ATI RN CONCEPT
BASEDASSESSMENT
LEVEL 1
PROCTORED
EXAM FOR LEVEL
1 TEST BANK 2026.
(QUESTIONS AND
ANSWERED)
WITH RATIONALE S
,1. A nurse is preparing to administer a medication via intermittent IV bolus to a client
who is receiving a continuous infusion via an infusion pump. The client's IV fluid
solution is incompatible with the bolus. Which of the following actions should the
nurse plan to take first?
• Stop the continuous IV infusion
• Rationale: According to evidence-based practice, the nurse should first
stop the continuous IV infusion. This action prevents the solution from
flowing through the tubing while the nurse administers the medication. An
infusion pump will alarm if the tubing is clamped before the pump is
stopped
2. A nurse is assessing the spiritual wellbeing and development of a preschooler. The
nurse asks the preschooler, "Why is it wrong for you to kick your baby sister?" Which of
the following responses should the nurse expect?
• It’s wrong because my dad said I can’t kick her
• Rationale: The nurse should expect the preschooler to be motivated to
choose right from wrong because of rules taught to him by his parents. The
nurse should understand that, even though the preschooler might know the
rules, he is not yet able to understand the Rationale for the rules.
3. A nurse is planning care for a client who has bacterial meningitis caused by
Haemophilus influenza. Which of the following infection control interventions should
the nurse include in the plan?
• Place a mask on the client during transport out of the room
• Rationale: The nurse should implement droplet precautions and standard
precautions when caring for a client who has bacterial meningitis caused by H.
influenza. The nurse should avoid transporting the client out of the room, if
possible. However, if transport is necessary, then placing a mask on the client
is an effective infection control intervention.
4. A nurse at a provider's office is counseling a client who reports insomnia. Which of
the following statements should the nurse make to include the client's preferences
into a sleep promotion plan?
• Sleep in the location of your home where you feel you rest best
• Rationale: The nurse should encourage the client to sleep wherever she
feels she gets the most rest, whether it be a bed, couch, or chair.
5. A nurse is teaching an older adult client about accessing electronic resources for
health care information on the internet. Which of the following statements should the
nurse include in the teaching?
• "Websites ending in 'dot-gov' are reliable sites for obtaining health
information from government agencies."
, • Rationale: The nurse should teach the client how to select reliable
internet websites when researching health care information. The nurse
should identify that websites ending in ".gov" (government agencies) and
".edu" (educational organizations) are considered reliable and credible
sources for health information. Websites ending in ".com" should not be
used for researching credible health care information.
6. A nurse is admitting a client who has pulmonary tuberculosis. Which of the
following transmission-based precautions should the nurse initiate?
• Airborne
• Rationale: Pulmonary tuberculosis is an infection that is transmitted
by airborne droplets smaller than 5 microns in diameter. Therefore, this
client requires airborne precautions to prevent communicating this
infection to others
7. A nurse in a mental health facility is preparing an educational program for a group
of staff nurses about the proper use of restraints. Which of the following
information should the nurse plan to include?
• An adult client may be in a mechanical restraint for up to 4 hours
• Rational: The nurse should specify that a client who is 18 years or older may be
in a restraint for no more than 4 hr. Children who are 9 to 17 years old are limited
to 2 hr and children who are younger than 9 years old are limited to 1 hr
8. A nurse is teaching sleep hygiene to a client who has insomnia. Which of the
following statements should the nurse make?
• Exercise in the morning after arising
• Rationale: Daily exercise has many benefits, including enhancing
cardiovascular, psychological, and musculoskeletal health. The nurse should
recommend that the client avoid exercising within 2 hr of bedtime to limit
stimulation and enhance sleep
9. A nurse is preparing to leave the room of a client who is on isolation precautions.
Which of the following actions should the nurse take when removing a tied surgical
mask?
• Remove the mask by securely holding the ties and moving it away from the face
• Rationale: The nurse should untie the bottom strings and then the top
strings. Finally, while still holding the strings, the nurse should remove the
mask from her face. This action prevents the nurse from touching the front
of the mask, which is contaminated
10. A nurse is caring for an adolescent client who is in critical condition following a motor
vehicle crash in which he was the passenger. The client's parent shouts at the nurse,
asking why her son is dying instead of the driver. Which of the following actions
should the nurse take to provide emotional support to the parent?
