______________________________________
ATI RN
CONCEPTS LEVEL 1
(NGN-STYLE QUESTIONS & CASE
SCENARIOS)
This exam typically evaluates basic nursing knowledge and
clinical reasoning
QUESTIONS AND VERIFIED ANSWERS|
100% CORRECT| GRADED A+
EXAM COVER SHEET
PROGRAM: RN Nursing
EXAM NAME: ATI RN Concepts Assessment Level 1
COURSE NAME: Fundamentals of Nursing / Nursing Concepts
ATI RN: CONCEPTS LEVEL 1
,Question 1: Management of Phantom Limb Neuropathic Pain Following an Above-the-
Knee Amputation
A nurse is caring for a 62-year-old client who is 2 days postoperative following an
above-the-knee amputation due to complications of peripheral arterial disease. During
the assessment, the client reports experiencing a persistent dull, burning sensation
that seems to originate from the amputated leg. The client states, "I know my leg is
gone, but it still feels like it's there and hurting." The nurse recognizes this as phantom
limb pain, a type of neuropathic pain that occurs after amputation due to abnormal
nerve signaling and altered sensory processing. Which of the following actions should
the nurse take to help treat the client's neuropathic pain?
Multiple Choice Options
A. Administer a beta-blocking medication to the client
B. Administer an opioid analgesic PRN
C. Apply ice packs to the residual limb
D. Elevate the residual limb on pillows
Correct Answer: A. Administer a beta-blocking medication to the client
Rationale
Phantom limb pain is a form of neuropathic pain that develops when nerve pathways
continue to send pain signals to the brain despite the absence of the limb. Clients often
describe the pain as burning, tingling, shooting, stabbing, or aching. Certain medications,
including beta-blockers such as propranolol, have been shown to help relieve phantom
limb pain by influencing sympathetic nervous system activity and reducing abnormal pain
transmission. Because neuropathic pain originates from nerve dysfunction rather than
tissue injury alone, treatment differs from traditional pain management approaches.
Early recognition and targeted therapy can improve comfort, enhance participation in
rehabilitation, and promote recovery following amputation.
Question 2: Legal Scope of Practice for Registered Nurses
A newly licensed nurse has started working on a hospital unit and wants to make sure
that all nursing actions performed are within legal and professional boundaries. The
nurse approaches the charge nurse and asks where to find the most accurate
information about what registered nurses are legally allowed to do in their role. The
charge nurse understands that nurses must follow regulations established by the
,appropriate governing authority to ensure safe and lawful practice. Which of the
following responses should the charge nurse make?
A. "The state board of nursing can provide this information"
B. "Check with the hospital's legal department"
C. "Review the ANA Code of Ethics for Nurses"
D. "Consult the facility's policy and procedure manual"
Correct Answer: A
Rationale: The nurse should refer to the state board of nursing, because each state
establishes a Nurse Practice Act (NPA) that defines the legal scope of practice for registered
nurses. The Nurse Practice Act outlines the responsibilities, limitations, educational
requirements, and standards that govern nursing practice within that state. The state board
of nursing is the regulatory authority responsible for interpreting and enforcing these laws.
Nurses must practice within the boundaries established by the Nurse Practice Act to maintain
their license and provide safe client care. While professional organizations and healthcare
facilities provide additional guidance, they do not have the legal authority to define a nurse’s
scope of practice.
Question 3: Preventing Catheter-Related Bloodstream Infection (CLABSI)
A nurse is caring for a client who requires IV fluid therapy through a central venous
catheter. The nurse is developing a plan of care to reduce the client's risk of
developing a catheter-related bloodstream infection (CLABSI). Because bloodstream
infections related to vascular access devices can lead to serious complications such as
sepsis, the nurse reviews evidence-based infection prevention strategies. Which of
the following interventions should the nurse include in the plan of care? (Select All
That Apply)
A. Perform hand hygiene before touching the IV tubing
B. Change the IV tubing every 24 hours
C. Use chlorhexidine skin preparation before insertion
D. Apply a transparent dressing over the insertion site
E. Replace the catheter every 72 hours routinely
Correct Answers: A, C, D
Rationale:
A: 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 bloodstream
infections.
, C: Chlorhexidine is the preferred antiseptic for skin preparation before central line
insertion.
D: Transparent dressings allow visualization of the insertion site while maintaining a
sterile barrier.
B is incorrect: Tubing changes depend on solution type (every 72-96 hours for
continuous infusions, not daily).
E is incorrect: Catheters should not be routinely replaced; they are changed based
on clinical indication or complication.
