ATI RN CONCEPT BASED ASSESSMENT LEVEL 1 PROCTORED 2025”2026
EXAM ALL 150 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES COVERING THE MOST TESTED QUESTIONS GUARANTEE
A+ GRADE |ALREADY GRADED A+
1. A client is admitted with a new diagnosis of type 1 diabetes. Which priority instruction
should the nurse provide?
A. “You can skip insulin if you feel well.”
B. “Check blood glucose only once a week.”
C. “Learn how to administer insulin and monitor your blood glucose daily.”
D. “Avoid all carbohydrates.”
Rationale: Type 1 diabetes requires daily insulin and frequent glucose monitoring to prevent
hyperglycemia and ketoacidosis.
2. A nurse is teaching a client about taking oral antibiotics for a urinary tract infection. Which
statement indicates understanding?
A. “I can stop taking the medication once symptoms disappear.”
B. “I will complete the entire course of antibiotics even if I feel better.”
C. “I should double the dose if I miss one.”
D. “I will avoid drinking fluids while taking the antibiotics.”
Rationale: Completing the full course prevents bacterial resistance and ensures infection
eradication.
3. A client reports shortness of breath while walking to the bathroom. Which oxygen delivery
system is most appropriate for mild hypoxia?
A. Non-rebreather mask at 100%
B. Nasal cannula at 2–4 L/min
C. Mechanical ventilation
D. CPAP
Rationale: Low-flow oxygen via nasal cannula treats mild hypoxia safely and is appropriate for
ambulatory clients.
,4. A nurse is teaching a client with hypertension about lifestyle modifications. Which
instruction is correct?
A. “Increase sodium intake.”
B. “Follow a low-sodium diet and exercise regularly.”
C. “Stop taking medication once your BP is normal.”
D. “Only monitor blood pressure weekly.”
Rationale: Lifestyle modifications like diet and exercise help control blood pressure alongside
medication.
5. A client with chronic constipation asks what foods to eat. Which response is best?
A. White rice and eggs
B. High-fiber foods like fruits, vegetables, and whole grains
C. Cheese and processed meats
D. Avoid all fluids
Rationale: High-fiber foods and adequate fluid intake prevent constipation.
6. A client receiving a new prescription for a beta-blocker asks why it is prescribed. Correct
explanation:
A. “It increases your heart rate.”
B. “It decreases heart rate and blood pressure.”
C. “It raises your blood sugar.”
D. “It increases fluid retention.”
Rationale: Beta-blockers reduce cardiac workload by slowing heart rate and lowering blood
pressure.
7. A client is scheduled for surgery and asks about preoperative fasting. Which statement is
correct?
A. “You can eat a full meal 2 hours before surgery.”
B. “You should avoid food and drink as instructed, usually 6–8 hours before surgery.”
C. “Only drink water and milk before surgery.”
D. “Fasting is optional.”
,Rationale: Preoperative fasting reduces the risk of aspiration during anesthesia.
8. A client with asthma uses a rescue inhaler more than twice a week. What is the nurse’s
priority action?
A. Encourage using the inhaler only once a month
B. Notify the provider – indicates poor asthma control
C. Tell the client to ignore symptoms
D. Suggest switching to oral antibiotics
Rationale: Frequent use of rescue inhaler indicates uncontrolled asthma, requiring provider
evaluation.
9. A nurse is teaching a client with a new colostomy. Which statement indicates
understanding?
A. “I should clean around the stoma with harsh soap.”
B. “I will wash gently with mild soap and water and dry thoroughly.”
C. “I should change the pouch only when leaking.”
D. “No need to monitor skin around the stoma.”
Rationale: Proper skin care prevents irritation and infection around the stoma.
10. A client reports pain at a surgical site. Which nursing intervention is most appropriate
first?
A. Encourage deep breathing only
B. Assess pain using a standardized pain scale
C. Ignore mild complaints
D. Administer antibiotics
Rationale: Assessing pain is the first step to determine appropriate intervention and
medication.
11. A nurse is teaching a client with chronic obstructive pulmonary disease about energy
conservation. Which statement is correct?
A. “Avoid all activity to conserve energy.”
B. “Rest before activities and pace yourself throughout the day.”
, C. “Exercise vigorously to build stamina.”
D. “Only sit in bed all day.”
Rationale: Pacing and rest prevent excessive fatigue and dyspnea.
12. A client with type 2 diabetes is learning about diet. Which snack is appropriate?
A. Candy bar
B. Apple with peanut butter
C. White bread with jelly
D. Sugary soda
Rationale: Balanced snacks with protein and low glycemic index carbohydrates help maintain
blood glucose.
13. A client reports dizziness when standing. Which assessment is priority?
A. Oxygen saturation
B. Orthostatic blood pressure and pulse
C. Temperature
D. Lung sounds
Rationale: Dizziness on standing may indicate orthostatic hypotension, requiring blood
pressure assessment.
14. A client with heart failure is taught to monitor daily weights. Which finding requires
notifying the provider?
A. 1 lb weight gain in a week
B. 3 lbs weight gain in 2 days
C. 0.5 lb weight loss in a week
D. No change
Rationale: Rapid weight gain indicates fluid retention and possible heart failure exacerbation.
