ATI RN CONCEPT-BASED ASSESSMENT
LEVEL 4 EXAM 2025 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|BRAND NEW!!|GUARANTEED
PASS|LATEST UPDATE
A nurse manager is discussing Medicare reimbursement with a group of staff nurses. The nurse
should identify that Medicare will deny reimbursement for which fo the following events?
Fractured hip from a fall while ambulating postoperatively
-Medicare denies reimbursements for "never events". These events are considered
preventable and include HAIs, injuries resulting from a client fall, and surgery performed to an
incorrect site
A nurse is teaching a group of assistive personnel about preventing pressure ulcers. Which of
the following images should the nurse include in the teaching?
picture of client lying in bed with pillows under his feet
-Pillows or blankets should be placed under the client's legs or ankles to prevent the heel
from rubbing on the bed linens causing a friction rub that can lead to a pressure ulcer
A nurse is planning care for a client who has acute viral hepatitis. Which of the following
interventions should the nurse include in the plan?
Provide the client with a high-carbohydrate diet
-The nurse should plan to provide the client with a high-carbohydrate and high-calorie diet
with moderate fat and protein to promote healing
1|Page
,A public health nurse is teaching an educational session about emergency preparedness. The
nurse should include that which of the following actions is part of the preparedness phase of
the disaster management cycle?
Participate in mass casualty exercises ------------------------------------------------------------------ The
nurse should include in the teaching that participating in mass casualty exercises is part of the
preparedness phase of the disaster management cycle. participating in these exercises tests the
effectiveness of the disaster plan.
A nurse is staging pressure ulcers on a client's foot. Which of the following areas should the
nurse identify as a stage 3 pressure ulcer?
Wound on the r/lateral side of foot (underneath pinky toe)
-This wound exhibits full-thickness skin loss but does not extend past the underlying fascia,
bones, or tendons
A nurse is caring for a client who is experiencing hypovolemic shock. Which of the following
actions should the nurse take first?
Elevate the client's legs
-ABCs approach to client care; elevating the legs promotes venous return of blood to the
heart. This makes it easier for the client to breathe and increases BP and cardiac output
A nurse is teaching about preventing a vasovagal attack for a client who has bradydysrhythmia.
Which of the following information should he nurse include?
"Use an arm reacher to grab items that are on the top shelf"
-This will help prevent a vasovagal attack, which can further decrease the client's HR
A nurse is caring for a client who has Chronic Kidney Disease (CKD) and is taking
hydrochlorothiazide. The nurse should monitor the client's lab values for which of the following
findings?
Hypokalemia
-The nurse should monitor the client's lab values for a decrease in potassium while the client
is taking a thiazide diuretic due to the client's increased excretion of water and electrolytes
2|Page
,A nurse is assessing a client who has heart failure and reports chest pain and difficulty
breathing. The nurse should identify that which of the following manifestations indicate the
client is experiencing cardiogenic shock? SATA
Hypotension ---------- (The nurse should identify that hypotension is a manifestation of
cardiogenic shock).
Agitation ----------- (The nurse should identify that agitation is a manifestation of cardiogenic
shock)
Tachypnea ---------- (The nurse should identify that tachypnea is a manifestation of cardiogenic
shock.) --------------------------------------------------- NOTE: Cool, Clammy skin, and Urine output of
less than 0.5 to 1 mL/kg/hr is a manifestation of cardiogenic shock.
A nurse is assessing a client who has sepsis with systemic inflammatory response syndrome
(SIRS). Which of the following findings should the nurse expect? (Select all that apply)
Pulse 100/min ------ (The nurse should expect the client to have an accelerated heart rate of
greater than 90/min)
WBC 14,000/mm^3 ------- ( The nurse should expect the client to manifest a WBC greater than
12,000/mm3, which can indicate systemic infection.
Platelet count 70,000/mm^3 -------- (The nurse should expect the client to have a platelet count
of less than 100,000/mm3 due to formation of microthrombi consuming much of the available
platelets and clotting factors. -----------------------------------------------------------------------------------
- NOTE: The nurse should expect absent bowel sounds due to decreased circulation and systolic
blood pressure of less than 90 mm Hg due to a compensatory response that causes
vasodilation.
