RN ATI CONCEPT BASED ASSESMENT PROCTORED EXAM QUESTIONS AND ANSWERS
Question 1
A nurse in an emergency department is caring for a client who reports abdominal pain, vomiting, and appears
dehydrated. The client's ABG results are pH 7.28, PaCO2 36 mm Hg, and HCO3 14 mEq/L. Based on these
findings, the nurse should identify that the client has which of the following acid-base imbalances?
A: Metabolic acidosis
B: Metabolic alkalosis
C: Respiratory acidosis
D: Respiratory alkalosis
Correct Answer
A: Metabolic acidosis
Question 2
A nurse is providing teaching to a client who has diabetes mellitus and a new prescription for extended-
release metformin. Which of the following client statements indicates an understanding of the teaching?
A: "I will avoid drinking grapefruit juice."
B: "I will chew the medication if I can't swallow it whole."
C: "I will call the doctor if I have muscle pain in my back."
D: "I will take this medication on an empty stomach."
Correct Answer
C: "I will call the doctor if I have muscle pain in my back."
Question 3
A nurse is reviewing the medical record of a client who has a family history of gallstones. Which of the
following findings should the nurse identify as a risk factor for developing cholecystitis?
A: Client is an adult male.
B: Client is taking atorvastatin.
C: Client is of Asian descent.
D: Client has a history of asthma.
Correct Answer
B: Client is taking atorvastatin.
Question 4
A nurse is caring for a client who is receiving heparin therapy and has an aPTT of 92 seconds. Which of the
following medications should the nurse anticipate the provider might prescribe for the client?
A: Leucovorin
B: Vitamin K
C: Deferoxamine
D: Protamine
Correct Answer
D: Protamine
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,Question 5
A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux about home care.
Which of the following statements by the parent indicates an understanding of the teaching?
A: "I should feed my infant a larger amount of formula less frequently."
B: "I should feed my infant a bottle of formula within 1 hour of bedtime."
C: "I should place my infant on his side to sleep."
D: "I should add 1 teaspoon of rice cereal to my infant's formula."
Correct Answer
D: "I should add 1 teaspoon of rice cereal to my infant's formula."
Question 6
A nurse is assessing a client who has a calcium level of 6.3 mg/dL. Which of the following findings should the
nurse expect?
A: Circumoral tingling
B: Hypoactive reflexes
C: Fatigue
D: Anorexia
Correct Answer
A: Circumoral tingling
Question 7
A nurse is assessing a client who has appendicitis. Which of the following findings should the nurse report to
the provider immediately?
A: WBC 16,000/mm³
B: Board-like abdomen
C: Nausea and vomiting
D: Temperature of 38° C (100.4° F)
Correct Answer
B: Board-like abdomen
Question 8
A nurse is assessing a client who is receiving morphine via a PCA pump to manage postoperative pain. The
client has a heart rate of 66/min and a respiratory rate of 9/min. Which of the following medications should
the nurse anticipate the provider will prescribe for the client?
A: Naloxone
B: Flumazenil
C: Acetylcysteine
D: Glucagon
Correct Answer
A: Naloxone
Question 9
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,A nurse is assessing a 3-month-old infant who has gastroenteritis with severe dehydration. Which of the
following findings should the nurse expect?
A: Flat anterior fontanel
B: Capillary refill 2 seconds
C: 5% weight loss
D: Absence of tears
Correct Answer
D: Absence of tears
Question 10
A nurse is planning care for a client who has generalized anxiety disorder. Which of the following interventions
should the nurse include in the client's plan of care?
A: Give the client detailed instructions.
B: Reframe situations in a positive manner for the client.
C: Speak in a brisk manner to the client.
D: Avoid involving the client in problem solving
Correct Answer
B: Reframe situations in a positive manner for the client.
Question 11
A nurse is an emergency department is assessing a client who has type 1 diabetes mellitus. Which of the
following findings should the nurse identify as an indication that the client has diabetic ketoacidosis?
A: Seizure activity
B: Nervousness
C: Blood glucose 396 mg/dL
D: Serum pH 7.52
Correct Answer
C: Blood glucose 396 mg/dL
Question 12
A school nurse is teaching an adolescent who has diabetes mellitus about preventing hypoglycemia during
and after baseball practice. Which of the following instructions should the school nurse include?
