ATI RN CONCEPT BASED ASSESSMENT
LEVEL 3 PROCTORED 2025”2026 EXAM
ALL 200 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
COVERING THE MOST TESTED
QUESTIONS GUARANTEE A+ GRADE
|ALREADY GRADED A+
EXAM OVERVIEW
Component Details
Proficiency
3 (Advanced Proficiency)
Level
Question
200 practice questions
Count
Format Multiple-choice, NGN-style, Select All That Apply
Cardiovascular, Respiratory, Endocrine, Renal, Neurological, Gastrointestinal,
Content
Hematological/Oncological, Maternal/Newborn, Pediatrics, Mental Health,
Areas
Pharmacology, Safety, Leadership/Delegation
Proficiency Level 3 demonstrates advanced proficiency in the knowledge and skills
required to deliver safe, effective nursing care.
,SECTION 1: CARDIOVASCULAR DISORDERS
(Questions 1–20)
1. A client with heart failure has 2+ pitting edema in the lower extremities.
Which intervention should the nurse implement first?
A) Administer a diuretic as prescribed
B) Elevate the head of the bed
C) Encourage ambulation
D) Restrict fluid intake
,,,,answer,,,,: A) Administer a diuretic as prescribed
Rationale: Administering a prescribed diuretic addresses fluid overload, which is
the priority in managing heart failure with edema. While elevating the head of the
bed may help with breathing and fluid restriction may be part of the plan,
pharmacological intervention to remove excess fluid is the most direct and
immediate action.
2. Which lab value indicates effective anticoagulant therapy with warfarin?
A) INR 1.0
B) INR 2.5
,C) PT 10 seconds
D) Platelets 250,000/mm³
,,,,answer,,,,: B) INR 2.5
Rationale: The therapeutic INR range for most indications (atrial fibrillation, DVT,
pulmonary embolism) is 2–3. An INR of 2.5 falls within this therapeutic window,
indicating effective anticoagulation. INR 1.0 is subtherapeutic, and PT without INR
standardization is not reliable for monitoring warfarin.
3. A client receiving morphine via PCA becomes difficult to arouse, with a
respiratory rate of 8 breaths/min. Which action should the nurse perform first?
A) Administer naloxone
B) Notify the provider
C) Stop the PCA infusion
D) Apply supplemental oxygen
,,,,answer,,,,: A) Administer naloxone
Rationale: The client is experiencing respiratory depression from opioid toxicity.
Naloxone is the antidote for opioid overdose and should be administered
immediately to reverse respiratory depression. While stopping the PCA infusion is
also important, administering naloxone is the priority action.
4. A client is prescribed furosemide. Which electrolyte imbalance is most
concerning for a patient on furosemide?
, A) Hypernatremia
B) Hypokalemia
C) Hypercalcemia
D) Hypophosphatemia
,,,,answer,,,,: B) Hypokalemia
Rationale: Furosemide is a loop diuretic that causes potassium wasting.
Hypokalemia can lead to cardiac arrhythmias and is the most concerning
electrolyte imbalance. The nurse should monitor potassium levels and assess for
signs of hypokalemia.
5. A nurse is caring for a client with atrial fibrillation who is prescribed digoxin.
Which finding indicates digoxin toxicity?
A) Heart rate 62 bpm
B) Serum potassium 3.0 mEq/L
C) Yellow-green halos around lights
D) Blood pressure 140/90 mmHg
,,,,answer,,,,: C) Yellow-green halos around lights
Rationale: Visual disturbances such as yellow-green halos around lights are
classic signs of digoxin toxicity. Other signs include nausea, vomiting, confusion,
and cardiac arrhythmias. Hypokalemia increases the risk of digoxin toxicity.
6. A client with hypertension is prescribed lisinopril. Which adverse effect
should the nurse monitor for?
LEVEL 3 PROCTORED 2025”2026 EXAM
ALL 200 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
COVERING THE MOST TESTED
QUESTIONS GUARANTEE A+ GRADE
|ALREADY GRADED A+
EXAM OVERVIEW
Component Details
Proficiency
3 (Advanced Proficiency)
Level
Question
200 practice questions
Count
Format Multiple-choice, NGN-style, Select All That Apply
Cardiovascular, Respiratory, Endocrine, Renal, Neurological, Gastrointestinal,
Content
Hematological/Oncological, Maternal/Newborn, Pediatrics, Mental Health,
Areas
Pharmacology, Safety, Leadership/Delegation
Proficiency Level 3 demonstrates advanced proficiency in the knowledge and skills
required to deliver safe, effective nursing care.
,SECTION 1: CARDIOVASCULAR DISORDERS
(Questions 1–20)
1. A client with heart failure has 2+ pitting edema in the lower extremities.
Which intervention should the nurse implement first?
A) Administer a diuretic as prescribed
B) Elevate the head of the bed
C) Encourage ambulation
D) Restrict fluid intake
,,,,answer,,,,: A) Administer a diuretic as prescribed
Rationale: Administering a prescribed diuretic addresses fluid overload, which is
the priority in managing heart failure with edema. While elevating the head of the
bed may help with breathing and fluid restriction may be part of the plan,
pharmacological intervention to remove excess fluid is the most direct and
immediate action.
2. Which lab value indicates effective anticoagulant therapy with warfarin?
A) INR 1.0
B) INR 2.5
,C) PT 10 seconds
D) Platelets 250,000/mm³
,,,,answer,,,,: B) INR 2.5
Rationale: The therapeutic INR range for most indications (atrial fibrillation, DVT,
pulmonary embolism) is 2–3. An INR of 2.5 falls within this therapeutic window,
indicating effective anticoagulation. INR 1.0 is subtherapeutic, and PT without INR
standardization is not reliable for monitoring warfarin.
3. A client receiving morphine via PCA becomes difficult to arouse, with a
respiratory rate of 8 breaths/min. Which action should the nurse perform first?
A) Administer naloxone
B) Notify the provider
C) Stop the PCA infusion
D) Apply supplemental oxygen
,,,,answer,,,,: A) Administer naloxone
Rationale: The client is experiencing respiratory depression from opioid toxicity.
Naloxone is the antidote for opioid overdose and should be administered
immediately to reverse respiratory depression. While stopping the PCA infusion is
also important, administering naloxone is the priority action.
4. A client is prescribed furosemide. Which electrolyte imbalance is most
concerning for a patient on furosemide?
, A) Hypernatremia
B) Hypokalemia
C) Hypercalcemia
D) Hypophosphatemia
,,,,answer,,,,: B) Hypokalemia
Rationale: Furosemide is a loop diuretic that causes potassium wasting.
Hypokalemia can lead to cardiac arrhythmias and is the most concerning
electrolyte imbalance. The nurse should monitor potassium levels and assess for
signs of hypokalemia.
5. A nurse is caring for a client with atrial fibrillation who is prescribed digoxin.
Which finding indicates digoxin toxicity?
A) Heart rate 62 bpm
B) Serum potassium 3.0 mEq/L
C) Yellow-green halos around lights
D) Blood pressure 140/90 mmHg
,,,,answer,,,,: C) Yellow-green halos around lights
Rationale: Visual disturbances such as yellow-green halos around lights are
classic signs of digoxin toxicity. Other signs include nausea, vomiting, confusion,
and cardiac arrhythmias. Hypokalemia increases the risk of digoxin toxicity.
6. A client with hypertension is prescribed lisinopril. Which adverse effect
should the nurse monitor for?
