ATI CBC Level 4 (A) Exam With Reviewed Practice Questions &
Answers 2026|2027
1. A nurse is teaching a client who has been newly "I should inspect my skin daily for
diagnosed with systemic lupus erythematosus cuts and rashes"
(SLE). Which statement by the client indicates an
understanding of the teaching?
2. A nurse is caring for a client who has Parkin- Instruct the client to perform
son's disease. Which of the following actions range-of-motion exercises
should the nurse take to promote the client's
mobility? -exercising and walking help to de-
lay the progression of the disease
3. A nurse is caring for a client who has had a Pulmonary Congestion
myocardial infarction and suspects cardiogenic
shock. The nurse should monitor for which of the -Pulmonary congestion is a result of
following manifestations? decreased cardiac output due to
damage to the cardiac muscle
4. A nurse is assessing a client who has a DNR Respect the client's preferences.
order and has stopped breathing. The family
asks the nurse to resuscitate the client. Which
action should the nurse take?
5. A nurse manager is teaching a group of nurs-es Sets standards for hazardous expo-
about OSHA. What information should the sures in the workplace.
nurse include?
6. A nurse manager identifies that the num- Possible reasons for the medication
ber of client medication administration errors on errors
the unit has increased. When creating a cause-
and-effect chart, which of the following
information should the nurse manger include?
, ATI CBC Level 4 (A) Exam With Reviewed Practice Questions &
Answers 2026|2027
7. A nurse manager notices that he has exceeded involve statt nurses in budge plan-
the amount of money allocated for labor costs for ning.
the quarter. Which action should the nurse
manager take? -this promotes awareness of the
costs of staflng a unit and encour-
ages cost-ettective care.
8. A nurse is providing teaching to a client who has "Avoid leaning forward when at-a
halo device applied to prevent further cervical tempting to stand."
spinal cord injury following a diving accident.
What info should the nurse include? -the weight of the halo device can
alter balance. leaning forward could
cause the client to fall.
9. A nurse is working on an interprofessional col- Administer pain medication
laboration plan of care for a client who has
a stage 3 pressure ulcer. Which action should
the nurse recognize as the. role of the licensed
practical nurse (LPN)?
10. A nurse manager is facilitating conflict resolu- Otter self to constructively facilitate
tion between two nurses who disagree about the communication.
need to make a referral to a social worker. Which
conflict management strategies should the nurse -The nurse manager will be the im-
manager use? partial third party in this communi-
cation
11. A nurse is having a disagreement with a The charge nurse
coworker about a client assignment. When fol-
lowing the chain of command, which of the fol- -the charge nurse is the nurse's im-
lowing individuals should the nurse contact to mediate supervisor
discuss the conflict?
, ATI CBC Level 4 (A) Exam With Reviewed Practice Questions &
Answers 2026|2027
12. A triage nurse is prioritizing clients following a A client who is exhibiting manifesta-
mass casualty disaster. Which of the following tions of shock.
clients should the nurse treat first?
-a client exhibiting manifestations of
shock requires immediate interven-
tion for survival.
13. A nurse is caring for a client who has a par-tial- Monitor the client's WBC.
thickness burn and a prescription for a silver
sulfadiazine cream. Which intervention should -A drop in the WBC count can be an
the nurse take? indication of an allergic reaction to the
silver sulfadiazine cream
14. A nurse is preparing to administer nitroglycerin 1) Cleanse the client's skin and allow
topical ointment to a client who had a myocar-dial it to dry
infarction. Which action should the nurse plan to 2) Apply a thin layer of medication
take? (move steps in order) ointment to the dosing paper.
3) Spread the medication over a 6.4
by 8.9 cm area of skin
4) Cover the medication site with
plastic wrap
5) Remove the medication in 6 hr.
15. A nurse manager is teaching a group of nurs- Administering heparin to a client
es about professional negligence. Which of the who is undergoing a lumbar punc-
following situations should the nurse manager ture.
include as an example?
16. A nurse is teaching a client who has deep-vein An increase in nosebleeds
thrombosis and is receiving heparin injections.
