ATI Level 3

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Sample questions from ATI Level 3

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At change of shift on a medical unit, a client with pneumonia has a new oxygen requirement, a client awaiting discharge needs medication teaching, and a client with stable diabetes requests a meal tray. Which client should the nurse assess first?

   • A.The client scheduled for a routine dressing change
   • B.The client awaiting discharge teaching
   • C.The client with pneumonia and a new oxygen requirement
   • D.The client with stable diabetes requesting a meal tray

   Rationale: A new oxygen requirement can signal worsening respiratory status and requires prompt assessment. Discharge teaching and a meal request can wait until the unstable client is assessed. A routine dressing change is also lower priority than a potential breathing problem.

2. 2.During a home health visit, an RN is assigning care for a 72-year-old client with stable heart failure. Which task is appropriate to delegate to an assistive personnel (AP)?

   • A.Obtain the client's daily weight and report it to the RN
   • B.Assess the client's lung sounds for crackles
   • C.Evaluate the client's response to a prescribed diuretic
   • D.Teach the client how to follow a low-sodium diet

   Rationale: An AP may collect routine data, such as a daily weight, and report the findings. Teaching, assessment, and evaluation require nursing judgment and remain the RN's responsibility. Delegation does not transfer accountability for interpreting the data.

3. 3.In the emergency department, a 68-year-old client is being evaluated for possible sepsis. Refer to the client's chart. Which actions should the nurse take? Select all that apply.

   • A.Reassess perfusion and vital signs after interventions
   • B.Initiate the prescribed isotonic fluid bolus and monitor the response
   • C.Notify the provider of the rising lactate and declining blood pressure
   • D.Obtain ordered blood cultures before the first antibiotic dose if this will not delay treatment
   • E.Delay antibiotics until the culture results are finalized

   Rationale: Blood cultures are ideally obtained before antibiotics, provided doing so does not delay timely treatment; the chart shows rising lactate and falling blood pressure, so prompt fluids and reassessment are indicated. The nurse should report worsening perfusion to the provider. Waiting for finalized cultures would dangerously delay treatment of suspected sepsis.

4. 4.A charge nurse on a rehabilitation unit is planning assignments for four clients. Which client is most appropriate to assign to an LPN/LVN?

   • A.A client admitted 1 hour ago with an unclear diagnosis
   • B.A client requiring initial teaching about a new insulin regimen
   • C.A client with a new onset of chest pain requiring assessment
   • D.A stable client needing a scheduled oral medication and routine wound care

   Answer and rationale are in the full material.

5. 5.A provider prescribes a medication dose that appears inconsistent with the usual dose for a 3-year-old client. What should the nurse do first?

   • A.Administer the dose because the provider prescribed it
   • B.Hold the medication and clarify the prescription with the provider
   • C.Ask another nurse to verify the dose and then administer it
   • D.Document the concern and administer the medication at the next scheduled time

   Answer and rationale are in the full material.