A nurse is reviewing the diagnostic test results of a client who is suspected of having Cushing's
disease. The nurse should identify that which of the following findings supports this diagnosis?
Elevated salivary cortisol level
-Cushing's disease, also known as hypercortisolism, has clinical manifestations of elevated
salivary cortisol levels
A nurse is monitoring a client who had a stroke. The nurse should identify which of the following
findings as an indication of increased ICP?
Hypertension
-Other indications include a widened pulse pressure and bradycardia
3|Page
, A client asks are nurse how to apply for Medicaid services. The nurse should refer the client to
which of the following agencies?
The state welfare office
-The client should be referred to the state welfare office to get information about applying for
medicaid services. Medicaid funds are distributed to states to provide assistance for older
adults, individuals with disabilities, and families who have dependent children
A charge nurse is delegating client care assignments for a group of nurses. The charge nurse
should identify that which of the following factors is the priority when making assignments?
The level of intensity of care
-Acuity level is a categorization of client care needs and the degree of care needed. The higher
the acuity level, the more intense and complex the client care is
A nurse is caring for a client who has a referral for occupational therapy. The nurse should
identify on the referral form that the client needs assistance with which of the following?
Self-grooming activities
-The occupational therapist can assist and teach the client to become independent with ADLs
such as grooming, bathing, dressing, and eating
A nurse caring for a client identifies an ethical dilemma concerning the client's treatment.
Which of the following actions should the nurse take next?
Gather relevant information
-The nurse should gather relevant information including who is involved with the problem
and information about the client's health
A nurse is planning care for a client who has viral encephalitis and is starting to take IV acyclovir.
Which of the following interventions should the nurse include in the plan?
Monitor kidney function studies after infusing this medication
- The nurse should monitor the client's kidney function because acyclovir can precipitate in
the renal tubules and cause kidney damage.
A nurse is teaching a client who has HIV about zidovudine. The nurse should instruct the client
to monitor for which of the following findings as an adverse effect of this medication?
4|Page
LEVEL 4 EXAM 2025 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|BRAND NEW!!|GUARANTEED
PASS|LATEST UPDATE
A nurse manager is discussing Medicare reimbursement with a group of staff nurses. The nurse
should identify that Medicare will deny reimbursement for which fo the following events?
Fractured hip from a fall while ambulating postoperatively
-Medicare denies reimbursements for "never events". These events are considered
preventable and include HAIs, injuries resulting from a client fall, and surgery performed to an
incorrect site
A nurse is teaching a group of assistive personnel about preventing pressure ulcers. Which of
the following images should the nurse include in the teaching?
picture of client lying in bed with pillows under his feet
-Pillows or blankets should be placed under the client's legs or ankles to prevent the heel
from rubbing on the bed linens causing a friction rub that can lead to a pressure ulcer
A nurse is planning care for a client who has acute viral hepatitis. Which of the following
interventions should the nurse include in the plan?
Provide the client with a high-carbohydrate diet
-The nurse should plan to provide the client with a high-carbohydrate and high-calorie diet
with moderate fat and protein to promote healing
1|Page
,A public health nurse is teaching an educational session about emergency preparedness. The
nurse should include that which of the following actions is part of the preparedness phase of
the disaster management cycle?
Participate in mass casualty exercises ------------------------------------------------------------------ The
nurse should include in the teaching that participating in mass casualty exercises is part of the
preparedness phase of the disaster management cycle. participating in these exercises tests the
effectiveness of the disaster plan.
A nurse is staging pressure ulcers on a client's foot. Which of the following areas should the
nurse identify as a stage 3 pressure ulcer?
Wound on the r/lateral side of foot (underneath pinky toe)
-This wound exhibits full-thickness skin loss but does not extend past the underlying fascia,
bones, or tendons
A nurse is caring for a client who is experiencing hypovolemic shock. Which of the following
actions should the nurse take first?
Elevate the client's legs
-ABCs approach to client care; elevating the legs promotes venous return of blood to the
heart. This makes it easier for the client to breathe and increases BP and cardiac output
A nurse is teaching about preventing a vasovagal attack for a client who has bradydysrhythmia.
