TESTBANK /ACTUAL LATEST UPDATE EXAM WITH 100+ QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
THIS EXAM INCLUDES:
• This document provides a comprehensive test bank for the ATI RN
Concept-Based Assessment Level 1 Proctored Exam, featuring
over 100+ updated questions with correct answers and detailed
rationales.
• It covers fundamental nursing concepts, patient care principles,
and clinical decision-making to support exam preparation. The
content is structured to reflect the latest exam format and is ideal
for practice and revision.
,ATI RN CONCEPT-BASED ASSESSMENT LEVEL 1 PROCTORED EXAM
Practice Questions & Rationales (Complete Set)
QUESTIONS 1-10
Question 1: Safety & Infection Control
A nurse is admitting a client who has pulmonary tuberculosis. Which of the
following transmission-based precautions should the nurse initiate?
A. Contact
B. Droplet
C. Airborne
D. Protective environment
Correct Answer: C. Airborne
Rationale: Pulmonary tuberculosis (TB) is transmitted via droplet nuclei that can
remain suspended in the air for long periods. Airborne Precautions are required,
including an AIIR room and N95 respirator.
Question 2: Clinical Judgment & Prioritization
A nurse is caring for a patient who is 24 hours post-operative from a total knee
replacement. Which assessment finding requires immediate intervention?
A. Mild pain at the surgical site
B. Temperature of 99.2°F (37.3°C)
C. Swelling and increased tenderness in the calf
D. Clear drainage from the incision
Correct Answer: C. Swelling and increased tenderness in the calf
Rationale: Swelling and tenderness in the calf are classic signs of a Deep Vein
Thrombosis (DVT), a serious post-operative complication that can lead to a
pulmonary embolism.
Question 3: Psychosocial Integrity
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?
A. An adult client may be in a mechanical restraint for up to 8 hours
B. A client in restraints must be seen in-person by a provider within 24 hours
C. An adult client may be in a mechanical restraint for up to 4 hours
D. A client in restraints must be seen in-person by a provider within 4 hours
Correct Answer: C. An adult client may be in a mechanical restraint for up to 4
hours
Rationale: For an adult (18 years or older), an order can be obtained for up to 4
hours. A provider must evaluate the patient in person within 1 hour of restraint
application.
Question 4: Pharmacological & Parenteral Therapies
A nurse is preparing to administer a unit of packed RBCs to a client. In adherence
with the Joint Commission National Patient Safety Goals regarding blood
administration, which of the following actions should the nurse plan to take?
A. Verify the client and blood component using a two-person process
B. Warm the blood to room temperature for 30 minutes before infusion
C. Infuse the packed RBCs with a solution of 0.45% sodium chloride
D. Verify the client using the room number and date of birth
Correct Answer: A. Verify the client and blood component using a two-person
process
Rationale: The Joint Commission's National Patient Safety Goals emphasize
accurate patient identification. A two-person verification process at the bedside is
a key safety measure.
Question 5: Basic Care & Comfort
A nurse is teaching sleep hygiene to a client who has insomnia. Which of the
following statements should the nurse make?
A. "Watch television in bed to help you fall asleep."
B. "Exercise in the morning after arising."
, C. "Drink a warm cup of coffee before bed to relax."
D. "Take a long nap during the day if you feel tired."
Correct Answer: B. "Exercise in the morning after arising."
Rationale: Regular exercise, especially in the morning or afternoon, promotes
deeper sleep and helps regulate the body's circadian rhythm.
Question 6: Safety & Infection Control / Medication Administration
A nurse is reviewing a client's new prescriptions. Which of the following
abbreviations should the nurse clarify with the provider?
A. Enoxaparin 40 mg SUBQ daily
B. Enoxaparin 40 mg SQ QD
C. Enoxaparin 40 mg subcutaneously once daily
D. Enoxaparin 40 mg subcut daily
Correct Answer: B. Enoxaparin 40 mg SQ QD
Rationale: The abbreviations "SQ" and "QD" are considered error-prone.
"Subcutaneous" or "subcut" should be used instead of "SQ," and "daily" instead of
"QD."
Question 7: Psychosocial Integrity / Grief & Loss
A nurse is caring for an adolescent client who is in critical condition following a
motor vehicle crash. The client's parent shouts at the nurse, asking why her son is
dying instead of the driver. Which action should the nurse take?
A. Encourage the parent to speak with the family of the driver
B. Inform the parent that anger is a natural response when dealing with loss
C. Ask the parent to leave and come back later after she has calmed down
D. Contact a clergy member to come and speak with the parent
Correct Answer: B. Inform the parent that anger is a natural response when
dealing with loss.
Rationale: The parent is in the anger stage of grief. The nurse should validate that
anger is a natural response to loss.