ATI RN
CONCEPTS LEVEL 1
(NGN-STYLE QUESTIONS & CASE
SCENARIOS)
This exam typically evaluates basic nursing knowledge and
clinical reasoning
QUESTIONS AND VERIFIED ANSWERS|
100% CORRECT| GRADED A+
EXAM COVER SHEET
PROGRAM: RN Nursing
EXAM NAME: ATI RN Concepts Assessment Level 1
COURSE NAME: Fundamentals of Nursing / Nursing Concepts
ATI RN: CONCEPTS LEVEL 1
,Question 1: Management of Phantom Limb Neuropathic Pain Following an Above-the-
Knee Amputation
A nurse is caring for a 62-year-old client who is 2 days postoperative following an
above-the-knee amputation due to complications of peripheral arterial disease. During
the assessment, the client reports experiencing a persistent dull, burning sensation
that seems to originate from the amputated leg. The client states, "I know my leg is
gone, but it still feels like it's there and hurting." The nurse recognizes this as phantom
limb pain, a type of neuropathic pain that occurs after amputation due to abnormal
nerve signaling and altered sensory processing. Which of the following actions should
the nurse take to help treat the client's neuropathic pain?
Multiple Choice Options
A. Administer a beta-blocking medication to the client
B. Administer an opioid analgesic PRN
C. Apply ice packs to the residual limb
D. Elevate the residual limb on pillows
Correct Answer: A. Administer a beta-blocking medication to the client
Rationale
Phantom limb pain is a form of neuropathic pain that develops when nerve pathways
continue to send pain signals to the brain despite the absence of the limb. Clients often
describe the pain as burning, tingling, shooting, stabbing, or aching. Certain medications,
including beta-blockers such as propranolol, have been shown to help relieve phantom
limb pain by influencing sympathetic nervous system activity and reducing abnormal pain
transmission. Because neuropathic pain originates from nerve dysfunction rather than
tissue injury alone, treatment differs from traditional pain management approaches.
Early recognition and targeted therapy can improve comfort, enhance participation in
rehabilitation, and promote recovery following amputation.
Question 2: Legal Scope of Practice for Registered Nurses
A newly licensed nurse has started working on a hospital unit and wants to make sure
that all nursing actions performed are within legal and professional boundaries. The
nurse approaches the charge nurse and asks where to find the most accurate
information about what registered nurses are legally allowed to do in their role. The
charge nurse understands that nurses must follow regulations established by the
,appropriate governing authority to ensure safe and lawful practice. Which of the
following responses should the charge nurse make?
A. "The state board of nursing can provide this information"
B. "Check with the hospital's legal department"
C. "Review the ANA Code of Ethics for Nurses"
D. "Consult the facility's policy and procedure manual"
Correct Answer: A
Rationale: The nurse should refer to the state board of nursing, because each state
establishes a Nurse Practice Act (NPA) that defines the legal scope of practice for registered
nurses. The Nurse Practice Act outlines the responsibilities, limitations, educational
requirements, and standards that govern nursing practice within that state. The state board
of nursing is the regulatory authority responsible for interpreting and enforcing these laws.
Nurses must practice within the boundaries established by the Nurse Practice Act to maintain
their license and provide safe client care. While professional organizations and healthcare
facilities provide additional guidance, they do not have the legal authority to define a nurse’s
scope of practice.
Question 3: Preventing Catheter-Related Bloodstream Infection (CLABSI)
A nurse is caring for a client who requires IV fluid therapy through a central venous
catheter. The nurse is developing a plan of care to reduce the client's risk of
developing a catheter-related bloodstream infection (CLABSI). Because bloodstream
infections related to vascular access devices can lead to serious complications such as
sepsis, the nurse reviews evidence-based infection prevention strategies. Which of
the following interventions should the nurse include in the plan of care? (Select All
That Apply)
A. Perform hand hygiene before touching the IV tubing
B. Change the IV tubing every 24 hours
C. Use chlorhexidine skin preparation before insertion
D. Apply a transparent dressing over the insertion site
E. Replace the catheter every 72 hours routinely
Correct Answers: A, C, D
Rationale:
A: 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 bloodstream
infections.
, C: Chlorhexidine is the preferred antiseptic for skin preparation before central line
insertion.
D: Transparent dressings allow visualization of the insertion site while maintaining a
sterile barrier.
B is incorrect: Tubing changes depend on solution type (every 72-96 hours for
continuous infusions, not daily).
E is incorrect: Catheters should not be routinely replaced; they are changed based
on clinical indication or complication.
