ATI RN Concept-Based Assessment Level 3 Study Guide Rated A+ 2025
A newly licensed nurse asks a charge nurse where to find information about scope of practice for
registered nurses. Which of the following responses should the charge nurse make? - (ANSWER)"The
state board of nursing can provide this information"
(each state develops a nurse practice act, which defines scope of practice for nurses in that state. This
practice act is available on the board of nursing website for each state.)
A nurse is planning care to prevent a catheter-related bloodstream infection for a client who is receiving
IV fluid therapy. Which of the following interventions should the nurse include in the plan? -
(ANSWER)Perform hand hygiene before touching the IV tubing.
(The nurse should perform thorough hand hygiene before touching any part of the infusion system or
the client to reduce the risk of catheter-related blood stream infections.)
A nurse is creating a plan of care for a client who is non-ambulatory and has bladder and bowel
incontinence. Which of the following interventions should the nurse include to prevent skin breakdown?
- (ANSWER)Offer the client a glass of water every two hour when repositioning.
(The nurse should offer the client a glass of water every two hours on the clients repositioning schedule.
This helps prevent dehydration, which increases the risk of skin breakdown.)
A nurse is teaching a young adult female client about health screening for breast cancer. Which of the
following statements by the client indicates an understanding of breast self-examination (BSE)? -
(ANSWER)"I should expect to feel a firm ridge along the bottom curve of each breast."
(The nurse should instruct the client at a firm ridge is expected along the bottom curve of each breast.
The client should be able to feel this area during the BSE. Performing a BSE promotes breast self
awareness so that the client knows how her breast normally feel. The awareness increases the clients
ability to identify changes that require further evaluation.)
A nurse is caring for an adolescent who is in critical condition following a motor vehicle crash which he
was the passenger. The clients parent shout at the nurse, asking why her son is dying instead of the
driver. Which of the following actions should the nurse take to provide emotional support to the
parent? - (ANSWER)Inform the parent that anger is a natural response when dealing with loss.
, ATI RN Concept-Based Assessment Level 3 Study Guide Rated A+ 2025
(The nurse should identify that the parent is in the anger stage of grief. The nurse should assist the
parent to understand that anger is a natural response to loss and encourage her to talk about her
feelings.)
A nurse enters a clients room and finds the client lying on the floor. The client states that on the way to
the bathroom her "knee locked," causing her to fall. Which of the following actions should the nurse
take first? - (ANSWER)Check the client for injuries.
(The first action the nurse should take when using the nursing process is to assess the client. The nurse
should first check the client for injuries and measure vital signs to help determine physiologic stability.
The nurse should also inform the provider of the clients fall and of the assessment findings.)
A community health nurse is planning prevention strategies for hypertension among members of her
community. The nurse should identify that which of the following ethnic groups in the community is at
greatest risk of developing hypertension? - (ANSWER)African American
(Evidence-based practice indicates that individuals of AA ethnicity have the highest prevalence of
hypertension. Therefore, the nurse should identify community members of this ethnicity are at greatest
risk of developing hypertension.)
A nurse is preparing to extinguish a small fire in a clients room. Which of the following actions should
the nurse take when using the fire extinguisher? - (ANSWER)Slide the pin on top of the fire extinguisher
straight out.
(The nurse should pull the pin on top of the fire extinguisher to allow for use to extinguish the fire.)
A nurse is preparing to administer intermittent external nutrition via a clients NG tube. In which order
should the nurse take the following actions? - (ANSWER)1. Assist the client to an upright position.
2. Aspirate 5 mL of gastric contents.
3. Test the pH of gastric aspirate.
4. Measure gastric residual volume.
5. Flush the NG tube with 30 mL of water.
A newly licensed nurse asks a charge nurse where to find information about scope of practice for
registered nurses. Which of the following responses should the charge nurse make? - (ANSWER)"The
state board of nursing can provide this information"
(each state develops a nurse practice act, which defines scope of practice for nurses in that state. This
practice act is available on the board of nursing website for each state.)
A nurse is planning care to prevent a catheter-related bloodstream infection for a client who is receiving
IV fluid therapy. Which of the following interventions should the nurse include in the plan? -
(ANSWER)Perform hand hygiene before touching the IV tubing.
(The nurse should perform thorough hand hygiene before touching any part of the infusion system or
the client to reduce the risk of catheter-related blood stream infections.)
A nurse is creating a plan of care for a client who is non-ambulatory and has bladder and bowel
incontinence. Which of the following interventions should the nurse include to prevent skin breakdown?
- (ANSWER)Offer the client a glass of water every two hour when repositioning.
(The nurse should offer the client a glass of water every two hours on the clients repositioning schedule.
This helps prevent dehydration, which increases the risk of skin breakdown.)
A nurse is teaching a young adult female client about health screening for breast cancer. Which of the
following statements by the client indicates an understanding of breast self-examination (BSE)? -
(ANSWER)"I should expect to feel a firm ridge along the bottom curve of each breast."
(The nurse should instruct the client at a firm ridge is expected along the bottom curve of each breast.
The client should be able to feel this area during the BSE. Performing a BSE promotes breast self
awareness so that the client knows how her breast normally feel. The awareness increases the clients
ability to identify changes that require further evaluation.)
A nurse is caring for an adolescent who is in critical condition following a motor vehicle crash which he
was the passenger. The clients parent shout at the nurse, asking why her son is dying instead of the
driver. Which of the following actions should the nurse take to provide emotional support to the
parent? - (ANSWER)Inform the parent that anger is a natural response when dealing with loss.
, ATI RN Concept-Based Assessment Level 3 Study Guide Rated A+ 2025
(The nurse should identify that the parent is in the anger stage of grief. The nurse should assist the
parent to understand that anger is a natural response to loss and encourage her to talk about her
feelings.)
A nurse enters a clients room and finds the client lying on the floor. The client states that on the way to
the bathroom her "knee locked," causing her to fall. Which of the following actions should the nurse
take first? - (ANSWER)Check the client for injuries.
(The first action the nurse should take when using the nursing process is to assess the client. The nurse
should first check the client for injuries and measure vital signs to help determine physiologic stability.
The nurse should also inform the provider of the clients fall and of the assessment findings.)
A community health nurse is planning prevention strategies for hypertension among members of her
community. The nurse should identify that which of the following ethnic groups in the community is at
greatest risk of developing hypertension? - (ANSWER)African American
(Evidence-based practice indicates that individuals of AA ethnicity have the highest prevalence of
hypertension. Therefore, the nurse should identify community members of this ethnicity are at greatest
risk of developing hypertension.)
A nurse is preparing to extinguish a small fire in a clients room. Which of the following actions should
the nurse take when using the fire extinguisher? - (ANSWER)Slide the pin on top of the fire extinguisher
straight out.
(The nurse should pull the pin on top of the fire extinguisher to allow for use to extinguish the fire.)
A nurse is preparing to administer intermittent external nutrition via a clients NG tube. In which order
should the nurse take the following actions? - (ANSWER)1. Assist the client to an upright position.
2. Aspirate 5 mL of gastric contents.
3. Test the pH of gastric aspirate.
4. Measure gastric residual volume.
5. Flush the NG tube with 30 mL of water.
