RN ATI Concept-Based Assessment, Proctored Exam
for Level 4
Meningitis in infants. Causes? Treatment? - ANS-Symptoms include alterations in
temperature, vomiting, seizures, and nuchal rigidity
Heart Failure Initial Action - ANS-Assessing breath sounds to determine respiratory
status
EMTALA - ANS-Requires client stability before discharge, prohibits refusing care for
uninsured clients
Vasovagal Response Prevention - ANS-Avoid bearing down, use an arm reacher, avoid
cold compress, and gag reflex
Viral Hepatitis Diet - ANS-High carb, high calorie, moderate fat, and protein to promote
healing
Disaster Planning - ANS-Expired items should be checked every 6 months
Impaired Nurse Management - ANS-First action: Remove the impaired nurse from the
work environment
Thiazide Medication - ANS-Increases calcium levels
Conflict Resolution Strategy - ANS-Smoothing focuses on positive aspects to minimize
emotional conflict
Hydrotherapy - ANS-Performed 1-2 times daily, washing small areas on client's wound,
using scissors and forceps to remove loose debris
Case Manager - ANS-Identifies treatment, care settings, and equipment to promote
cost-effective positive outcomes
Chlorhexidine Wipes - ANS-Should be used for bathing patients
Hand Washing Duration - ANS-Should be 15-20 seconds
Home Health Visits - ANS-Involve family, caregivers, and current provider for treatment
plan approval
Electrolytes for Addison Disease - ANS-Include hypoglycemia, high potassium, low
sodium, and high calcium
Tocolytic Terbutaline - ANS-Relaxes uterine smooth muscle to suppress preterm labor
, Hepatitis Clients Blood Donation - ANS-Not allowed
Degenerative Disk Disease - ANS-Managed with muscle strengthening exercises and
prevention of bone density loss
Osteoporosis - ANS-Results in height loss and is characterized by low bone density and
osteoarthritis
Platelet Transfusion - ANS-Administered through a filter over 15-30 minutes
Cystic Fibrosis Interventions - ANS-Include increased fat intake, aerobic exercises, and
enzyme intake 30 minutes before meals
Cyclosporine and Grapefruit - ANS-Grapefruit should be avoided as it increases serum
levels
SIRS Sepsis - ANS-Manifests as tachycardia, low blood pressure, and low platelet
count
West Nile Virus - ANS-Causes encephalitis when transmitted by bugs
Fidelity - ANS-Involves keeping promises
High H and H in Burns - ANS-Occurs
CKD Diet - ANS-May include iron supplements, low protein, and avoidance of salt
substitutes
Grunting in Infants - ANS-Indicates sepsis
Nonmaleficence - ANS-Involves doing no harm
RSV Precautions - ANS-Include droplet, contact, and standard precautions
Fluid Offer to Infant with RSV - ANS-Every 10 minutes
Potassium Administration - ANS-Not to exceed 10 ml/hr
Hepatic Encephalopathy - ANS-Causes impaired ammonia metabolism, leading to
cerebral edema and altered mental status
Wound Care from Pressure Ulcer - ANS-Involves warm cleaning solution, square
gauze, no drying, and isotonic saline
Cullen Sign - ANS-Associated with acute pancreatitis
for Level 4
Meningitis in infants. Causes? Treatment? - ANS-Symptoms include alterations in
temperature, vomiting, seizures, and nuchal rigidity
Heart Failure Initial Action - ANS-Assessing breath sounds to determine respiratory
status
EMTALA - ANS-Requires client stability before discharge, prohibits refusing care for
uninsured clients
Vasovagal Response Prevention - ANS-Avoid bearing down, use an arm reacher, avoid
cold compress, and gag reflex
Viral Hepatitis Diet - ANS-High carb, high calorie, moderate fat, and protein to promote
healing
Disaster Planning - ANS-Expired items should be checked every 6 months
Impaired Nurse Management - ANS-First action: Remove the impaired nurse from the
work environment
Thiazide Medication - ANS-Increases calcium levels
Conflict Resolution Strategy - ANS-Smoothing focuses on positive aspects to minimize
emotional conflict
Hydrotherapy - ANS-Performed 1-2 times daily, washing small areas on client's wound,
using scissors and forceps to remove loose debris
Case Manager - ANS-Identifies treatment, care settings, and equipment to promote
cost-effective positive outcomes
Chlorhexidine Wipes - ANS-Should be used for bathing patients
Hand Washing Duration - ANS-Should be 15-20 seconds
Home Health Visits - ANS-Involve family, caregivers, and current provider for treatment
plan approval
Electrolytes for Addison Disease - ANS-Include hypoglycemia, high potassium, low
sodium, and high calcium
Tocolytic Terbutaline - ANS-Relaxes uterine smooth muscle to suppress preterm labor
, Hepatitis Clients Blood Donation - ANS-Not allowed
Degenerative Disk Disease - ANS-Managed with muscle strengthening exercises and
prevention of bone density loss
Osteoporosis - ANS-Results in height loss and is characterized by low bone density and
osteoarthritis
Platelet Transfusion - ANS-Administered through a filter over 15-30 minutes
Cystic Fibrosis Interventions - ANS-Include increased fat intake, aerobic exercises, and
enzyme intake 30 minutes before meals
Cyclosporine and Grapefruit - ANS-Grapefruit should be avoided as it increases serum
levels
SIRS Sepsis - ANS-Manifests as tachycardia, low blood pressure, and low platelet
count
West Nile Virus - ANS-Causes encephalitis when transmitted by bugs
Fidelity - ANS-Involves keeping promises
High H and H in Burns - ANS-Occurs
CKD Diet - ANS-May include iron supplements, low protein, and avoidance of salt
substitutes
Grunting in Infants - ANS-Indicates sepsis
Nonmaleficence - ANS-Involves doing no harm
RSV Precautions - ANS-Include droplet, contact, and standard precautions
Fluid Offer to Infant with RSV - ANS-Every 10 minutes
Potassium Administration - ANS-Not to exceed 10 ml/hr
Hepatic Encephalopathy - ANS-Causes impaired ammonia metabolism, leading to
cerebral edema and altered mental status
Wound Care from Pressure Ulcer - ANS-Involves warm cleaning solution, square
gauze, no drying, and isotonic saline
Cullen Sign - ANS-Associated with acute pancreatitis
