ATI RN Concept-Based Assessment Level 1 Online Practice A Questions
and Answers with Rationale
1. A nurse is assessing a preschooler who has a urinary tract infection (UTI).
Which of the following findings should the nurse expect?
1. Diarrhea
2. Abdominal pain
3. Increased thirst
4. Skin rash- ANSWER -Abdominal Pain
Rat- ANSWER -The nurse should expect a preschooler who has a UTI to experience abdominal pain. Other
manifestations include constipation, dysuria, foul-smelling urine, and fever.
2. A nurse is counseling a client who has a family history of colorectal cancer
about management of nutrition to help prevent gastrointestinal (GI) cancers.
Which of the following images indicates a food or beverage the nurse should
encourage the client to include liberally in his diet?- ANSWER -Fruits and Veggies
Rat- ANSWER -To help reduce the risk of cancers of the GI system, the nurse should instruct the client to consume at
least 2.5 cups of fruits and vegetables per day.
3. 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?
1. Aim the fire extinguisher at the top of the flames.
2. Pump the handles of the fire extinguisher up and down three times.
3. Sweep the fire extinguisher in a circular motion until the fire is extinguished.
4. Slide the pin on top of the fire extinguisher straight out.- ANSWER -Slide the pin
on top of the fire extinguisher straight out.
Rat- ANSWER -The nurse should pull the pin on the top of the fire extinguisher to allow for use to extinguish the fire.
, ATI RN Concept-Based Assessment Level 1 Online Practice A Questions
and Answers with Rationale
4. A nurse is caring for a child who has celiac disease. Which of the following
items should the nurse remove from the child's meal tray?
1. Corn-flake cereal
2. Orange juice
3. Scrambled eggs
4. Oatmeal with raisins- ANSWER -Oatmeal with raisins
Rat- ANSWER -Celiac disease is the intolerance to dietary gluten, which is a protein in wheat, rye, oats, and barley. This
intolerance causes diarrhea, weight loss, abdominal pain, and fatigue. Therefore, the nurse should remove oatmeal from
the child's meal tray.
5. A nurse at a providers office is counseling a client who reports insomnia.
Which of the following statements should the nurse make to include the clients
preferences into a sleep promotion plan?
1. "If alcoholic beverages are desired, consume them in the early evenings"
2. "Sleep in the location of your home where you feel your rest best"
3. "Turn on a favorite television show just before going to bed"
4. "Allow your sleep and wake times to vary depending on how you feel each
day"- ANSWER -"Sleep in the location of your home where you feel your rest best"
Rat- ANSWER -The nurse should encourage the client to sleep wherever she feels she gets the most rest, whether it be
a bed, couch, or chair.
6. A nurse is assessing the spiritual wellbeing and development of a preschooler.
The nurse asks the preschooler, "Why is it wrong to kick our baby sister?" Which
of the following responses should the nurse expect?
1. "It's not wrong because she made me mad."
2. "It's wrong because my dad said I can't kick her."
3. "It's wrong to kick her because the gods won't like it."
4. "It's wrong because she would get hurt and be sad."- ANSWER -"It's wrong because
my dad said I can't kick her."
, ATI RN Concept-Based Assessment Level 1 Online Practice A Questions
and Answers with Rationale
Rat- ANSWER -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.
7. A nurse in a long term care facility is admitting a new client following a brief
stay in acute care. In adherence with the Joint Commission National Patient
Safety Goals regarding medication administration, which of the following ac-
tions should the nurse take?
A. Inform the client that he will not be receiving the medications he took prior
to his hospitalization.
B. Compare a list of the client's current medications with the ones he will take
in long-term care.
C. Eliminate any over-the-counter products from the client's current medication
list.
D. Omit the medication indications when listing the client's medication dose
information.- ANSWER -Compare a list of the client's current medications with the ones he will take in long-
term care.
Rat- ANSWER -The Joint Commission National Patient Safety Goals regarding medication reconciliation includes
maintaining and communicating accurate client medication information. The nurse should complete a medication
reconciliation to identify and resolve any discrepancies by comparing the client's list of current medications with the
medications he will take in the long-term care facility and addressing any duplications, omissions, or interactions.
