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ATI RN Concept-Based Assessment – Level 1 Practice A NEWEST 2026 ACTUAL EXAM TEST-
COMPLETE REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ (MOST RECENT!!)
1–10: Safety & Infection Control
1. A patient has a newly inserted Foley catheter. Which action prevents infection?
A. Securing the catheter to the thigh
B. Reusing drainage bag for multiple patients
C. Flushing only once daily
D. Leaving catheter disconnected
Rationale: Securing the catheter prevents movement that could introduce bacteria. Catheters and
bags are single-patient use.
2. Which patient should the nurse see first?
A. Stable post-op patient
B. Patient with new onset shortness of breath and SpO2 88%
C. Patient asking for pain medication
D. Patient for routine dressing change
Rationale: Prioritize airway and oxygenation issues first (ABC principle).
3. Hand hygiene should be performed:
A. Only when hands are visibly dirty
B. Before and after patient contact
C. Only before invasive procedures
D. Only after meals
Rationale: Hand hygiene prevents pathogen transmission and is required before and after every
patient contact.
2026 2027 GRADED A+
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4. Patient on airborne precautions. Which PPE is required?
A. N95 respirator
B. Gloves only
C. Gown only
D. Surgical mask
5. Nurse notices wet floor near patient room. First action?
A. Place “wet floor” sign and clean immediately
B. Document incident
C. Notify family
D. Wait for environmental services
Rationale: Immediate correction prevents patient falls.
6. The nurse is using a fire extinguisher. Correct order?
A. Pull, Aim, Squeeze, Sweep
B. Aim, Pull, Sweep, Squeeze
C. Sweep, Pull, Squeeze, Aim
D. Squeeze, Sweep, Aim, Pull
Rationale: PASS technique: Pull pin, Aim at base, Squeeze, Sweep side-to-side.
7. Patient requires contact precautions. Which condition indicates this?
A. MRSA wound infection
B. TB
C. Measles
D. Influenza
8. Proper body mechanics for lifting patient:
A. Bend at waist
B. Bend knees, keep back straight
C. Lift quickly without assistance
D. Keep feet close together
2026 2027 GRADED A+
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9. Standard precautions include:
A. Hand hygiene and gloves for all patient contact
B. Isolation for all patients
C. Only gown and mask
D. No PPE if patient appears healthy
10. Nurse is caring for a patient with fever and central line. First priority?
A. Notify provider and obtain cultures
B. Increase fluids
C. Irrigate catheter
D. Remove catheter without order
11–20: Perfusion / Cardiac Concepts
11. Patient with chest pain and ST-elevation on ECG. First action?
A. Administer PRN pain med
B. Notify provider and prepare for intervention
C. Document vitals
D. Obtain weight
12. Patient on hydrochlorothiazide. Which electrolyte is important to monitor?
A. Sodium
B. Potassium
C. Magnesium
D. Calcium
13. Patient has palpitations, pulse 140 bpm. Priority action?
A. Document
B. Assess vitals and cardiac rhythm
C. Give oral fluids
D. Encourage ambulation
14. Lab indicating myocardial injury:
A. Creatinine 1.0
B. Troponin I 2.5
2026 2027 GRADED A+
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C. WBC 8,000
D. Hemoglobin 13
15. Patient with heart failure has lower extremity edema. Supporting symptom?
A. Bradycardia
B. Dyspnea on exertion
C. Polyuria
D. Hypotension
16. Best position for patient with dyspnea:
A. Supine
B. High Fowler’s
C. Trendelenburg
D. Prone
17. Patient on warfarin with INR 5.0. Priority action?
A. Administer warfarin
B. Hold warfarin and notify provider
C. Encourage vitamin K
D. No action needed
18. Which medication treats acute angina?
A. Atenolol
B. Nitroglycerin sublingual
C. Lisinopril
D. Furosemide
19. Patient with DVT. Appropriate intervention:
A. Massage calf
B. Elevate leg and monitor
C. Encourage vigorous ambulation
D. Apply heat
2026 2027 GRADED A+
ATI RN Concept-Based Assessment – Level 1 Practice A NEWEST 2026 ACTUAL EXAM TEST-
COMPLETE REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ (MOST RECENT!!)