Which of the following information should he nurse include?
"Use an arm reacher to grab items that are on the top shelf"
-This will help prevent a vasovagal attack, which can further decrease the client's HR
A nurse is caring for a client who has Chronic Kidney Disease (CKD) and is taking
hydrochlorothiazide. The nurse should monitor the client's lab values for which of the following
findings?
Hypokalemia
-The nurse should monitor the client's lab values for a decrease in potassium while the client
is taking a thiazide diuretic due to the client's increased excretion of water and electrolytes
2|Page
,A nurse is assessing a client who has heart failure and reports chest pain and difficulty
breathing. The nurse should identify that which of the following manifestations indicate the
client is experiencing cardiogenic shock? SATA
Hypotension ---------- (The nurse should identify that hypotension is a manifestation of
cardiogenic shock).
Agitation ----------- (The nurse should identify that agitation is a manifestation of cardiogenic
shock)
Tachypnea ---------- (The nurse should identify that tachypnea is a manifestation of cardiogenic
shock.) --------------------------------------------------- NOTE: Cool, Clammy skin, and Urine output of
less than 0.5 to 1 mL/kg/hr is a manifestation of cardiogenic shock.
A nurse is assessing a client who has sepsis with systemic inflammatory response syndrome
(SIRS). Which of the following findings should the nurse expect? (Select all that apply)
Pulse 100/min ------ (The nurse should expect the client to have an accelerated heart rate of
greater than 90/min)
WBC 14,000/mm^3 ------- ( The nurse should expect the client to manifest a WBC greater than
12,000/mm3, which can indicate systemic infection.
Platelet count 70,000/mm^3 -------- (The nurse should expect the client to have a platelet count
of less than 100,000/mm3 due to formation of microthrombi consuming much of the available
platelets and clotting factors. -----------------------------------------------------------------------------------
- NOTE: The nurse should expect absent bowel sounds due to decreased circulation and systolic
blood pressure of less than 90 mm Hg due to a compensatory response that causes
vasodilation.
A nurse is reviewing the diagnostic test results of a client who is suspected of having Cushing's
disease. The nurse should identify that which of the following findings supports this diagnosis?
Elevated salivary cortisol level
-Cushing's disease, also known as hypercortisolism, has clinical manifestations of elevated
salivary cortisol levels
A nurse is monitoring a client who had a stroke. The nurse should identify which of the following
findings as an indication of increased ICP?
Hypertension
-Other indications include a widened pulse pressure and bradycardia
3|Page
, A client asks are nurse how to apply for Medicaid services. The nurse should refer the client to
which of the following agencies?
The state welfare office
-The client should be referred to the state welfare office to get information about applying for
medicaid services. Medicaid funds are distributed to states to provide assistance for older
adults, individuals with disabilities, and families who have dependent children
A charge nurse is delegating client care assignments for a group of nurses. The charge nurse
should identify that which of the following factors is the priority when making assignments?
The level of intensity of care
-Acuity level is a categorization of client care needs and the degree of care needed. The higher
the acuity level, the more intense and complex the client care is
A nurse is caring for a client who has a referral for occupational therapy. The nurse should
identify on the referral form that the client needs assistance with which of the following?
Self-grooming activities
-The occupational therapist can assist and teach the client to become independent with ADLs
such as grooming, bathing, dressing, and eating
A nurse caring for a client identifies an ethical dilemma concerning the client's treatment.
Which of the following actions should the nurse take next?
Gather relevant information
-The nurse should gather relevant information including who is involved with the problem
and information about the client's health
A nurse is planning care for a client who has viral encephalitis and is starting to take IV acyclovir.
Which of the following interventions should the nurse include in the plan?
Monitor kidney function studies after infusing this medication
- The nurse should monitor the client's kidney function because acyclovir can precipitate in
the renal tubules and cause kidney damage.
A nurse is teaching a client who has HIV about zidovudine. The nurse should instruct the client
to monitor for which of the following findings as an adverse effect of this medication?
4|Page
