ATI RN Concept-Based Assessment Level 4 Online Practice A
Latest Update 2026 | Exam Prep | High-Yield Review Guide
1. A nurse receives a client assignment that he believes is unfair. Which of the
following is an appropriate action for him to take?
Talk with the charge nurse about the assignment and his concerns
Accept the assignment and talk with the nurse manager at a later time
Ask another nurse to review the equity of the assignment
Contact the nursing supervisor and ask her to intervene on his behalf
2. A charge nurse is assigning client care to an RN and a PN. What task should
the charge nurse assign the PN to alleviate the workload on the RN?
Creating a plan of care for a client who is recovering following a
stroke
Teaching a client who has asthma to use a metered-dose inhaler
Providing nasopharyngeal suctioning for a client who has
pneumonia
Assessing a pressure injury on a client who is on bed rest
3. While explaining the concept of negligence to a new nurse, the manager
gives an example. which is an example of negligence?
A patient was given Tylenol without an order and the headache was
resolved
A comatose patient was not turned every two hours and
subsequently developed a stage 3 decubitus ulcer, sepsis, and died
A depressed patient began crying when the nurse said the medication
had been changed
, An alert patient fell getting out of the shower and broke an alarm
4. In a scenario where two nurses disagree on a patient's need for social work
intervention, how might the nurse manager implement a conflict resolution
strategy effectively?
By ignoring the conflict and allowing the nurses to resolve it
independently.
By assigning one nurse to handle the situation without input from the
other.
By taking sides based on personal relationships with the nurses.
By facilitating a meeting where both nurses can discuss their
perspectives and reach a consensus.
5. Why is it important for a nurse to use a professional interpreter when
communicating with a client who speaks a different language?
Using gestures can convey basic ideas effectively.
Speaking louder can help the client understand better.
Family members can provide a more personal touch to
communication.
Using a professional interpreter ensures accurate communication
and understanding of medical information.
6. A nurse manager is reviewing ethical principles with the nursing staff. Which
example does the nurse manager provide to explain the concept of fidelity?
Determining the order in which clients are cared for
Supporting the client's right to informed consent
Avoiding harm to the client in the performance of nursing care
, Keeping a promise made to the client
7. In a scenario where a patient requires ongoing support for a mental health
condition, which setting should the community health nurse recommend for
effective management?
Outpatient therapy clinic
Inpatient psychiatric hospital
Psychiatric rehabilitation facility
Community mental health center
8. A nurse is reviewing the electronic medical record for a client who is
receiving heparin via continuous IV infusion for deep vein thrombosis. Which
of the following findings should the nurse identify as an adverse effect of
heparin that requires notification of the provider?
Diplopia
Generalized petechiae
Urinary frequency
Xerostomia
9. If a nurse observes that a pressure ulcer has increased in size after cleaning,
what should be the nurse's next step?
Continue with the same cleaning routine.
Notify the healthcare provider for further assessment.
Document the size change and wait for the next shift.
Apply a larger dressing without further assessment.
, 10. A patient on heparin reports unusual bruising and blood in their urine. What
should the nurse's immediate action be?
Document the findings and schedule a follow-up appointment.
Advise the patient to rest and monitor symptoms.
Continue heparin administration as prescribed.
Notify the healthcare provider and assess the patient further.
11. The health care facility is involved in litigation by four clients. When reviewing
the cases, which legal case would the nurse attorney identify to best
describe malpractice?
The nurse using proper mechanics assists a client to a locked bed. He
slips and breaks his left femur.
The nurse applies an ice pack to a client's lower back without an order
and he feels better.
The nurse administered the wrong medication to the client, who had
one episode of vomiting 5 minutes after consuming the medication
with no further adverse reactions.
The nurse administers amoxicillin (Amicar) to a client with known
allergies to penicillin. The client has a seizure with resulting
respiratory arrest.
12. Which scenario would yield a malpractice suit?
The nurse accidentally gave the wrong dose to the patient and
immediately checked their status and then filed an incidence report.
A nurse gives pain medication to a patient and then goes back into
the room 30 minutes later to further asses their condition.
