Fall Semester 2025 – ATI RN Concept-Based Assessment Level 1 | Updated 2025/2026 Edition | 235+ Verified Exam & Practice Questions with Correct Answers and Detailed Rationales | Comprehensive Study Guide Covering Core Nursing Concepts, Clinical Applicatio

Fall SemeSter 2025 – atI rN CoNCept-BaSed
aSSeSSmeNt level 1 | Updated 2025/2026 edItIoN
| 235+ verIFIed exam & praCtICe QUeStIoNS wIth
CorreCt aNSwerS aNd detaIled ratIoNaleS |
CompreheNSIve StUdy GUIde CoverING Core
NUrSING CoNCeptS, ClINICal applICatIoNS, aNd
teSt revIew For rN StUdeNtS

Question 1:
A nurse is caring for a patient after a laparoscopic cholecystectomy. What is the
priority nursing intervention?
A. Assess for abdominal pain
B. Monitor vital signs
C. Assess for signs of bleeding
D. Educate the patient about diet
Correct answer: C. Assess for signs of bleeding
Rationale: After surgery, the priority is to monitor for complications, including bleeding.
Early detection is crucial for effective management.


Question 2:
A patient with chronic heart failure is experiencing shortness of breath. What is the
nurse's priority action?
A. Assess lung sounds
B. Administer prescribed diuretics
C. Position the patient in a supine position
D. Educate the patient about dietary restrictions
Correct answer: A. Assess lung sounds
Rationale: Assessing lung sounds helps determine the severity of the patient's
respiratory status and guides further interventions.


Question 3:
A nurse is teaching a patient with diabetes about hypoglycemia. What statement
indicates understanding?
A. "I should eat more carbohydrates."
B. "I can skip meals if I take my medication."
C. "I need to carry glucose tablets with me."
D. "I can continue exercising without eating."

,Correct answer: C. "I need to carry glucose tablets with me."
Rationale: Carrying glucose tablets is essential for quick treatment of hypoglycemia
when symptoms occur.


Question 4:
A patient on anticoagulant therapy is scheduled for surgery. What is the priority
nursing action?
A. Monitor vital signs
B. Assess for signs of bleeding
C. Educate the patient about the procedure
D. Review the medication list
Correct answer: B. Assess for signs of bleeding
Rationale: Patients on anticoagulants are at increased risk for bleeding; assessing for
this is critical preoperatively.


Question 5:
A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD).
What is the priority nursing intervention?
A. Encourage fluid intake
B. Assess respiratory status
C. Administer bronchodilators
D. Educate about smoking cessation
Correct answer: B. Assess respiratory status
Rationale: Assessing respiratory status is crucial to determine the severity of the
patient's condition and to guide further interventions.


Question 6:
A nurse is teaching a patient about the use of a peak flow meter. What statement
indicates understanding?
A. "I should use it only during an asthma attack."
B. "I need to use it daily to monitor my lung function."
C. "It helps determine my medication dosage."
D. "I will stop using it when my symptoms improve."
Correct answer: B. "I need to use it daily to monitor my lung function."
Rationale: Daily use of a peak flow meter helps in the effective management of asthma
by monitoring lung function over time.

,Question 7:
A patient with diabetes is prescribed metformin. What is the priority nursing
action?
A. Monitor kidney function
B. Educate about dietary restrictions
C. Assess for signs of gastrointestinal distress
D. Monitor blood glucose levels
Correct answer: A. Monitor kidney function
Rationale: Metformin can cause lactic acidosis in patients with renal impairment;
monitoring kidney function is essential.


Question 8:
A nurse is caring for a patient with heart failure. What finding would most likely
indicate worsening heart failure?
A. Increased exercise tolerance
B. Decreased appetite
C. Increased shortness of breath
D. Weight stability
Correct answer: C. Increased shortness of breath
Rationale: Increased shortness of breath can indicate worsening heart failure and fluid
overload.


Question 9:
A patient is receiving chemotherapy and reports nausea. What is the priority
nursing intervention?
A. Administer antiemetics
B. Assess the patient's dietary intake
C. Evaluate the effectiveness of antiemetics
D. Encourage fluids to prevent dehydration
Correct answer: C. Evaluate the effectiveness of antiemetics
Rationale: Assessing the effectiveness of antiemetics helps in adjusting treatment to
manage nausea effectively.


Question 10:
A nurse is teaching a patient with hypertension about lifestyle modifications.
Which statement indicates a need for further education?
A. "I will reduce my salt intake."

, B. "I can stop taking my medication if I feel fine."
C. "I should exercise regularly."
D. "I will monitor my blood pressure at home."
Correct answer: B. "I can stop taking my medication if I feel fine."
Rationale: Patients should continue their medication regimen as prescribed, even if
they feel well, to manage hypertension effectively.


Question 11:
A nurse is caring for a patient with a history of seizures. What is the priority nursing
action?
A. Document seizure frequency
B. Educate about medication adherence
C. Ensure patient safety during a seizure
D. Monitor for signs of postictal state
Correct answer: C. Ensure patient safety during a seizure
Rationale: Ensuring patient safety during a seizure is the priority to prevent injury.


Question 12:
A patient with chronic kidney disease is prescribed erythropoietin. What is the
priority nursing action?
A. Monitor hemoglobin levels
B. Assess for signs of infection
C. Educate about dietary restrictions
D. Monitor blood pressure
Correct answer: A. Monitor hemoglobin levels
Rationale: Monitoring hemoglobin is essential to evaluate the effectiveness of
erythropoietin therapy in treating anemia.


Question 13:
A nurse is caring for a patient with a history of myocardial infarction. What is the
priority nursing intervention?
A. Monitor vital signs
B. Assess for chest pain
C. Monitor cardiac rhythm
D. Educate about lifestyle modifications