ATI RN CONCEPT BASED ASSESSMENT
LEVEL
1 PROCTORED EXAM NEWEST ACTUAL
EXAM QUESTIONS AND CORRECT
DETAILED SOLUTIONS
A nurse is preparing to extinguish a small fire in a clients room. Which of the
following actions should the nurse take when using the fire extinguisher? -
✔✔✔ Correct Answer > Slide the pin on top of the fire extinguisher straight
out.
(The nurse should pull the pin on top of the fire extinguisher to allow for use to
extinguish the fire.)
A nurse is preparing to administer intermittent external nutrition via a clients
NG tube. In which order should the nurse take the following actions? - ✔✔✔
Correct Answer > 1. Assist the client to an upright position.
2. Aspirate 5 mL of gastric contents.
3. Test the pH of gastric aspirate.
4. Measure gastric residual volume.
5. Flush the NG tube with 30 mL of water.
Page 1 of 38
,(First, the nurse should assist the client into high Fowler's position or raise the
HOB at least 30 degrees to help prevent aspiration. Then, the nurse should
verify the tubes placement by aspirating 5 mL of gastric contents and then
testing the pH. Then, the nurse should check for gastric residual volume.
Excessive GRV is an indication of delayed gastric emptying, which places the
client at risk of aspiration if additional formula is given. Finally, the nurse
should flush the tubing with 30 mL of water to ensure the tube is clear and
patent.)
A nurse is caring for a 47-year-old female client who had urinary incontinence.
Which of the following actions should the nurse take first? - ✔✔✔ Correct
Answer > Obtain a specimen from the client for culture.
(The first action the nurse should take when using the nursing process is
assessment. The nurse should obtain a urine specimen from the client to rule out
a UTI. If it is a determined the client has RBC's and WBC's in the urine, the
specimen will require a culture. If it is determined that the client has a UTI, this
will require treatment before any further assessment of incontinence would be
indicated.)
A nurse is talking with a client who has a major depressive disorder. The client
states, "Nobody cares if I'm around or not."
Which of the following responses should the nurse make? - ✔✔✔ Correct
Answer > "It sounds as though you're feeling hopeless."
(This statement by the nurse is an example of restraining, which is a therapeutic
response. This technique restates the main idea the client has expressed and
allows the client to clarify any misunderstanding.)
Page 2 of 38
,A charge nurse is teaching a group of newly licensed nurses how to prevent
errors during administration of blood transfusions.
Which of the following actions should the nurse include? - ✔✔✔
Correct Answer > Use a new blood administration tubing set for each blood bag
infused.
(The nurse should use a new blood infusion tubing set for each component of
blood. A blood infusion set should not be reused, even for the same client.)
A nurse is caring for a client who has C. diff infection and is incontinent of
stool following a long-term antibiotic therapy.
Which of the following actions should the nurse take? - ✔✔✔ Correct Answer
> Wear a gown when providing care for the client.
(The nurse should wear a gown when providing care for a client who has C. diff
infection and is incontinent of stool. Applying a clean, water-resistant gown
prior to entering the clients room prevents the nurses clothing from becoming
contaminated while caring for the client. The nurse should remove the gown
prior to exiting the clients room.)
A nurse is caring for a client who is 2 days postoperative following an above-
the-knee amputation. The client states he is experiencing a dull, burning pain in
the leg that was amputated. Which of the following actions should the nurse
take to treat the client's neuropathic pain? - ✔✔✔ Correct Answer > Administer
a betablocking medication to the client.
Page 3 of 38
, (The nurse should administer a beta-blocking medication to the client. This
classification of medication has been shown to relieve the phantom limb pain
manifestations of constant dull and burning type pain.)
A newly licensed nurse asks a charge nurse where to find information about
scope of practice for registered nurses. Which of the following responses should
the charge nurse make? - ✔✔✔
Correct Answer > "The state board of nursing can provide this information"
(each state develops a nurse practice act, which defines scope of practice for
nurses in that state. This practice act is available on the board of nursing website
for each state.)
A nurse is planning care to prevent a catheter-related bloodstream infection for
a client who is receiving IV fluid therapy. Which of the following interventions
should the nurse include in the plan? - ✔✔✔ Correct Answer > Perform hand
hygiene before touching the IV tubing.
(The nurse should perform thorough hand hygiene before touching any part of
the infusion system or the client to reduce the risk of catheter-related blood
stream infections.)
A nurse is creating a plan of care for a client who is nonambulatory and has
bladder and bowel incontinence. Which of the following interventions should
the nurse include to prevent skin breakdown? - ✔✔✔ Correct Answer > Offer
the client a glass of water every two hour when repositioning.
