminates the possible problem of
chemicals in tap water interacting with the medication.)
A nurse is planning care who has an indwelling urinary catheter. Which of the following
interventions include in the plan to prevent the development of a catheter-associated
urinary tract infection (CAUTI)? - ANS-Secure the catheter tubing to the client's leg.
(The nurse should assess the client's need for urinary catheterization and should
follow evidence-based practice to prevent or reduce the risk of CAUTI
development. This includes securing the catheter tubing to the client's leg so that
the catheter does not move, reducing the risk of urethral trauma and introduction
of bacteria into the urinary system.)
,A nurse is caring for a 2-year-old toddler who is immediately postoperative. Which of the
following pain scales should the nurse use to access the toddler's pain level? - ANS-
FLACC scale
(The nurse should use the FLACC scale to assess pain for a 2-year-old child. The
FLACC scale assesses facial expression, leg movement, activity, cry, and
consolability in children 2 months to 7 years of age. The nurse assigns a score of
0 to 2 for each area.)
A nurse is caring for a client who has cancer and is planning discharge to home with
hospice care. Which of the following statements by the client indicates that he is
experiencing spiritual distress? - ANS-"I wish God had not allowed this cancer to
invade my body."
(The nurse should identify that this statement indicates the client is experiencing
spiritual distress, which occurs when there is a disturbance in a client's belief
system. This client is expressing spiritual anger and not accepting his condition.)
A nurse is planning care for a client who has breast cancer and is scheduled for
chemotherapy. The client reports experiencing chemotherapy-induced nausea and
vomiting (CINV) during her previous round of treatment. Which of the following
interventions should the nurse include in the client's plan of care? - ANS-Administer
ondansetron to the client prior to chemotherapy administration.
(The nurse should incorporate evidence-based practice interventions into the
client's plan of care to prevent and treat CINV. Evidence-based research indicates
that prevention of CINV is best achieved when antiemetics, such as ondansetron,
are given prior to the administration of chemotherapy.)
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? - ANS-Compare a list of the client's current medications with the ones he
will take in long-term care.
(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 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? - ANS-Observe the client ambulating a distance of 3 m (10 feet) during
the TUG test.
(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 orthopedic clinic is documenting data about several clients. Which of the
following actions should the nurse take to comply with the regulations of the Health
Portability and Accountability Act (HIPAA)? - ANS-Lock or log off computers
whenever he leaves the area.
(To prevent unauthorized access to clients' protected health information, all clinic
staff should lock or log off computer terminals and turn off the monitor anytime
they leave the computer unattended. This action demonstrates compliance with
the HIPAA Security Rule.)
A home health nurse is providing teaching to the parent of a child who is receiving
chemotherapy and experiencing nausea. Which of the following statements should the
nurse make? - ANS-"Have your child rest with his head elevated after meals."
(The nurse should instruct the parent to have the child rest with his head elevated
after meals. This will allow for easier digestion and help to decrease the nausea
associated with eating.)
A nurse is preparing to document care in a client's medical record. In adherence with
the Joint Commission National Patient Safety Goals regarding communication errors,
which of the following entries should the nurse make? - ANS-"Client medicated with
morphine 5 mg IM for pain."
(The nurse is using approved abbreviations and providing accurate and detailed
information, which should reduce communication errors according to the Joint
Commission National Patient Safety Goals.)
A nurse on a medical-surgical unit is caring for a group of clients. Which of the following
clients should the nurse monitor for the development of reflex urinary incontinence? -
ANS-A client who has a T12 spinal cord injury.
(The nurse should identify that a client who has a C1 to S2 spinal cord injury is at
risk of developing reflex urinary incontinence. With this type of incontinence, the
client is unaware that the bladder is full and therefore lacks the urge to void,
resulting in the involuntary loss of urine. The nurse should monitor for this form
of incontinence and implement interventions such as intermittent
catheterization.)
A nurse is reviewing a client's new prescriptions that were just documented in the
client's medical record by the provider. Which of the following abbreviations should the
nurse clarify with the provider? - ANS-Enoxaparin 40 mg SQ QD
(The nurse should clarify this prescription with the provider. The abbreviations
"SQ" and "QD" are considered error-prone and should not be used in
documentation. The nurse should clarify that the provider intends the
prescription to be administered subcutaneously once daily. "Subcutaneous" or
