Page 1 of 61
ATI RN Concept Based Assessment Level 4 (2 VERSONS)
2026-2027 COMPLETE 250 QUESTIONS AND VERIFIED
SOLUTIONS LATEST UPDATE THIS YEAR
Official Exam Overview:
The ATI RN Concept-Based Assessment Level 4 is an advanced standardized nursing
assessment used in concept-based RN programs to evaluate a student’s ability to apply, integrate,
and prioritize nursing knowledge in complex clinical situations. It is typically administered near
program completion and is designed to measure clinical judgment, critical thinking, and
readiness for the NCLEX-RN. The assessment uses NCLEX-style multiple-choice and alternate-
format questions and reports results using ATI proficiency levels to support progression
decisions and targeted remediation.
Exam Coverage Areas:
1. Clinical judgment, critical thinking, and application of the nursing process
2. Safety, quality improvement, ethical practice, and legal responsibilities
3. Pharmacological and parenteral therapies, including medication safety
4. Physiological adaptation and management of complex adult health conditions
5. Nutrition, elimination, fluid, and electrolyte balance
6. Immunity, infection prevention, inflammation, and body defense mechanisms
7. Psychosocial integrity, mental health care, and therapeutic communication
8. Nursing care across the lifespan and special populations
9. Leadership, delegation, collaboration, and healthcare systems management
10. Fundamental physiologic concepts, including oxygenation, mobility, pain, and tissue
integrity
RN Concept-Based Assessments Level 4
A public health nurse is participating in the recovery phase of emergency response to a
hurricane. Which of the following actions should the nurse take first?
determine the needs of the community
,Page 2 of 61
A nurse is developing a plan of care for a toddler who has heart failure and is receiving
furosemide. Which of the following actions should the nurse include in the plan?
increase the toddler's intake of foods high in potassium
A nurse is discussing hepatitis C with a newly licensed nurse. Which of the following
information should the nurse include?
hepatitis C frequently results in a chronic infection
A nurse manager is conducting an in-service about hepatitis A for a group of nurses. Which of
the following information should the nurse manager include as a risk factor for acquiring the
hepatitis A virus?
ingesting shellfish
A charge nurse is working on an acute care floor when a natural disaster occurs. Which of the
following emergency response actions should the nurse take?
prepare medically stable clients for early discharge
A nurse is teaching a group of clients about degenerative disk disease. Which of the following
information should the nurse include regarding the prevention of low back pain and injury?
maintain weight within 10% of ideal body weight
A nurse is performing mass casualty triage following a disaster. To which of the following
clients should the nurse assign a black tag?
,Page 3 of 61
a client who has a penetrating head wound and agonal respirations
A nurse is working at a community health center with clients who have limited socioeconomic
resources. Which of the following actions should the nurse take as a primary prevention
strategy to address health care disparities for these clients?
provide free influenza immunizations
A charge nurse on a medical-surgical unit is working with a LPN. Which of the following tasks
should the nurse assign to the LPN?
administer an IM pain medication to a postoperative client
A nurse is planning care for a client who is experiencing an Addisonian crisis and has
hyperkalemia. According to research-based care, which of the following interventions should
the nurse include in the plan?
initiate cardiac monitoring of the client
A nurse is reviewing the medical record of a client who has MI and is to undergo a cardiac
catheterization. Which of the following information should the nurse report to the provider
prior to the procedure?
allergies
, Page 4 of 61
A nurse is providing discharge teaching to the parent of a preschooler who experienced a
minor head injury after a fall. Which of the following statements by the parent indicates an
understanding of the teaching?
i should notify the provider if my child develops a runny nose in the next several days
A charge nurse is supervising a group of staff on the unit. Which of the following actions
should the charge nurse identify as a potential professional liability?
a nurse requests to perform the narcotic count every shift
A nurse is updating the discharge plan for a client who is ventilator-dependent and will be
transferred to a long-term care facility. To facilitate the coordination of the transfer, the
nurse should contact which of the following members of the health care team?
case manager
A nurse is delegating client care to an AP. Which of the following tasks should the nurse
assign to the AP?
performing chest compressions as a member of the code team
A public health nurse is leading an inservice about types of health care services in the
community. Which of the following should the nurse include as an example of secondary
care?