A nurse deviates from the standard of care by not going back and
checking on a patient that is in critical condition, knowing that the
Latest Update 2026 | Exam Prep | High-Yield Review Guide
1. A nurse receives a client assignment that he believes is unfair. Which of the
following is an appropriate action for him to take?
Talk with the charge nurse about the assignment and his concerns
Accept the assignment and talk with the nurse manager at a later time
Ask another nurse to review the equity of the assignment
Contact the nursing supervisor and ask her to intervene on his behalf
2. A charge nurse is assigning client care to an RN and a PN. What task should
the charge nurse assign the PN to alleviate the workload on the RN?
Creating a plan of care for a client who is recovering following a
stroke
Teaching a client who has asthma to use a metered-dose inhaler
Providing nasopharyngeal suctioning for a client who has
pneumonia
Assessing a pressure injury on a client who is on bed rest
3. While explaining the concept of negligence to a new nurse, the manager
gives an example. which is an example of negligence?
A patient was given Tylenol without an order and the headache was
resolved
A comatose patient was not turned every two hours and
subsequently developed a stage 3 decubitus ulcer, sepsis, and died
A depressed patient began crying when the nurse said the medication
had been changed
, An alert patient fell getting out of the shower and broke an alarm
4. In a scenario where two nurses disagree on a patient's need for social work
intervention, how might the nurse manager implement a conflict resolution
strategy effectively?
By ignoring the conflict and allowing the nurses to resolve it
independently.
By assigning one nurse to handle the situation without input from the
other.
By taking sides based on personal relationships with the nurses.
By facilitating a meeting where both nurses can discuss their
perspectives and reach a consensus.
5. Why is it important for a nurse to use a professional interpreter when
communicating with a client who speaks a different language?
Using gestures can convey basic ideas effectively.
Speaking louder can help the client understand better.
Family members can provide a more personal touch to
communication.
Using a professional interpreter ensures accurate communication
and understanding of medical information.
6. A nurse manager is reviewing ethical principles with the nursing staff. Which
example does the nurse manager provide to explain the concept of fidelity?
Determining the order in which clients are cared for
Supporting the client's right to informed consent
Avoiding harm to the client in the performance of nursing care
, Keeping a promise made to the client
7. In a scenario where a patient requires ongoing support for a mental health
condition, which setting should the community health nurse recommend for
effective management?
Outpatient therapy clinic
Inpatient psychiatric hospital
Psychiatric rehabilitation facility
Community mental health center
8. A nurse is reviewing the electronic medical record for a client who is
receiving heparin via continuous IV infusion for deep vein thrombosis. Which
of the following findings should the nurse identify as an adverse effect of
heparin that requires notification of the provider?
Diplopia
Generalized petechiae
Urinary frequency
Xerostomia
9. If a nurse observes that a pressure ulcer has increased in size after cleaning,
what should be the nurse's next step?
Continue with the same cleaning routine.
Notify the healthcare provider for further assessment.
Document the size change and wait for the next shift.
Apply a larger dressing without further assessment.
, 10. A patient on heparin reports unusual bruising and blood in their urine. What
should the nurse's immediate action be?
Document the findings and schedule a follow-up appointment.
Advise the patient to rest and monitor symptoms.
Continue heparin administration as prescribed.
Notify the healthcare provider and assess the patient further.
11. The health care facility is involved in litigation by four clients. When reviewing
the cases, which legal case would the nurse attorney identify to best
describe malpractice?
The nurse using proper mechanics assists a client to a locked bed. He
slips and breaks his left femur.
The nurse applies an ice pack to a client's lower back without an order
and he feels better.
The nurse administered the wrong medication to the client, who had
one episode of vomiting 5 minutes after consuming the medication
with no further adverse reactions.
The nurse administers amoxicillin (Amicar) to a client with known
allergies to penicillin. The client has a seizure with resulting
respiratory arrest.
12. Which scenario would yield a malpractice suit?
The nurse accidentally gave the wrong dose to the patient and
immediately checked their status and then filed an incidence report.
A nurse gives pain medication to a patient and then goes back into
the room 30 minutes later to further asses their condition.
A nurse deviates from the standard of care by not going back and
checking on a patient that is in critical condition, knowing that the
