TI RN CONCEPT-BASED ASSESSMENT LEVEL 3 — COMPREHENSIVE PRACTICE EXAMINATION 2026/2027 COMPLETE (150) CURRENT TESTING QUESTIONS AND CORRECT ANSWERS WITH DETAILED RATIONALES.

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ATI RN CONCEPT-BASED ASSESSMENT LEVEL 3 —
COMPREHENSIVE PRACTICE EXAMINATION 2026/2027
COMPLETE (150) CURRENT TESTING QUESTIONS AND
CORRECT ANSWERS WITH DETAILED RATIONALES.
ATI RN
Prepare effectively for the ATI RN Concept Level 3 Examination with this focused study
resource. It supports review of advanced nursing concepts, clinical judgment, patient
assessment, nursing interventions, pharmacology, safety, and evidence-based patient
care. Use the material to reinforce your knowledge, review high-yield topics, and
identify areas that may require additional study. This resource is suited for RN nursing
students, advanced nursing learners, and candidates preparing for ATI Level 3
assessments.



MULTIPLE CHOICE.
SECTION 1: MANAGEMENT OF CARE & SAFETY (Questions 1–25)
1. A nurse on a medical-surgical unit is caring for a group of clients. Which
of the following clients should the nurse notify the rapid response team
for FIRST?
• A. A client with pneumonia who has a new onset of confusion and
oxygen saturation of 88%
• B. A client with diabetes who has a blood glucose of 180 mg/dL
• C. A client with hypertension who has a blood pressure of 142/90 mmHg
• D. A client with a urinary tract infection who has a temperature of
100.4°F (38°C)
Answer: A. A client with pneumonia who has a new onset of confusion and
oxygen saturation of 88%
Rationale: New onset confusion and hypoxia (SpO2 < 90%) in a client with
pneumonia indicates respiratory deterioration and possible sepsis. The
rapid response team should be notified immediately. The other findings
are abnormal but not immediately life-threatening.

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2. A charge nurse is delegating tasks to an LPN. Which of the following
tasks should the charge nurse assign to the LPN?
• A. Perform an initial admission assessment on a new client
• B. Administer a scheduled enteral feeding to a client with a
gastrostomy tube
• C. Develop a plan of care for a client with diabetes
• D. Administer IV push morphine to a client in pain
Answer: B. Administer a scheduled enteral feeding to a client with a
gastrostomy tube
Rationale: LPNs can administer enteral feedings, monitor clients, and
perform routine tasks. Initial assessments, care plan development, and IV
push medications are outside the LPN's scope of practice and should be
performed by the RN.


3. A client who has been receiving chemotherapy reports severe nausea.
Which of the following statements should the nurse make?
• A. "Your nausea will lessen with each course of chemotherapy."
• B. "Hot food is better tolerated due to the aroma."
• C. "Try eating cold or room-temperature foods that have less odor."
• D. "You should eat three large meals per day."
Answer: C. "Try eating cold or room-temperature foods that have less
odor."
Rationale: Clients experiencing chemotherapy-induced nausea often
have strong aversions to food odors. Cold or room-temperature foods
have less odor and are better tolerated. Small, frequent meals are
recommended rather than three large meals.

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4. A client has decided to stop hemodialysis treatments. Which action by
the nurse demonstrates client advocacy?
• A. Contact the provider to discuss the client's decision and ensure
the client's wishes are respected
• B. Encourage the client to continue dialysis
• C. Contact the client's family to discuss the decision
• D. Document the decision without further action
Answer: A. Contact the provider to discuss the client's decision and
ensure the client's wishes are respected
Rationale: Client advocacy involves supporting the client's autonomous
decision, even when it differs from the healthcare team's
recommendations. The nurse should ensure the client's wishes are
communicated and respected.


5. An older adult client has a leg wound following a fall on the stairs. The
nurse should notify the provider of which of the following findings?
• A. Wound edges that are red and warm to the touch
• B. Serosanguineous drainage
• C. Wound edges that are well-approximated
• D. Granulation tissue in the wound bed
Answer: A. Wound edges that are red and warm to the touch
Rationale: Redness and warmth around a wound indicate inflammation
and possible infection. The provider should be notified for further
evaluation and possible antibiotic therapy. Serosanguineous drainage,
well-approximated edges, and granulation tissue are expected findings in
a healing wound.


6. A nurse is preparing to administer a blood transfusion to a client. Which
of the following actions should the nurse take FIRST?

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• A. Verify the client's identity and blood compatibility with another
licensed nurse
• B. Start the transfusion at a rapid rate
• C. Administer pre-medications
• D. Document the procedure
Answer: A. Verify the client's identity and blood compatibility with
another licensed nurse
Rationale: Before initiating a blood transfusion, the nurse must verify the
client's identity and blood compatibility with another licensed nurse to
prevent transfusion reactions. This is a critical safety step.


7. A nurse is caring for a client who is 2 hours post-operative and has a
PCA pump. The client reports pain of 8 on a 0-10 scale. What is the nurse's
priority action?
• A. Increase the PCA dose without a provider's order
• B. Assess the client's pain and the pump's function
• C. Administer an oral analgesic
• D. Notify the provider immediately
Answer: B. Assess the client's pain and the pump's function
Rationale: The nurse should first assess the client's pain and verify that
the PCA pump is functioning correctly. If the pump is not delivering
medication, the nurse should troubleshoot and notify the provider if
needed.


8. Which of the following clients should the nurse assign to an RN rather
than an LPN?
• A. A client requiring a wound dressing change
• B. A client requiring routine vital signs