• Inform the parent that anger is a natural response when dealing with loss
BASEDASSESSMENT
LEVEL 1
PROCTORED
EXAM FOR LEVEL
1 TEST BANK 2026.
(QUESTIONS AND
ANSWERED)
WITH RATIONALE S
,1. A nurse is preparing to administer a medication via intermittent IV bolus to a client
who is receiving a continuous infusion via an infusion pump. The client's IV fluid
solution is incompatible with the bolus. Which of the following actions should the
nurse plan to take first?
• Stop the continuous IV infusion
• Rationale: According to evidence-based practice, the nurse should first
stop the continuous IV infusion. This action prevents the solution from
flowing through the tubing while the nurse administers the medication. An
infusion pump will alarm if the tubing is clamped before the pump is
stopped
2. A nurse is assessing the spiritual wellbeing and development of a preschooler. The
nurse asks the preschooler, "Why is it wrong for you to kick your baby sister?" Which of
the following responses should the nurse expect?
• It’s wrong because my dad said I can’t kick her
• Rationale: The nurse should expect the preschooler to be motivated to
choose right from wrong because of rules taught to him by his parents. The
nurse should understand that, even though the preschooler might know the
rules, he is not yet able to understand the Rationale for the rules.
3. A nurse is planning care for a client who has bacterial meningitis caused by
Haemophilus influenza. Which of the following infection control interventions should
the nurse include in the plan?
• Place a mask on the client during transport out of the room
• Rationale: The nurse should implement droplet precautions and standard
precautions when caring for a client who has bacterial meningitis caused by H.
influenza. The nurse should avoid transporting the client out of the room, if
possible. However, if transport is necessary, then placing a mask on the client
is an effective infection control intervention.
4. A nurse at a provider's office is counseling a client who reports insomnia. Which of
the following statements should the nurse make to include the client's preferences
into a sleep promotion plan?
• Sleep in the location of your home where you feel you rest best
• Rationale: The nurse should encourage the client to sleep wherever she
feels she gets the most rest, whether it be a bed, couch, or chair.
5. A nurse is teaching an older adult client about accessing electronic resources for
health care information on the internet. Which of the following statements should the
nurse include in the teaching?
• "Websites ending in 'dot-gov' are reliable sites for obtaining health
information from government agencies."
, • Rationale: The nurse should teach the client how to select reliable
internet websites when researching health care information. The nurse
should identify that websites ending in ".gov" (government agencies) and
".edu" (educational organizations) are considered reliable and credible
sources for health information. Websites ending in ".com" should not be
used for researching credible health care information.
6. A nurse is admitting a client who has pulmonary tuberculosis. Which of the
following transmission-based precautions should the nurse initiate?
• Airborne
• Rationale: Pulmonary tuberculosis is an infection that is transmitted
by airborne droplets smaller than 5 microns in diameter. Therefore, this
client requires airborne precautions to prevent communicating this
infection to others
7. A nurse in a mental health facility is preparing an educational program for a group
of staff nurses about the proper use of restraints. Which of the following
information should the nurse plan to include?
• An adult client may be in a mechanical restraint for up to 4 hours
• Rational: The nurse should specify that a client who is 18 years or older may be
in a restraint for no more than 4 hr. Children who are 9 to 17 years old are limited
to 2 hr and children who are younger than 9 years old are limited to 1 hr
8. A nurse is teaching sleep hygiene to a client who has insomnia. Which of the
following statements should the nurse make?
• Exercise in the morning after arising
• Rationale: Daily exercise has many benefits, including enhancing
cardiovascular, psychological, and musculoskeletal health. The nurse should
recommend that the client avoid exercising within 2 hr of bedtime to limit
stimulation and enhance sleep
9. A nurse is preparing to leave the room of a client who is on isolation precautions.
Which of the following actions should the nurse take when removing a tied surgical
mask?
• Remove the mask by securely holding the ties and moving it away from the face
• Rationale: The nurse should untie the bottom strings and then the top
strings. Finally, while still holding the strings, the nurse should remove the
mask from her face. This action prevents the nurse from touching the front
of the mask, which is contaminated
10. A nurse is caring for an adolescent client who is in critical condition following a motor
vehicle crash in which he was the passenger. The client's parent shouts at the nurse,
asking why her son is dying instead of the driver. Which of the following actions
should the nurse take to provide emotional support to the parent?
• Inform the parent that anger is a natural response when dealing with loss
