ATI RN Concept-Based Assessment Level 3 with NGN

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Sample questions from ATI RN Concept-Based Assessment Level 3 with NGN

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

1. 1.At change of shift on a medical unit, report identifies four clients. Which client should the nurse assess first?

   • A.A client 76 years old with a urinary tract infection who is awaiting discharge instructions
   • B.A client 68 years old with chronic heart failure who gained 0.5 kg in 24 hr and has clear lungs
   • C.A client 41 years old with diabetes whose premeal glucose is 238 mg/dL
   • D.A client 54 years old 2 hr after thyroidectomy who is restless and has new inspiratory stridor

   Rationale: New inspiratory stridor and restlessness after thyroid surgery suggest acute airway compromise and require immediate assessment and intervention. The weight gain, elevated glucose, and pending teaching require follow-up but are not as immediately life-threatening. Use airway, breathing, and circulation priorities when several clients need care.

2. 2.In a rehabilitation unit, an RN is planning assignments for the shift. Which task is appropriate to delegate to an experienced unlicensed assistive personnel (UAP)?

   • A.Obtain and record the morning weight of a stable client with heart failure
   • B.Assess a client who reports new dizziness when standing
   • C.Teach a client how to use a walker on stairs
   • D.Evaluate whether a prescribed analgesic relieved a client's pain

   Rationale: Obtaining a routine weight for a stable client is a predictable task that can be delegated to trained UAP, with the RN interpreting and following up on the result. Assessment, teaching, and evaluation require nursing judgment and remain the RN's responsibility. Delegation does not transfer accountability for the client's overall care.

3. 3.During a home visit, a community health nurse reviews care coordination for an 82-year-old client recently discharged after a stroke. The client has right-sided weakness, takes six medications, and has missed two follow-up appointments. Which actions should the nurse take to improve continuity and safety of care? Select all that apply.

   • A.Ask the client which family member or support person may be included in care planning
   • B.Ask the client to demonstrate the transfer technique and arrange therapy follow-up if needed
   • C.Contact the primary care team to coordinate a follow-up appointment and share relevant findings
   • D.Tell the client to stop all medications until the next appointment to prevent errors
   • E.Reconcile the discharge medication list with the medications actually present in the home

   Rationale: Medication reconciliation can identify discrepancies, while observing a transfer helps reveal safety needs and supports appropriate therapy referral. Coordinating the missed follow-up and involving a support person with the client's permission promote continuity. Stopping all medications without a prescriber's direction can cause harm and is not a safe reconciliation strategy.

4. 4.A provider prescribes a medication dose that appears substantially higher than the usual dose for a 9-year-old client. The client is stable, and the medication has not been administered. What should the nurse do first?

   • A.Administer the dose because the prescription is signed
   • B.Hold the medication and clarify the prescription with the prescriber
   • C.Reduce the dose to the usual pediatric dose and document the change
   • D.Ask another nurse to verify the dose and then administer it

   Answer and rationale are in the full material.

5. 5.On a pediatric unit, a charge nurse has one RN, one practical nurse (PN), and one UAP available. Which client is most appropriate for the PN to care for?

   • A.A newly admitted 6-year-old with wheezing who needs an initial respiratory assessment
   • B.A 4-year-old with a new seizure who needs ongoing neurologic assessment
   • C.A stable 10-year-old receiving a scheduled oral antibiotic and awaiting routine wound care
   • D.A 12-year-old with a new tracheostomy who needs initial family teaching

   Answer and rationale are in the full material.