2025 ATI RN CONCEPT-
BASED ASSESSMENT
LEVEL 1 PROCTORED
EXAM
1. Infection Control and Prevention
Question: A nurse is caring for a client with a suspected infectious disease. What is
the most important action the nurse should take to prevent the spread of infection?
A) Wearing a surgical mask
B) Administering antibiotics as prescribed
C) Performing hand hygiene before and after client contact
,D) Asking the client to remain in bed
Correct Answer: C) Performing hand hygiene before and after client contact
Rationale: The most effective way to prevent the transmission of infections is
through proper hand hygiene. This includes washing hands with soap and water or
using an alcohol-based hand rub before and after direct client contact, touching the
environment, or performing any invasive procedures.
2. Pharmacology and Medication Administration
Question: A nurse is preparing to administer a medication that is due in the morning.
The medication has a "half-life" of 6 hours. The nurse understands that:
A) The medication will be eliminated from the body in 6 hours
B) The medication will reach half of its therapeutic effect in 6 hours
C) It will take 6 hours for the medication to be half-eliminated from the bloodstream
D) The medication’s side effects will begin to subside in 6 hours
Correct Answer: C) It will take 6 hours for the medication to be half-eliminated from
the bloodstream
Rationale: The "half-life" of a drug refers to the time it takes for the concentration of
the drug in the bloodstream to be reduced by half. This is crucial for understanding
the timing of doses and ensuring therapeutic levels are maintained.
3. Cardiovascular System
Question: A nurse is assessing a patient with atrial fibrillation (AFib). Which of the
following findings is most concerning and should be reported immediately?
A) Heart rate of 110 bpm
B) Blood pressure of 130/80 mmHg
C) Complaints of dizziness and shortness of breath
,D) Mild swelling in the lower legs
Correct Answer: C) Complaints of dizziness and shortness of breath
Rationale: Dizziness and shortness of breath in a patient with atrial fibrillation may
indicate a serious complication such as a stroke or heart failure. These symptoms
require immediate assessment and intervention to prevent further deterioration.
4. Respiratory System
Question: A nurse is caring for a patient with chronic obstructive pulmonary disease
(COPD) who is receiving oxygen therapy. Which of the following actions is most
important for the nurse to monitor?
A) The oxygen flow rate to ensure it does not exceed 3 liters per minute
B) The patient’s oxygen saturation levels and the need for supplemental oxygen
C) The frequency of deep breathing exercises to increase lung capacity
D) The patient’s level of activity to prevent fatigue
Correct Answer: B) The patient’s oxygen saturation levels and the need for
supplemental oxygen
Rationale: Monitoring oxygen saturation levels is crucial for COPD patients to ensure
that they receive adequate oxygenation without exacerbating respiratory acidosis.
Overuse of oxygen can cause carbon dioxide retention, which can be dangerous in
these patients.
5. Safety and Risk Reduction
Question: A nurse is caring for a client who has recently had surgery and is at risk for
falls. Which of the following actions is most appropriate to reduce the risk of falls?
A) Keep the bed in a high position to make it easier for the patient to reach for things
B) Place a call light within reach and instruct the patient to use it for assistance
, C) Encourage the patient to walk to the bathroom independently as soon as possible
D) Use restraints to prevent the patient from getting out of bed
Correct Answer: B) Place a call light within reach and instruct the patient to use it for
assistance
Rationale: Placing the call light within reach and encouraging the patient to call for
assistance ensures that they will have help when they need to get out of bed,
reducing the risk of falls. Restraints are not an appropriate intervention for fall
prevention and may pose risks for injury.
6. Neurological System
Question: A nurse is caring for a client with a recent stroke. Which of the following
assessments would be the priority for this client?
A) Pain level
B) Glasgow Coma Scale (GCS) score
C) Urine output
D) Mobility status
Correct Answer: B) Glasgow Coma Scale (GCS) score
Rationale: The GCS is used to assess a patient's level of consciousness and
neurological status, which is critical in the acute phase of stroke. Monitoring the GCS
score will help the nurse determine if the patient is deteriorating neurologically,
requiring immediate intervention.
7. Maternal and Newborn Health
Question: A nurse is providing education to a pregnant woman in her third trimester.
Which of the following is the most important advice the nurse should give regarding
fetal movement?