8. 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?
A. Inform the client that phantom limb pain is not real.
B. Administer a beta-blocking medication to the client.
C. Place the client on a soft mattress.
D. Loosen the bandage on the client's residual limb.- ANSWER -Administer a beta-blocking
medication to the client
, ATI RN Concept-Based Assessment Level 1 Online Practice A Questions
and Answers with Rationale
Rat- ANSWER -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.
9. A nurse is teaching the parent of a toddler about home injury prevention.
When discussing snacks, which of the following statements by the parent
indicates an understanding of the teaching?
1. "I can offer her grapes as long as I peel them first."
2. "I can give her watermelon pieces after I remove the seeds."
3. "I should give her popcorn that is air-popped and without salt or butter."
4. "I should cut hot dogs into thin, round slices before giving them to her."-
ANSWER -"I can give her watermelon pieces after I remove the seeds."
Rat- ANSWER -The nurse should inform the parent that toddlers can easily choke on seeds from fruits, such as
watermelon seeds or cherry pits, because of their round shape and size. Removing the seeds and cutting the
watermelon into pieces provides the toddler with a nutritious snack that does not increase the toddler's risk of
foreign body obstruction.
10. A nurse is searching electronic databases for clinical research about be-
havioral indicators of pain in an infant. Which of the following online sources
should the nurse select to research this infant care issue?
1. Cumulative Index to Nursing and Allied Health Literature (CINAHL)
2. The Nursing Minimum Data Set
3. The Omaha System
4. The Nursing Interventions Classification (NIC)- ANSWER -Cumulative Index to
Nursing and Allied Health Literature (CINAHL)
Rat- ANSWER -The nurse should select the Cumulative Index to Nursing and Allied Health Literature (CINAHL) to locate
clinical research about health-related client care issues. CINAHL is a cumulative index that the nurse can search
electronically to locate reliable data related to the specific topic being researched.
11. A nurse is caring for a client who has dysphagia following a stroke. Which of
the following actions should the nurse take to facilitate safe swallowing and
decrease the risk of aspiration?
and Answers with Rationale
1. A nurse is assessing a preschooler who has a urinary tract infection (UTI).
Which of the following findings should the nurse expect?
1. Diarrhea
2. Abdominal pain
3. Increased thirst
4. Skin rash- ANSWER -Abdominal Pain
Rat- ANSWER -The nurse should expect a preschooler who has a UTI to experience abdominal pain. Other
manifestations include constipation, dysuria, foul-smelling urine, and fever.
2. A nurse is counseling a client who has a family history of colorectal cancer
about management of nutrition to help prevent gastrointestinal (GI) cancers.
Which of the following images indicates a food or beverage the nurse should
encourage the client to include liberally in his diet?- ANSWER -Fruits and Veggies
Rat- ANSWER -To help reduce the risk of cancers of the GI system, the nurse should instruct the client to consume at
least 2.5 cups of fruits and vegetables per day.
3. 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?
1. Aim the fire extinguisher at the top of the flames.
2. Pump the handles of the fire extinguisher up and down three times.
3. Sweep the fire extinguisher in a circular motion until the fire is extinguished.
4. Slide the pin on top of the fire extinguisher straight out.- ANSWER -Slide the pin
on top of the fire extinguisher straight out.
Rat- ANSWER -The nurse should pull the pin on the top of the fire extinguisher to allow for use to extinguish the fire.
, ATI RN Concept-Based Assessment Level 1 Online Practice A Questions
and Answers with Rationale
4. A nurse is caring for a child who has celiac disease. Which of the following
items should the nurse remove from the child's meal tray?
1. Corn-flake cereal
2. Orange juice
3. Scrambled eggs
4. Oatmeal with raisins- ANSWER -Oatmeal with raisins
Rat- ANSWER -Celiac disease is the intolerance to dietary gluten, which is a protein in wheat, rye, oats, and barley. This
intolerance causes diarrhea, weight loss, abdominal pain, and fatigue. Therefore, the nurse should remove oatmeal from
the child's meal tray.