The nurse should instruct the client to report -increase in nosebleeds or bruising
Answers 2026|2027
1. A nurse is teaching a client who has been newly "I should inspect my skin daily for
diagnosed with systemic lupus erythematosus cuts and rashes"
(SLE). Which statement by the client indicates an
understanding of the teaching?
2. A nurse is caring for a client who has Parkin- Instruct the client to perform
son's disease. Which of the following actions range-of-motion exercises
should the nurse take to promote the client's
mobility? -exercising and walking help to de-
lay the progression of the disease
3. A nurse is caring for a client who has had a Pulmonary Congestion
myocardial infarction and suspects cardiogenic
shock. The nurse should monitor for which of the -Pulmonary congestion is a result of
following manifestations? decreased cardiac output due to
damage to the cardiac muscle
4. A nurse is assessing a client who has a DNR Respect the client's preferences.
order and has stopped breathing. The family
asks the nurse to resuscitate the client. Which
action should the nurse take?
5. A nurse manager is teaching a group of nurs-es Sets standards for hazardous expo-
about OSHA. What information should the sures in the workplace.
nurse include?
6. A nurse manager identifies that the num- Possible reasons for the medication
ber of client medication administration errors on errors
the unit has increased. When creating a cause-
and-effect chart, which of the following
information should the nurse manger include?
, ATI CBC Level 4 (A) Exam With Reviewed Practice Questions &
Answers 2026|2027
7. A nurse manager notices that he has exceeded involve statt nurses in budge plan-
the amount of money allocated for labor costs for ning.
the quarter. Which action should the nurse
manager take? -this promotes awareness of the
costs of staflng a unit and encour-
ages cost-ettective care.
8. A nurse is providing teaching to a client who has "Avoid leaning forward when at-a
halo device applied to prevent further cervical tempting to stand."
spinal cord injury following a diving accident.
What info should the nurse include? -the weight of the halo device can
alter balance. leaning forward could
cause the client to fall.
9. A nurse is working on an interprofessional col- Administer pain medication
laboration plan of care for a client who has
a stage 3 pressure ulcer. Which action should
the nurse recognize as the. role of the licensed
practical nurse (LPN)?
10. A nurse manager is facilitating conflict resolu- Otter self to constructively facilitate
tion between two nurses who disagree about the communication.
need to make a referral to a social worker. Which
conflict management strategies should the nurse -The nurse manager will be the im-
manager use? partial third party in this communi-
cation
11. A nurse is having a disagreement with a The charge nurse
coworker about a client assignment. When fol-
lowing the chain of command, which of the fol- -the charge nurse is the nurse's im-
lowing individuals should the nurse contact to mediate supervisor
discuss the conflict?
, ATI CBC Level 4 (A) Exam With Reviewed Practice Questions &
Answers 2026|2027
12. A triage nurse is prioritizing clients following a A client who is exhibiting manifesta-
mass casualty disaster. Which of the following tions of shock.
clients should the nurse treat first?
-a client exhibiting manifestations of
shock requires immediate interven-
tion for survival.
13. A nurse is caring for a client who has a par-tial- Monitor the client's WBC.
thickness burn and a prescription for a silver
sulfadiazine cream. Which intervention should -A drop in the WBC count can be an
the nurse take? indication of an allergic reaction to the
silver sulfadiazine cream
14. A nurse is preparing to administer nitroglycerin 1) Cleanse the client's skin and allow
topical ointment to a client who had a myocar-dial it to dry
infarction. Which action should the nurse plan to 2) Apply a thin layer of medication
take? (move steps in order) ointment to the dosing paper.
3) Spread the medication over a 6.4
by 8.9 cm area of skin
4) Cover the medication site with
plastic wrap
5) Remove the medication in 6 hr.
15. A nurse manager is teaching a group of nurs- Administering heparin to a client
es about professional negligence. Which of the who is undergoing a lumbar punc-
following situations should the nurse manager ture.
include as an example?
16. A nurse is teaching a client who has deep-vein An increase in nosebleeds
thrombosis and is receiving heparin injections.
The nurse should instruct the client to report -increase in nosebleeds or bruising