a client in a diagnostic center who is receiving a CT scan to check for a tumor
ATI RN Concept Based Assessment Level 4 (2 VERSONS)
2026-2027 COMPLETE 250 QUESTIONS AND VERIFIED
SOLUTIONS LATEST UPDATE THIS YEAR
Official Exam Overview:
The ATI RN Concept-Based Assessment Level 4 is an advanced standardized nursing
assessment used in concept-based RN programs to evaluate a student’s ability to apply, integrate,
and prioritize nursing knowledge in complex clinical situations. It is typically administered near
program completion and is designed to measure clinical judgment, critical thinking, and
readiness for the NCLEX-RN. The assessment uses NCLEX-style multiple-choice and alternate-
format questions and reports results using ATI proficiency levels to support progression
decisions and targeted remediation.
Exam Coverage Areas:
1. Clinical judgment, critical thinking, and application of the nursing process
2. Safety, quality improvement, ethical practice, and legal responsibilities
3. Pharmacological and parenteral therapies, including medication safety
4. Physiological adaptation and management of complex adult health conditions
5. Nutrition, elimination, fluid, and electrolyte balance
6. Immunity, infection prevention, inflammation, and body defense mechanisms
7. Psychosocial integrity, mental health care, and therapeutic communication
8. Nursing care across the lifespan and special populations
9. Leadership, delegation, collaboration, and healthcare systems management
10. Fundamental physiologic concepts, including oxygenation, mobility, pain, and tissue
integrity
RN Concept-Based Assessments Level 4
A public health nurse is participating in the recovery phase of emergency response to a
hurricane. Which of the following actions should the nurse take first?
determine the needs of the community
,Page 2 of 61
A nurse is developing a plan of care for a toddler who has heart failure and is receiving
furosemide. Which of the following actions should the nurse include in the plan?
increase the toddler's intake of foods high in potassium
A nurse is discussing hepatitis C with a newly licensed nurse. Which of the following
information should the nurse include?
hepatitis C frequently results in a chronic infection
A nurse manager is conducting an in-service about hepatitis A for a group of nurses. Which of
the following information should the nurse manager include as a risk factor for acquiring the
hepatitis A virus?
ingesting shellfish
A charge nurse is working on an acute care floor when a natural disaster occurs. Which of the
following emergency response actions should the nurse take?
prepare medically stable clients for early discharge
A nurse is teaching a group of clients about degenerative disk disease. Which of the following
information should the nurse include regarding the prevention of low back pain and injury?
maintain weight within 10% of ideal body weight
A nurse is performing mass casualty triage following a disaster. To which of the following
clients should the nurse assign a black tag?
,Page 3 of 61
a client who has a penetrating head wound and agonal respirations
A nurse is working at a community health center with clients who have limited socioeconomic
resources. Which of the following actions should the nurse take as a primary prevention
strategy to address health care disparities for these clients?
provide free influenza immunizations
A charge nurse on a medical-surgical unit is working with a LPN. Which of the following tasks
should the nurse assign to the LPN?
administer an IM pain medication to a postoperative client
A nurse is planning care for a client who is experiencing an Addisonian crisis and has
hyperkalemia. According to research-based care, which of the following interventions should
the nurse include in the plan?
initiate cardiac monitoring of the client
A nurse is reviewing the medical record of a client who has MI and is to undergo a cardiac
catheterization. Which of the following information should the nurse report to the provider
prior to the procedure?
allergies
, Page 4 of 61
A nurse is providing discharge teaching to the parent of a preschooler who experienced a
minor head injury after a fall. Which of the following statements by the parent indicates an
understanding of the teaching?
i should notify the provider if my child develops a runny nose in the next several days
A charge nurse is supervising a group of staff on the unit. Which of the following actions
should the charge nurse identify as a potential professional liability?
a nurse requests to perform the narcotic count every shift
A nurse is updating the discharge plan for a client who is ventilator-dependent and will be
transferred to a long-term care facility. To facilitate the coordination of the transfer, the
nurse should contact which of the following members of the health care team?
case manager
A nurse is delegating client care to an AP. Which of the following tasks should the nurse
assign to the AP?
performing chest compressions as a member of the code team
A public health nurse is leading an inservice about types of health care services in the
community. Which of the following should the nurse include as an example of secondary
care?
a client in a diagnostic center who is receiving a CT scan to check for a tumor
