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ATI RN CONCEPT-BASED ASSESSMENT LEVEL 3 PROCTORED EXAM
2025/2026 – 100% CORRECT ANSWERS & DETAILED RATIONALES |
ULTIMATE NCLEX PREP TEST BANK,ALREADY GRADEDA+
1) A nurse is providing teaching to a client prescribed warfarin. Which
statement indicates understanding?
A. "I will increase my intake of leafy green vegetables."
B. "I will avoid taking aspirin unless approved."
C. "I can take ginkgo biloba for memory while on this medication."
D. "I should drink cranberry juice daily to enhance effect."
Answer: B
Rationale: Aspirin increases bleeding risk. Vitamin K foods (leafy greens) must
remain consistent, ginkgo increases bleeding, and cranberry potentiates warfarin
effects.
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2) A client with COPD is receiving oxygen at 4 L/min via nasal cannula.
Which action should the nurse take?
A. Maintain current flow rate.
B. Reduce to 2 L/min.
C. Switch to non-rebreather mask.
D. Encourage hyperventilation.
Answer: B
Rationale: COPD patients rely on hypoxic drive. Oxygen >3 L/min may suppress
respiratory drive.
3) Which finding requires immediate intervention in a client with NG tube
feeding?
A. Gastric residual of 40 mL
B. Abdominal cramping during feeding
C. Residual >250 mL on two consecutive checks
D. Loose stool after feeding
Answer: C
Rationale: High residuals increase aspiration risk.
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4) A nurse is caring for a client receiving morphine IV. Which is the priority
assessment?
A. Urinary retention
B. Pain relief
C. Respiratory rate
D. Constipation
Answer: C
Rationale: Respiratory depression is life-threatening.
5) Which finding indicates hypoglycemia?
A. Fruity breath odor
B. Tremors and diaphoresis
C. Polydipsia and polyuria
D. Dry mucous membranes
Answer: B
Rationale: Classic signs are tremors, sweating, irritability, and confusion.
6) A nurse is reinforcing teaching for a client prescribed levothyroxine. Which
statement indicates understanding?
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A. "I will take this with my breakfast."
B. "I should stop taking it if I feel palpitations."
C. "I will take it at the same time every morning."
D. "I can switch to generic brands if needed."
Answer: C
Rationale: Levothyroxine should be taken daily, in the morning, on an empty
stomach, consistently.
7) A client receiving TPN develops dyspnea and chest pain. What should the
nurse do first?
A. Clamp the catheter
B. Place client on left side in Trendelenburg position
C. Notify provider
D. Administer oxygen
Answer: B
Rationale: Air embolism is suspected; positioning traps air in right atrium.
8) Which action prevents catheter-associated UTIs?
A. Daily irrigation of catheter
ATI RN CONCEPT-BASED ASSESSMENT LEVEL 3 PROCTORED EXAM
2025/2026 – 100% CORRECT ANSWERS & DETAILED RATIONALES |
ULTIMATE NCLEX PREP TEST BANK,ALREADY GRADEDA+
1) A nurse is providing teaching to a client prescribed warfarin. Which
statement indicates understanding?
A. "I will increase my intake of leafy green vegetables."
B. "I will avoid taking aspirin unless approved."
C. "I can take ginkgo biloba for memory while on this medication."
D. "I should drink cranberry juice daily to enhance effect."
Answer: B
Rationale: Aspirin increases bleeding risk. Vitamin K foods (leafy greens) must
remain consistent, ginkgo increases bleeding, and cranberry potentiates warfarin
effects.
,2 | Page
2) A client with COPD is receiving oxygen at 4 L/min via nasal cannula.
Which action should the nurse take?
A. Maintain current flow rate.
B. Reduce to 2 L/min.
C. Switch to non-rebreather mask.
D. Encourage hyperventilation.
Answer: B
Rationale: COPD patients rely on hypoxic drive. Oxygen >3 L/min may suppress
respiratory drive.
3) Which finding requires immediate intervention in a client with NG tube
feeding?
A. Gastric residual of 40 mL
B. Abdominal cramping during feeding
C. Residual >250 mL on two consecutive checks
D. Loose stool after feeding
Answer: C
Rationale: High residuals increase aspiration risk.
,3 | Page
4) A nurse is caring for a client receiving morphine IV. Which is the priority
assessment?
A. Urinary retention
B. Pain relief
C. Respiratory rate
D. Constipation
Answer: C
Rationale: Respiratory depression is life-threatening.
5) Which finding indicates hypoglycemia?
A. Fruity breath odor
B. Tremors and diaphoresis
C. Polydipsia and polyuria
D. Dry mucous membranes
Answer: B
Rationale: Classic signs are tremors, sweating, irritability, and confusion.
6) A nurse is reinforcing teaching for a client prescribed levothyroxine. Which
statement indicates understanding?
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A. "I will take this with my breakfast."
B. "I should stop taking it if I feel palpitations."
C. "I will take it at the same time every morning."
D. "I can switch to generic brands if needed."
Answer: C
Rationale: Levothyroxine should be taken daily, in the morning, on an empty
stomach, consistently.
7) A client receiving TPN develops dyspnea and chest pain. What should the
nurse do first?
A. Clamp the catheter
B. Place client on left side in Trendelenburg position
C. Notify provider
D. Administer oxygen
Answer: B
Rationale: Air embolism is suspected; positioning traps air in right atrium.
8) Which action prevents catheter-associated UTIs?
A. Daily irrigation of catheter