Page 4 of 38
LEVEL
1 PROCTORED EXAM NEWEST ACTUAL
EXAM QUESTIONS AND CORRECT
DETAILED SOLUTIONS
A nurse is preparing to extinguish a small fire in a clients room. Which of the
following actions should the nurse take when using the fire extinguisher? -
✔✔✔ Correct Answer > Slide the pin on top of the fire extinguisher straight
out.
(The nurse should pull the pin on top of the fire extinguisher to allow for use to
extinguish the fire.)
A nurse is preparing to administer intermittent external nutrition via a clients
NG tube. In which order should the nurse take the following actions? - ✔✔✔
Correct Answer > 1. Assist the client to an upright position.
2. Aspirate 5 mL of gastric contents.
3. Test the pH of gastric aspirate.
4. Measure gastric residual volume.
5. Flush the NG tube with 30 mL of water.
Page 1 of 38
,(First, the nurse should assist the client into high Fowler's position or raise the
HOB at least 30 degrees to help prevent aspiration. Then, the nurse should
verify the tubes placement by aspirating 5 mL of gastric contents and then
testing the pH. Then, the nurse should check for gastric residual volume.
Excessive GRV is an indication of delayed gastric emptying, which places the
client at risk of aspiration if additional formula is given. Finally, the nurse
should flush the tubing with 30 mL of water to ensure the tube is clear and
patent.)
A nurse is caring for a 47-year-old female client who had urinary incontinence.
Which of the following actions should the nurse take first? - ✔✔✔ Correct
Answer > Obtain a specimen from the client for culture.
(The first action the nurse should take when using the nursing process is
assessment. The nurse should obtain a urine specimen from the client to rule out
a UTI. If it is a determined the client has RBC's and WBC's in the urine, the
specimen will require a culture. If it is determined that the client has a UTI, this
will require treatment before any further assessment of incontinence would be
indicated.)
A nurse is talking with a client who has a major depressive disorder. The client
states, "Nobody cares if I'm around or not."
Which of the following responses should the nurse make? - ✔✔✔ Correct
Answer > "It sounds as though you're feeling hopeless."
(This statement by the nurse is an example of restraining, which is a therapeutic
response. This technique restates the main idea the client has expressed and
allows the client to clarify any misunderstanding.)
Page 2 of 38
,A charge nurse is teaching a group of newly licensed nurses how to prevent
errors during administration of blood transfusions.
Which of the following actions should the nurse include? - ✔✔✔
Correct Answer > Use a new blood administration tubing set for each blood bag
infused.
(The nurse should use a new blood infusion tubing set for each component of
blood. A blood infusion set should not be reused, even for the same client.)
A nurse is caring for a client who has C. diff infection and is incontinent of
stool following a long-term antibiotic therapy.
Which of the following actions should the nurse take? - ✔✔✔ Correct Answer
> Wear a gown when providing care for the client.
(The nurse should wear a gown when providing care for a client who has C. diff
infection and is incontinent of stool. Applying a clean, water-resistant gown
prior to entering the clients room prevents the nurses clothing from becoming
contaminated while caring for the client. The nurse should remove the gown
prior to exiting the clients room.)
A nurse is caring for a client who is 2 days postoperative following an above-
the-knee amputation. The client states he is experiencing a dull, burning pain in
the leg that was amputated. Which of the following actions should the nurse
take to treat the client's neuropathic pain? - ✔✔✔ Correct Answer > Administer
a betablocking medication to the client.
Page 3 of 38
, (The nurse should administer a beta-blocking medication to the client. This
classification of medication has been shown to relieve the phantom limb pain
manifestations of constant dull and burning type pain.)
A newly licensed nurse asks a charge nurse where to find information about
scope of practice for registered nurses. Which of the following responses should
the charge nurse make? - ✔✔✔
Correct Answer > "The state board of nursing can provide this information"
(each state develops a nurse practice act, which defines scope of practice for
nurses in that state. This practice act is available on the board of nursing website
for each state.)
A nurse is planning care to prevent a catheter-related bloodstream infection for
a client who is receiving IV fluid therapy. Which of the following interventions
should the nurse include in the plan? - ✔✔✔ Correct Answer > Perform hand
hygiene before touching the IV tubing.
(The nurse should perform thorough hand hygiene before touching any part of
the infusion system or the client to reduce the risk of catheter-related blood
stream infections.)
A nurse is creating a plan of care for a client who is nonambulatory and has
bladder and bowel incontinence. Which of the following interventions should
the nurse include to prevent skin breakdown? - ✔✔✔ Correct Answer > Offer
the client a glass of water every two hour when repositioning.
Page 4 of 38