A: "Inject your insulin into the upper thigh on practice days."
B: "Consume an extra snack before practice."
C: "Increase your regular insulin dosage before lunch on practice days."
D: "Take a glucose tablet with a high-carbohydrate beverage after practice."
Correct Answer
B: "Consume an extra snack before practice."
Question 13
A nurse is providing dietary teaching for a client who has hyperlipidemia due to nephrotic syndrome. Which of
the following instructions should the nurse include in the teaching?
A: Less than 30% of daily calories should come from fat.
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, B: Decrease caloric intake to less than 25 cal/kg/day.
C: Increase sodium intake.
D: Limit daily intake of foods high in carbohydrates.
Correct Answer
A: Less than 30% of daily calories should come from fat.
Question 14
A nurse is teaching a client who has asthma about medications to treat an acute asthma attack. Which of the
following medications should the nurse include in the teaching?
A: Fluticasone
B: Salmeterol
C: Albuterol
D: Montelukast
Correct Answer
C: Albuterol
Question 15
The nurse in an emergency department was caring for an adolescent who died following a motor vehicle
crash. Which of the following reactions should the nurse expect the client's 10-year-old sibling to exhibit?
A: The sibling believes the client will wake up in a few hours.
B: The sibling is curious about what will happen to the client's body.
C: The sibling will continue to treat the client as though he were still alive.
D: The sibling will alienate themselves from her family and friends.
Correct Answer
B: The sibling is curious about what will happen to the client's body.
Question 16
A nurse is teaching a client who is at moderate risk for osteoporosis about ways to help prevent this chronic
disease. Which of the following instructions should the nurse include? (Select all that apply.)
A: Avoid sun exposure.
B: Increase dairy product intake.
C: Engage in weight-bearing exercises regularly.
D: Increase phosphate intake.
E: Reduce excessive caffeine intake
Correct Answer
B: Increase dairy product intake.
C: Engage in weight-bearing exercises regularly
E: Reduce excessive caffeine intake
Question 17
A nurse is teaching a client who has a deep-vein thrombosis about a new prescription for warfarin. Which of
the following client statements indicates an understanding of the teaching?
A: "I will stop taking the medication immediately if I experience nausea."
Page 4 of 148
Question 1
A nurse in an emergency department is caring for a client who reports abdominal pain, vomiting, and appears
dehydrated. The client's ABG results are pH 7.28, PaCO2 36 mm Hg, and HCO3 14 mEq/L. Based on these
findings, the nurse should identify that the client has which of the following acid-base imbalances?
A: Metabolic acidosis
B: Metabolic alkalosis
C: Respiratory acidosis
D: Respiratory alkalosis
Correct Answer
A: Metabolic acidosis
Question 2
A nurse is providing teaching to a client who has diabetes mellitus and a new prescription for extended-
release metformin. Which of the following client statements indicates an understanding of the teaching?
A: "I will avoid drinking grapefruit juice."
B: "I will chew the medication if I can't swallow it whole."
C: "I will call the doctor if I have muscle pain in my back."
D: "I will take this medication on an empty stomach."
Correct Answer
C: "I will call the doctor if I have muscle pain in my back."
Question 3
A nurse is reviewing the medical record of a client who has a family history of gallstones. Which of the
following findings should the nurse identify as a risk factor for developing cholecystitis?
A: Client is an adult male.
B: Client is taking atorvastatin.
C: Client is of Asian descent.
D: Client has a history of asthma.
Correct Answer
B: Client is taking atorvastatin.
Question 4
A nurse is caring for a client who is receiving heparin therapy and has an aPTT of 92 seconds. Which of the
following medications should the nurse anticipate the provider might prescribe for the client?
A: Leucovorin
B: Vitamin K
C: Deferoxamine
D: Protamine
Correct Answer
D: Protamine
Page 1 of 148
,Question 5
A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux about home care.
Which of the following statements by the parent indicates an understanding of the teaching?
A: "I should feed my infant a larger amount of formula less frequently."
B: "I should feed my infant a bottle of formula within 1 hour of bedtime."
C: "I should place my infant on his side to sleep."
D: "I should add 1 teaspoon of rice cereal to my infant's formula."
Correct Answer
D: "I should add 1 teaspoon of rice cereal to my infant's formula."
Question 6
A nurse is assessing a client who has a calcium level of 6.3 mg/dL. Which of the following findings should the
nurse expect?