BASED ASSESSMENT
LEVEL 1 PROCTORED
EXAM
1. Infection Control and Prevention
Question: A nurse is caring for a client with a suspected infectious disease. What is
the most important action the nurse should take to prevent the spread of infection?
A) Wearing a surgical mask
B) Administering antibiotics as prescribed
C) Performing hand hygiene before and after client contact
,D) Asking the client to remain in bed
Correct Answer: C) Performing hand hygiene before and after client contact
Rationale: The most effective way to prevent the transmission of infections is
through proper hand hygiene. This includes washing hands with soap and water or
using an alcohol-based hand rub before and after direct client contact, touching the
environment, or performing any invasive procedures.
2. Pharmacology and Medication Administration
Question: A nurse is preparing to administer a medication that is due in the morning.
The medication has a "half-life" of 6 hours. The nurse understands that:
A) The medication will be eliminated from the body in 6 hours
B) The medication will reach half of its therapeutic effect in 6 hours
C) It will take 6 hours for the medication to be half-eliminated from the bloodstream
D) The medication’s side effects will begin to subside in 6 hours
Correct Answer: C) It will take 6 hours for the medication to be half-eliminated from
the bloodstream
Rationale: The "half-life" of a drug refers to the time it takes for the concentration of
the drug in the bloodstream to be reduced by half. This is crucial for understanding
the timing of doses and ensuring therapeutic levels are maintained.
3. Cardiovascular System
Question: A nurse is assessing a patient with atrial fibrillation (AFib). Which of the
following findings is most concerning and should be reported immediately?
A) Heart rate of 110 bpm
B) Blood pressure of 130/80 mmHg
C) Complaints of dizziness and shortness of breath
,D) Mild swelling in the lower legs
Correct Answer: C) Complaints of dizziness and shortness of breath
Rationale: Dizziness and shortness of breath in a patient with atrial fibrillation may
indicate a serious complication such as a stroke or heart failure. These symptoms
require immediate assessment and intervention to prevent further deterioration.
4. Respiratory System
Question: A nurse is caring for a patient with chronic obstructive pulmonary disease
(COPD) who is receiving oxygen therapy. Which of the following actions is most
important for the nurse to monitor?
A) The oxygen flow rate to ensure it does not exceed 3 liters per minute
B) The patient’s oxygen saturation levels and the need for supplemental oxygen
C) The frequency of deep breathing exercises to increase lung capacity
D) The patient’s level of activity to prevent fatigue
Correct Answer: B) The patient’s oxygen saturation levels and the need for
supplemental oxygen
Rationale: Monitoring oxygen saturation levels is crucial for COPD patients to ensure
that they receive adequate oxygenation without exacerbating respiratory acidosis.
Overuse of oxygen can cause carbon dioxide retention, which can be dangerous in
these patients.
5. Safety and Risk Reduction
Question: A nurse is caring for a client who has recently had surgery and is at risk for
falls. Which of the following actions is most appropriate to reduce the risk of falls?
A) Keep the bed in a high position to make it easier for the patient to reach for things
B) Place a call light within reach and instruct the patient to use it for assistance
, C) Encourage the patient to walk to the bathroom independently as soon as possible
D) Use restraints to prevent the patient from getting out of bed
Correct Answer: B) Place a call light within reach and instruct the patient to use it for
assistance
Rationale: Placing the call light within reach and encouraging the patient to call for
assistance ensures that they will have help when they need to get out of bed,
reducing the risk of falls. Restraints are not an appropriate intervention for fall
prevention and may pose risks for injury.
6. Neurological System
Question: A nurse is caring for a client with a recent stroke. Which of the following
assessments would be the priority for this client?
A) Pain level
B) Glasgow Coma Scale (GCS) score
C) Urine output
D) Mobility status
Correct Answer: B) Glasgow Coma Scale (GCS) score
Rationale: The GCS is used to assess a patient's level of consciousness and
neurological status, which is critical in the acute phase of stroke. Monitoring the GCS
score will help the nurse determine if the patient is deteriorating neurologically,
requiring immediate intervention.
7. Maternal and Newborn Health
Question: A nurse is providing education to a pregnant woman in her third trimester.
Which of the following is the most important advice the nurse should give regarding
fetal movement?