15. A nurse is teaching a client with a urinary catheter. Which instruction helps prevent
infection?
EXAM ALL 150 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES COVERING THE MOST TESTED QUESTIONS GUARANTEE
A+ GRADE |ALREADY GRADED A+
1. A client is admitted with a new diagnosis of type 1 diabetes. Which priority instruction
should the nurse provide?
A. “You can skip insulin if you feel well.”
B. “Check blood glucose only once a week.”
C. “Learn how to administer insulin and monitor your blood glucose daily.”
D. “Avoid all carbohydrates.”
Rationale: Type 1 diabetes requires daily insulin and frequent glucose monitoring to prevent
hyperglycemia and ketoacidosis.
2. A nurse is teaching a client about taking oral antibiotics for a urinary tract infection. Which
statement indicates understanding?
A. “I can stop taking the medication once symptoms disappear.”
B. “I will complete the entire course of antibiotics even if I feel better.”
C. “I should double the dose if I miss one.”
D. “I will avoid drinking fluids while taking the antibiotics.”
Rationale: Completing the full course prevents bacterial resistance and ensures infection
eradication.
3. A client reports shortness of breath while walking to the bathroom. Which oxygen delivery
system is most appropriate for mild hypoxia?
A. Non-rebreather mask at 100%
B. Nasal cannula at 2–4 L/min
C. Mechanical ventilation
D. CPAP
Rationale: Low-flow oxygen via nasal cannula treats mild hypoxia safely and is appropriate for
ambulatory clients.
,4. A nurse is teaching a client with hypertension about lifestyle modifications. Which
instruction is correct?
A. “Increase sodium intake.”
B. “Follow a low-sodium diet and exercise regularly.”
C. “Stop taking medication once your BP is normal.”
D. “Only monitor blood pressure weekly.”
Rationale: Lifestyle modifications like diet and exercise help control blood pressure alongside
medication.
5. A client with chronic constipation asks what foods to eat. Which response is best?
A. White rice and eggs
B. High-fiber foods like fruits, vegetables, and whole grains
C. Cheese and processed meats
D. Avoid all fluids
Rationale: High-fiber foods and adequate fluid intake prevent constipation.
6. A client receiving a new prescription for a beta-blocker asks why it is prescribed. Correct
explanation:
A. “It increases your heart rate.”
B. “It decreases heart rate and blood pressure.”
C. “It raises your blood sugar.”
D. “It increases fluid retention.”
Rationale: Beta-blockers reduce cardiac workload by slowing heart rate and lowering blood
pressure.
7. A client is scheduled for surgery and asks about preoperative fasting. Which statement is
correct?
A. “You can eat a full meal 2 hours before surgery.”
B. “You should avoid food and drink as instructed, usually 6–8 hours before surgery.”
C. “Only drink water and milk before surgery.”
D. “Fasting is optional.”
,Rationale: Preoperative fasting reduces the risk of aspiration during anesthesia.
8. A client with asthma uses a rescue inhaler more than twice a week. What is the nurse’s
priority action?
A. Encourage using the inhaler only once a month
B. Notify the provider – indicates poor asthma control
C. Tell the client to ignore symptoms
D. Suggest switching to oral antibiotics
Rationale: Frequent use of rescue inhaler indicates uncontrolled asthma, requiring provider
evaluation.
9. A nurse is teaching a client with a new colostomy. Which statement indicates
understanding?
A. “I should clean around the stoma with harsh soap.”
B. “I will wash gently with mild soap and water and dry thoroughly.”
C. “I should change the pouch only when leaking.”
D. “No need to monitor skin around the stoma.”
Rationale: Proper skin care prevents irritation and infection around the stoma.
10. A client reports pain at a surgical site. Which nursing intervention is most appropriate
first?
A. Encourage deep breathing only
B. Assess pain using a standardized pain scale
C. Ignore mild complaints
D. Administer antibiotics
Rationale: Assessing pain is the first step to determine appropriate intervention and
medication.
11. A nurse is teaching a client with chronic obstructive pulmonary disease about energy
conservation. Which statement is correct?
A. “Avoid all activity to conserve energy.”
B. “Rest before activities and pace yourself throughout the day.”
, C. “Exercise vigorously to build stamina.”
D. “Only sit in bed all day.”
Rationale: Pacing and rest prevent excessive fatigue and dyspnea.
12. A client with type 2 diabetes is learning about diet. Which snack is appropriate?
A. Candy bar
B. Apple with peanut butter
C. White bread with jelly
D. Sugary soda
Rationale: Balanced snacks with protein and low glycemic index carbohydrates help maintain
blood glucose.
13. A client reports dizziness when standing. Which assessment is priority?
A. Oxygen saturation
B. Orthostatic blood pressure and pulse
C. Temperature
D. Lung sounds
Rationale: Dizziness on standing may indicate orthostatic hypotension, requiring blood
pressure assessment.
14. A client with heart failure is taught to monitor daily weights. Which finding requires
notifying the provider?
A. 1 lb weight gain in a week
B. 3 lbs weight gain in 2 days
C. 0.5 lb weight loss in a week
D. No change
Rationale: Rapid weight gain indicates fluid retention and possible heart failure exacerbation.
15. A nurse is teaching a client with a urinary catheter. Which instruction helps prevent
infection?