A: Circumoral tingling
B: Hypoactive reflexes
C: Fatigue
D: Anorexia
Correct Answer
A: Circumoral tingling
Question 7
A nurse is assessing a client who has appendicitis. Which of the following findings should the nurse report to
the provider immediately?
A: WBC 16,000/mm³
B: Board-like abdomen
C: Nausea and vomiting
D: Temperature of 38° C (100.4° F)
Correct Answer
B: Board-like abdomen
Question 8
A nurse is assessing a client who is receiving morphine via a PCA pump to manage postoperative pain. The
client has a heart rate of 66/min and a respiratory rate of 9/min. Which of the following medications should
the nurse anticipate the provider will prescribe for the client?
A: Naloxone
B: Flumazenil
C: Acetylcysteine
D: Glucagon
Correct Answer
A: Naloxone
Question 9
Page 2 of 148
,A nurse is assessing a 3-month-old infant who has gastroenteritis with severe dehydration. Which of the
following findings should the nurse expect?
A: Flat anterior fontanel
B: Capillary refill 2 seconds
C: 5% weight loss
D: Absence of tears
Correct Answer
D: Absence of tears
Question 10
A nurse is planning care for a client who has generalized anxiety disorder. Which of the following interventions
should the nurse include in the client's plan of care?
A: Give the client detailed instructions.
B: Reframe situations in a positive manner for the client.
C: Speak in a brisk manner to the client.
D: Avoid involving the client in problem solving
Correct Answer
B: Reframe situations in a positive manner for the client.
Question 11
A nurse is an emergency department is assessing a client who has type 1 diabetes mellitus. Which of the
following findings should the nurse identify as an indication that the client has diabetic ketoacidosis?
A: Seizure activity
B: Nervousness
C: Blood glucose 396 mg/dL
D: Serum pH 7.52
Correct Answer
C: Blood glucose 396 mg/dL
Question 12
A school nurse is teaching an adolescent who has diabetes mellitus about preventing hypoglycemia during
and after baseball practice. Which of the following instructions should the school nurse include?
A: "Inject your insulin into the upper thigh on practice days."
B: "Consume an extra snack before practice."
C: "Increase your regular insulin dosage before lunch on practice days."
D: "Take a glucose tablet with a high-carbohydrate beverage after practice."
Correct Answer
B: "Consume an extra snack before practice."
Question 13
A nurse is providing dietary teaching for a client who has hyperlipidemia due to nephrotic syndrome. Which of
the following instructions should the nurse include in the teaching?
A: Less than 30% of daily calories should come from fat.
Page 3 of 148
, B: Decrease caloric intake to less than 25 cal/kg/day.
C: Increase sodium intake.
D: Limit daily intake of foods high in carbohydrates.
Correct Answer
A: Less than 30% of daily calories should come from fat.
Question 14
A nurse is teaching a client who has asthma about medications to treat an acute asthma attack. Which of the
following medications should the nurse include in the teaching?
A: Fluticasone
B: Salmeterol
C: Albuterol
D: Montelukast
Correct Answer
C: Albuterol
Question 15
The nurse in an emergency department was caring for an adolescent who died following a motor vehicle
crash. Which of the following reactions should the nurse expect the client's 10-year-old sibling to exhibit?
A: The sibling believes the client will wake up in a few hours.
B: The sibling is curious about what will happen to the client's body.
C: The sibling will continue to treat the client as though he were still alive.
D: The sibling will alienate themselves from her family and friends.
Correct Answer
B: The sibling is curious about what will happen to the client's body.
Question 16
A nurse is teaching a client who is at moderate risk for osteoporosis about ways to help prevent this chronic
disease. Which of the following instructions should the nurse include? (Select all that apply.)
A: Avoid sun exposure.
B: Increase dairy product intake.
C: Engage in weight-bearing exercises regularly.
D: Increase phosphate intake.
E: Reduce excessive caffeine intake
Correct Answer
B: Increase dairy product intake.
C: Engage in weight-bearing exercises regularly
E: Reduce excessive caffeine intake
Question 17
A nurse is teaching a client who has a deep-vein thrombosis about a new prescription for warfarin. Which of
the following client statements indicates an understanding of the teaching?
A: "I will stop taking the medication immediately if I experience nausea."
Page 4 of 148