1–10: Safety & Infection Control
1. A patient has a newly inserted Foley catheter. Which action prevents infection?
A. Securing the catheter to the thigh
B. Reusing drainage bag for multiple patients
C. Flushing only once daily
D. Leaving catheter disconnected
Rationale: Securing the catheter prevents movement that could introduce bacteria. Catheters and
bags are single-patient use.
2. Which patient should the nurse see first?
A. Stable post-op patient
B. Patient with new onset shortness of breath and SpO2 88%
C. Patient asking for pain medication
D. Patient for routine dressing change
Rationale: Prioritize airway and oxygenation issues first (ABC principle).
3. Hand hygiene should be performed:
A. Only when hands are visibly dirty
B. Before and after patient contact
C. Only before invasive procedures
D. Only after meals
Rationale: Hand hygiene prevents pathogen transmission and is required before and after every
patient contact.
2026 2027 GRADED A+
,2|Page
4. Patient on airborne precautions. Which PPE is required?
A. N95 respirator
B. Gloves only
C. Gown only
D. Surgical mask
5. Nurse notices wet floor near patient room. First action?
A. Place “wet floor” sign and clean immediately
B. Document incident
C. Notify family
D. Wait for environmental services
Rationale: Immediate correction prevents patient falls.
6. The nurse is using a fire extinguisher. Correct order?
A. Pull, Aim, Squeeze, Sweep
B. Aim, Pull, Sweep, Squeeze
C. Sweep, Pull, Squeeze, Aim
D. Squeeze, Sweep, Aim, Pull
Rationale: PASS technique: Pull pin, Aim at base, Squeeze, Sweep side-to-side.
7. Patient requires contact precautions. Which condition indicates this?
A. MRSA wound infection
B. TB
C. Measles
D. Influenza
8. Proper body mechanics for lifting patient:
A. Bend at waist
B. Bend knees, keep back straight
C. Lift quickly without assistance
D. Keep feet close together
2026 2027 GRADED A+
,3|Page
9. Standard precautions include:
A. Hand hygiene and gloves for all patient contact
B. Isolation for all patients
C. Only gown and mask
D. No PPE if patient appears healthy
10. Nurse is caring for a patient with fever and central line. First priority?
A. Notify provider and obtain cultures
B. Increase fluids
C. Irrigate catheter
D. Remove catheter without order
11–20: Perfusion / Cardiac Concepts
11. Patient with chest pain and ST-elevation on ECG. First action?
A. Administer PRN pain med
B. Notify provider and prepare for intervention
C. Document vitals
D. Obtain weight
12. Patient on hydrochlorothiazide. Which electrolyte is important to monitor?
A. Sodium
B. Potassium
C. Magnesium
D. Calcium
13. Patient has palpitations, pulse 140 bpm. Priority action?
A. Document
B. Assess vitals and cardiac rhythm
C. Give oral fluids
D. Encourage ambulation
14. Lab indicating myocardial injury:
A. Creatinine 1.0
B. Troponin I 2.5
2026 2027 GRADED A+
, 4|Page
C. WBC 8,000
D. Hemoglobin 13
15. Patient with heart failure has lower extremity edema. Supporting symptom?
A. Bradycardia
B. Dyspnea on exertion
C. Polyuria
D. Hypotension
16. Best position for patient with dyspnea:
A. Supine
B. High Fowler’s
C. Trendelenburg
D. Prone
17. Patient on warfarin with INR 5.0. Priority action?
A. Administer warfarin
B. Hold warfarin and notify provider
C. Encourage vitamin K
D. No action needed
18. Which medication treats acute angina?
A. Atenolol
B. Nitroglycerin sublingual
C. Lisinopril
D. Furosemide
19. Patient with DVT. Appropriate intervention:
A. Massage calf
B. Elevate leg and monitor
C. Encourage vigorous ambulation
D. Apply heat
2026 2027 GRADED A+