5. A nurse at a providers office is counseling a client who reports insomnia.
Which of the following statements should the nurse make to include the clients
preferences into a sleep promotion plan?
1. "If alcoholic beverages are desired, consume them in the early evenings"
2. "Sleep in the location of your home where you feel your rest best"
3. "Turn on a favorite television show just before going to bed"
4. "Allow your sleep and wake times to vary depending on how you feel each
day"- ANSWER -"Sleep in the location of your home where you feel your rest best"
Rat- ANSWER -The nurse should encourage the client to sleep wherever she feels she gets the most rest, whether it be
a bed, couch, or chair.
6. A nurse is assessing the spiritual wellbeing and development of a preschooler.
The nurse asks the preschooler, "Why is it wrong to kick our baby sister?" Which
of the following responses should the nurse expect?
1. "It's not wrong because she made me mad."
2. "It's wrong because my dad said I can't kick her."
3. "It's wrong to kick her because the gods won't like it."
4. "It's wrong because she would get hurt and be sad."- ANSWER -"It's wrong because
my dad said I can't kick her."
, ATI RN Concept-Based Assessment Level 1 Online Practice A Questions
and Answers with Rationale
Rat- ANSWER -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.
7. A nurse in a long term care facility is admitting a new client following a brief
stay in acute care. In adherence with the Joint Commission National Patient
Safety Goals regarding medication administration, which of the following ac-
tions should the nurse take?
A. Inform the client that he will not be receiving the medications he took prior
to his hospitalization.
B. Compare a list of the client's current medications with the ones he will take
in long-term care.
C. Eliminate any over-the-counter products from the client's current medication
list.
D. Omit the medication indications when listing the client's medication dose
information.- ANSWER -Compare a list of the client's current medications with the ones he will take in long-
term care.
Rat- ANSWER -The Joint Commission National Patient Safety Goals regarding medication reconciliation includes
maintaining and communicating accurate client medication information. The nurse should complete a medication
reconciliation to identify and resolve any discrepancies by comparing the client's list of current medications with the
medications he will take in the long-term care facility and addressing any duplications, omissions, or interactions.
8. 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?
A. Inform the client that phantom limb pain is not real.
B. Administer a beta-blocking medication to the client.
C. Place the client on a soft mattress.
D. Loosen the bandage on the client's residual limb.- ANSWER -Administer a beta-blocking
medication to the client
, ATI RN Concept-Based Assessment Level 1 Online Practice A Questions
and Answers with Rationale
Rat- ANSWER -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.
9. A nurse is teaching the parent of a toddler about home injury prevention.
When discussing snacks, which of the following statements by the parent
indicates an understanding of the teaching?
1. "I can offer her grapes as long as I peel them first."
2. "I can give her watermelon pieces after I remove the seeds."
3. "I should give her popcorn that is air-popped and without salt or butter."
4. "I should cut hot dogs into thin, round slices before giving them to her."-
ANSWER -"I can give her watermelon pieces after I remove the seeds."
Rat- ANSWER -The nurse should inform the parent that toddlers can easily choke on seeds from fruits, such as
watermelon seeds or cherry pits, because of their round shape and size. Removing the seeds and cutting the
watermelon into pieces provides the toddler with a nutritious snack that does not increase the toddler's risk of
foreign body obstruction.
10. A nurse is searching electronic databases for clinical research about be-
havioral indicators of pain in an infant. Which of the following online sources
should the nurse select to research this infant care issue?
1. Cumulative Index to Nursing and Allied Health Literature (CINAHL)
2. The Nursing Minimum Data Set
3. The Omaha System
4. The Nursing Interventions Classification (NIC)- ANSWER -Cumulative Index to
Nursing and Allied Health Literature (CINAHL)
Rat- ANSWER -The nurse should select the Cumulative Index to Nursing and Allied Health Literature (CINAHL) to locate
clinical research about health-related client care issues. CINAHL is a cumulative index that the nurse can search
electronically to locate reliable data related to the specific topic being researched.
11. A nurse is caring for a client who has dysphagia following a stroke. Which of
the following actions should the nurse take to facilitate safe swallowing and
decrease the risk of aspiration?
