ATI RN Concept Based
Assessment Level 3
Exam Study Guide – Practice
Questions with Verified
Answers. GRADED A+. Latest
2026/2027 Update.
A nurse is caring for an older adult client who has kidney failure. The client tells
the nurse that she has decided to stop hemodialysis treatment. Which of the
following actions by the nurse is appropriate in regard to serving as the client's
advocate? - Ans✔✔-Supporting the client's decision regarding treatment
-The nurse's role as client advocate is to support the client's decision to
discontinue treatment.
A nurse is caring for an older adult client. The client received 0.9% sodium
chloride 1 L over 4 hr instead of over 8 hr as prescribed. Which of the following
entries is the appropriate documentation of this occurrence in the client's
medical record? - Ans✔✔-0.9% sodium chloride 1 L IV infused over 4 hr. Vital
signs stable.- The nurse should document the amount of fluid, how long it took
to infuse, and the client's physical status.
,When planning care for a child who has increased intracranial pressure (ICP),
which of the following should the nurse include in the child's plan of care? -
Ans✔✔-Maintain head in midline. -The child's head should be maintained in a
midline position to promote venous return and prevent an increase in ICP.
- Ans✔✔-Sleepy/Widening pulse pressure//decerebrate posturing.....
Sleepiness exhibited by the client is correct. Sleepiness or difficulty arousing
the client from sleep is an indication of increased ICP.//
Widening pulse pressure is correct. A widening pulse pressure (increase in
systolic with concurrent decrease in diastolic blood pressure) is an indication of
increased ICP.//
Decerebrate posturing is correct. Both decerebrate and decorticate posturing
indicate increased ICP.
A nurse is talking with a client who is beginning chemotherapy. She tells the
nurse that she is mourning the loss of her hair. Which of the following actions
should the nurse take first? - Ans✔✔-Discuss the importance of hair with the
client.--The first action the nurse should take using the nursing process is to
assess the client. By identifying the importance of hair to the client, the nurse
can acknowledge the importance of the expected loss to the client and assist
the client with anticipatory grieving.
- Ans✔✔-an inability to manage finances.--
Clients who are in stage 4 have difficulty with tasks that require planning and
math skills, such as managing finances.
- Ans✔✔-Fine and gross motor skill challenges-
Fine and gross motor skill challenges are manifestations of spastic cerebral
palsy.
, - Ans✔✔-Discontinue the infusion.--A report of pain and a red line extending
outward from the insertion site are manifestations of phlebitis and indicates
that the client is at the greatest risk from injury to the vein; therefore, the first
action the nurse should take is to discontinue the infusion.
A client who is being discharged today asks the nurse for supplies for her
wound dressing. Which of the following actions should the nurse take to
ensure quality, cost-effective care? - Ans✔✔-Provide enough supplies for 1 to 2
days.-Although wound care supplies for home use are typically purchased by
clients after leaving the facility, it may be necessary to provide adequate
supplies for the immediate discharge period.
A nurse is administering baclofen for a client who has a spinal cord injury.
Which of the following should the nurse document as a therapeutic outcome? -
Ans✔✔-Decrease in flexor and extensor spasticity-
Baclofen decreases the frequency and severity of muscle spasms, allowing for
improved muscle function.
A nurse is providing postoperative instructions about complete proteins to a
client following a below-the-knee amputation. Which of the following food
choices indicates a need for additional instruction? - Ans✔✔-Pinto beans-
Pinto beans are a plant protein; therefore, this food choice is an incomplete
protein.
A community health nurse is asked to give a health education program to a
group of African-American men age 40 to 75. Considering the health concerns
of this group, which of the following topics is most important to include in the
program? - Ans✔✔-Prostate cancer screening-
Assessment Level 3
Exam Study Guide – Practice
Questions with Verified
Answers. GRADED A+. Latest
2026/2027 Update.
A nurse is caring for an older adult client who has kidney failure. The client tells
the nurse that she has decided to stop hemodialysis treatment. Which of the
following actions by the nurse is appropriate in regard to serving as the client's
advocate? - Ans✔✔-Supporting the client's decision regarding treatment
-The nurse's role as client advocate is to support the client's decision to
discontinue treatment.
A nurse is caring for an older adult client. The client received 0.9% sodium
chloride 1 L over 4 hr instead of over 8 hr as prescribed. Which of the following
entries is the appropriate documentation of this occurrence in the client's
medical record? - Ans✔✔-0.9% sodium chloride 1 L IV infused over 4 hr. Vital
signs stable.- The nurse should document the amount of fluid, how long it took
to infuse, and the client's physical status.
,When planning care for a child who has increased intracranial pressure (ICP),
which of the following should the nurse include in the child's plan of care? -
Ans✔✔-Maintain head in midline. -The child's head should be maintained in a
midline position to promote venous return and prevent an increase in ICP.
- Ans✔✔-Sleepy/Widening pulse pressure//decerebrate posturing.....
Sleepiness exhibited by the client is correct. Sleepiness or difficulty arousing
the client from sleep is an indication of increased ICP.//
Widening pulse pressure is correct. A widening pulse pressure (increase in
systolic with concurrent decrease in diastolic blood pressure) is an indication of
increased ICP.//
Decerebrate posturing is correct. Both decerebrate and decorticate posturing
indicate increased ICP.
A nurse is talking with a client who is beginning chemotherapy. She tells the
nurse that she is mourning the loss of her hair. Which of the following actions
should the nurse take first? - Ans✔✔-Discuss the importance of hair with the
client.--The first action the nurse should take using the nursing process is to
assess the client. By identifying the importance of hair to the client, the nurse
can acknowledge the importance of the expected loss to the client and assist
the client with anticipatory grieving.
- Ans✔✔-an inability to manage finances.--
Clients who are in stage 4 have difficulty with tasks that require planning and
math skills, such as managing finances.
- Ans✔✔-Fine and gross motor skill challenges-
Fine and gross motor skill challenges are manifestations of spastic cerebral
palsy.
, - Ans✔✔-Discontinue the infusion.--A report of pain and a red line extending
outward from the insertion site are manifestations of phlebitis and indicates
that the client is at the greatest risk from injury to the vein; therefore, the first
action the nurse should take is to discontinue the infusion.
A client who is being discharged today asks the nurse for supplies for her
wound dressing. Which of the following actions should the nurse take to
ensure quality, cost-effective care? - Ans✔✔-Provide enough supplies for 1 to 2
days.-Although wound care supplies for home use are typically purchased by
clients after leaving the facility, it may be necessary to provide adequate
supplies for the immediate discharge period.
A nurse is administering baclofen for a client who has a spinal cord injury.
Which of the following should the nurse document as a therapeutic outcome? -
Ans✔✔-Decrease in flexor and extensor spasticity-
Baclofen decreases the frequency and severity of muscle spasms, allowing for
improved muscle function.
A nurse is providing postoperative instructions about complete proteins to a
client following a below-the-knee amputation. Which of the following food
choices indicates a need for additional instruction? - Ans✔✔-Pinto beans-
Pinto beans are a plant protein; therefore, this food choice is an incomplete
protein.
A community health nurse is asked to give a health education program to a
group of African-American men age 40 to 75. Considering the health concerns
of this group, which of the following topics is most important to include in the
program? - Ans✔✔-Prostate cancer screening-
