ATI RN Concept-Based Assessments Level 4 Online Practice B
Practice Test (2) 2026 | Verified Answers | Exam Prep
1. What is one key intervention a nurse should include in a postoperative care
plan to prevent deep vein thrombosis (DVT)?
encourage the client to remain immobile
administer prophylactic anticoagulation medication to the client
increase fluid intake significantly
perform wound care every day
2. What heart rate is commonly associated with a patient experiencing septic
shock?
HR 140
HR 60
HR 80
HR 116
3. The nursing supervisor is conducting an in-service on sentinel events. Which
statement by a nurse indicates an understanding of the term "sentinel event"?
"It's the same as a near miss in healthcare."
"It's an event that leads to patient harm or death."
"It only includes events caused by healthcare providers."
"It's any unplanned event that results in patient discomfort."
4. Why is developing a presentation for staff members considered a
preparation stage action in the stages-of-change model?
, It involves educating and engaging staff to facilitate the
implementation of rooming-in.
It allows the nurse to implement changes without consulting others.
It focuses solely on gathering opinions from staff members.
It delays action until management is involved.
5. A nurse in a clinic is implementing cardiac monitoring for a client who reports
dizziness and palpitations . The nurse should identify that which of the
following ECG findings indicates that the client is experiencing atrial
fibrillation ?
TWO P Waves for every QRS complex
Regular QRS complexes with clearly defined P Waves
Three or more PVCs in a row
Absence of P Waves with irregular QRS complexes
6. The nurse is caring for a client who had surgery 2 days ago and has a
prescription to ambulate with assistance. The nurse does not assist the client
with ambulation resulting in the client falling and sustaining injury. The nurse
could be charged with which of the following?
Battery
Assault
Defamation
Negligence
7. If a nurse discovers a patient with a T5 spinal cord injury has a platelet count
of 50,000, what immediate action should the nurse take?
Increase the patient's fluid intake.
, Report the finding to the healthcare provider.
Administer a platelet transfusion.
Monitor the patient for signs of infection.
8. What is a common skin manifestation associated with lupus that a nurse might
observe during an assessment?
Psoriasis
Eczema
Butterfly rash
Acne
9. In a scenario where a patient with septic shock shows a heart rate of 116, what
immediate nursing intervention should be prioritized?
Increase the patient's oral intake
Perform a physical therapy assessment
Schedule a follow-up appointment
Administer intravenous fluids
10. In a patient with sepsis, which of the following lab results should the nurse
report to the provider immediately?
WBC 45,000/mm3
Platelets 120,000/mm3
Creatinine 1.5 mg/dl
Glucose 150 mg/dl
, 11. In the client with cirrhosis, which lab values does the nurse anticipate will be
increased from the normal value?
Sodium and potassium
Serum ammonia
APTT, PT/INR
Serum albumin
Total serum bilirubin
12. If a nurse decides to conduct a survey of staff attitudes towards rooming-in
instead of developing a presentation, what stage of the stages-of-change
model is the nurse likely in?
Contemplation stage
Action stage
Maintenance stage
Preparation stage
13. What is one action a charge nurse should take during a natural disaster on an
acute care floor?
Ignore non-critical patients
Prepare medically stable clients for early discharge
Focus solely on new admissions
Increase medication dosages for all patients
14. The primary care provider is yelling at the nurse in the client's room because
the client has not received an intravenous antibiotic. Which statement by the
nurse demonstrates assertiveness?
Practice Test (2) 2026 | Verified Answers | Exam Prep
1. What is one key intervention a nurse should include in a postoperative care
plan to prevent deep vein thrombosis (DVT)?
encourage the client to remain immobile
administer prophylactic anticoagulation medication to the client
increase fluid intake significantly
perform wound care every day
2. What heart rate is commonly associated with a patient experiencing septic
shock?
HR 140
HR 60
HR 80
HR 116
3. The nursing supervisor is conducting an in-service on sentinel events. Which
statement by a nurse indicates an understanding of the term "sentinel event"?
"It's the same as a near miss in healthcare."
"It's an event that leads to patient harm or death."
"It only includes events caused by healthcare providers."
"It's any unplanned event that results in patient discomfort."
4. Why is developing a presentation for staff members considered a
preparation stage action in the stages-of-change model?
, It involves educating and engaging staff to facilitate the
implementation of rooming-in.
It allows the nurse to implement changes without consulting others.
It focuses solely on gathering opinions from staff members.
It delays action until management is involved.
5. A nurse in a clinic is implementing cardiac monitoring for a client who reports
dizziness and palpitations . The nurse should identify that which of the
following ECG findings indicates that the client is experiencing atrial
fibrillation ?
TWO P Waves for every QRS complex
Regular QRS complexes with clearly defined P Waves
Three or more PVCs in a row
Absence of P Waves with irregular QRS complexes
6. The nurse is caring for a client who had surgery 2 days ago and has a
prescription to ambulate with assistance. The nurse does not assist the client
with ambulation resulting in the client falling and sustaining injury. The nurse
could be charged with which of the following?
Battery
Assault
Defamation
Negligence
7. If a nurse discovers a patient with a T5 spinal cord injury has a platelet count
of 50,000, what immediate action should the nurse take?
Increase the patient's fluid intake.
, Report the finding to the healthcare provider.
Administer a platelet transfusion.
Monitor the patient for signs of infection.
8. What is a common skin manifestation associated with lupus that a nurse might
observe during an assessment?
Psoriasis
Eczema
Butterfly rash
Acne
9. In a scenario where a patient with septic shock shows a heart rate of 116, what
immediate nursing intervention should be prioritized?
Increase the patient's oral intake
Perform a physical therapy assessment
Schedule a follow-up appointment
Administer intravenous fluids
10. In a patient with sepsis, which of the following lab results should the nurse
report to the provider immediately?
WBC 45,000/mm3
Platelets 120,000/mm3
Creatinine 1.5 mg/dl
Glucose 150 mg/dl
, 11. In the client with cirrhosis, which lab values does the nurse anticipate will be
increased from the normal value?
Sodium and potassium
Serum ammonia
APTT, PT/INR
Serum albumin
Total serum bilirubin
12. If a nurse decides to conduct a survey of staff attitudes towards rooming-in
instead of developing a presentation, what stage of the stages-of-change
model is the nurse likely in?
Contemplation stage
Action stage
Maintenance stage
Preparation stage
13. What is one action a charge nurse should take during a natural disaster on an
acute care floor?
Ignore non-critical patients
Prepare medically stable clients for early discharge
Focus solely on new admissions
Increase medication dosages for all patients
14. The primary care provider is yelling at the nurse in the client's room because
the client has not received an intravenous antibiotic. Which statement by the
nurse demonstrates assertiveness?
