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# RN ATI CONCEPT-BASED ASSESSMENT —
PROCTORED EXAM FOR LEVEL 4
## COMPLETE TEST BANK | 200+ QUESTIONS |
DETAILED RATIONALES **2026-2027 EDITION |
GRADED A+ | FIRST-TIME PASS GUARANTEE**
# SECTION I: FOUNDATIONS OF NURSING PRACTICE (ETHICS,
LEGAL, SCOPE) (Questions 1-15)
**1. A nurse is caring for a client who refuses a life-saving blood
transfusion due to religious beliefs. The nurse should:**
A) Administer the transfusion because the client is at risk for death
B) Respect the client's decision and notify the provider of the refusal
C) Ask the family to convince the client to accept the transfusion
D) Request a court order to force the transfusion
**Correct Answer: B**
**Rationale:** A competent adult has the right to refuse treatment, even
if that refusal may lead to death. The nurse must respect autonomy,
document the refusal, notify the provider, and continue to provide other
supportive care.
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---
**2. A nurse is preparing to delegate tasks to an unlicensed assistive
personnel (UAP). Which of the following tasks is appropriate for the
nurse to delegate?**
A) Administer oral medications
B) Perform a sterile wound dressing change
C) Assist a client with ambulation after hip surgery (stable, predictable)
D) Assess a client’s lung sounds
**Correct Answer: C**
**Rationale:** The five rights of delegation: right task, right
circumstance, right person, right direction/communication, right
supervision/evaluation. UAPs can assist with activities of daily living
(ADLs), ambulation, and routine vital signs. Assessment, medication
administration, and sterile procedures require licensed nursing judgment.
---
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**3. A nurse is caring for a client who is being discharged. The client
asks, "What information will be on my electronic health record?" The
nurse should explain that the client has the right to:**
A) Access and request amendments to their health record under HIPAA
B) Have their record destroyed before leaving the hospital
C) Remove any information they do not like
D) Prevent anyone from ever seeing the record
**Correct Answer: A**
**Rationale:** HIPAA gives patients the right to access, inspect, and
request corrections to their protected health information (PHI). It does
not allow deletion or complete restriction of records.
---
**4. A nurse witnesses another nurse taking a controlled substance from
the medication dispensing system without a prescription. Which of the
following actions should the nurse take first?**
A) Confront the nurse privately
B) Report the observation to the nursing supervisor
C) Ignore the behavior to avoid conflict
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D) Dispose of the controlled substance
**Correct Answer: B**
**Rationale:** Suspected diversion of controlled substances is a legal
and safety issue. The nurse has a duty to report to the immediate
supervisor or the facility’s compliance/ethics hotline. Confrontation is
not the first step; reporting ensures patient safety and follows chain of
command.
---
**5. A nurse is providing care to a client who requires an interpreter.
Which of the following actions demonstrates appropriate use of an
interpreter?**
A) Speaking directly to the interpreter rather than the client
B) Using a family member as the interpreter for medical consent
C) Allowing extra time for interpretation and speaking directly to the
client
D) Using medical jargon without explanation
**Correct Answer: C**
# RN ATI CONCEPT-BASED ASSESSMENT —
PROCTORED EXAM FOR LEVEL 4
## COMPLETE TEST BANK | 200+ QUESTIONS |
DETAILED RATIONALES **2026-2027 EDITION |
GRADED A+ | FIRST-TIME PASS GUARANTEE**
# SECTION I: FOUNDATIONS OF NURSING PRACTICE (ETHICS,
LEGAL, SCOPE) (Questions 1-15)
**1. A nurse is caring for a client who refuses a life-saving blood
transfusion due to religious beliefs. The nurse should:**
A) Administer the transfusion because the client is at risk for death
B) Respect the client's decision and notify the provider of the refusal
C) Ask the family to convince the client to accept the transfusion
D) Request a court order to force the transfusion
**Correct Answer: B**
**Rationale:** A competent adult has the right to refuse treatment, even
if that refusal may lead to death. The nurse must respect autonomy,
document the refusal, notify the provider, and continue to provide other
supportive care.
,2|Page
---
**2. A nurse is preparing to delegate tasks to an unlicensed assistive
personnel (UAP). Which of the following tasks is appropriate for the
nurse to delegate?**
A) Administer oral medications
B) Perform a sterile wound dressing change
C) Assist a client with ambulation after hip surgery (stable, predictable)
D) Assess a client’s lung sounds
**Correct Answer: C**
**Rationale:** The five rights of delegation: right task, right
circumstance, right person, right direction/communication, right
supervision/evaluation. UAPs can assist with activities of daily living
(ADLs), ambulation, and routine vital signs. Assessment, medication
administration, and sterile procedures require licensed nursing judgment.
---
,3|Page
**3. A nurse is caring for a client who is being discharged. The client
asks, "What information will be on my electronic health record?" The
nurse should explain that the client has the right to:**
A) Access and request amendments to their health record under HIPAA
B) Have their record destroyed before leaving the hospital
C) Remove any information they do not like
D) Prevent anyone from ever seeing the record
**Correct Answer: A**
**Rationale:** HIPAA gives patients the right to access, inspect, and
request corrections to their protected health information (PHI). It does
not allow deletion or complete restriction of records.
---
**4. A nurse witnesses another nurse taking a controlled substance from
the medication dispensing system without a prescription. Which of the
following actions should the nurse take first?**
A) Confront the nurse privately
B) Report the observation to the nursing supervisor
C) Ignore the behavior to avoid conflict
, 4|Page
D) Dispose of the controlled substance
**Correct Answer: B**
**Rationale:** Suspected diversion of controlled substances is a legal
and safety issue. The nurse has a duty to report to the immediate
supervisor or the facility’s compliance/ethics hotline. Confrontation is
not the first step; reporting ensures patient safety and follows chain of
command.
---
**5. A nurse is providing care to a client who requires an interpreter.
Which of the following actions demonstrates appropriate use of an
interpreter?**
A) Speaking directly to the interpreter rather than the client
B) Using a family member as the interpreter for medical consent
C) Allowing extra time for interpretation and speaking directly to the
client
D) Using medical jargon without explanation
**Correct Answer: C**
