ATI CBC LEVEL 2 EXAM NEWEST 2026 ACTUAL EXAM
TEST BANK| COMPLETE 230 REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+|| BRAND NEW!!
QUESTION 1
A nurse is caring for a client who is receiving positive end-
expiratory pressure (PEEP) via mechanical ventilation. The nurse
should monitor the client for which of the following adverse
effects of PEEP?
A. Tension pneumothorax
B. Pulmonary embolism
C. Pleural effusion
D. Atelectasis
Answer: A. Tension pneumothorax
1
,Rationale: The nurse should identify that tension pneumothorax is
a possible adverse effect of PEEP. PEEP increases intrathoracic
pressure, which can cause barotrauma leading to pneumothorax.
The nurse should monitor the client's lung sounds hourly for
indications of a tension pneumothorax, such as tracheal deviation,
absent breath sounds on one side, and distended neck veins .
QUESTION 2
A nurse is assessing a client who received 2 units of packed RBCs
48 hours ago. Which of the following findings should indicate to
the nurse that the therapy has been effective?
A. Hemoglobin 14.9 g/dL
B. Hematocrit 32%
C. Blood pressure 110/70 mmHg
D. Heart rate 88 bpm
Answer: A. Hemoglobin 14.9 g/dL
2
,Rationale: An increase in hemoglobin level indicates that the
packed RBC transfusion therapy has been effective in increasing
the oxygen-carrying capacity of the blood. Normal hemoglobin
levels for adult females are 12-16 g/dL and for adult males are
14-18 g/dL. A hemoglobin of 14.9 g/dL would be within normal
range, suggesting treatment effectiveness .
QUESTION 3
A nurse working in an emergency department is triaging four
clients. Which of the following clients should the nurse recommend
for treatment first?
A. A middle adult client who has unstable vital signs
B. An older adult client who has a fractured wrist
C. A young adult client who has a laceration on the hand
D. An adolescent client who has a fever and cough
Answer: A. A middle adult client who has unstable vital signs
3
, Rationale: Clients with unstable vital signs indicate a life-
threatening condition that requires immediate attention. The
triage process prioritizes clients based on the severity of their
condition. Unstable vital signs (e.g., hypotension, tachycardia,
respiratory distress) suggest the client is at risk for deterioration
and should be seen first .
QUESTION 4
A nurse is caring for a client who has fluid volume overload.
Which of the following tasks should the nurse delegate to an
assistive personnel?
A. Measure the client's daily weight
B. Assess the client's lung sounds
C. Evaluate the client's intake and output
D. Monitor the client's level of consciousness
Answer: A. Measure the client's daily weight
4
TEST BANK| COMPLETE 230 REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+|| BRAND NEW!!
QUESTION 1
A nurse is caring for a client who is receiving positive end-
expiratory pressure (PEEP) via mechanical ventilation. The nurse
should monitor the client for which of the following adverse
effects of PEEP?
A. Tension pneumothorax
B. Pulmonary embolism
C. Pleural effusion
D. Atelectasis
Answer: A. Tension pneumothorax
1
,Rationale: The nurse should identify that tension pneumothorax is
a possible adverse effect of PEEP. PEEP increases intrathoracic
pressure, which can cause barotrauma leading to pneumothorax.
The nurse should monitor the client's lung sounds hourly for
indications of a tension pneumothorax, such as tracheal deviation,
absent breath sounds on one side, and distended neck veins .
QUESTION 2
A nurse is assessing a client who received 2 units of packed RBCs
48 hours ago. Which of the following findings should indicate to
the nurse that the therapy has been effective?
A. Hemoglobin 14.9 g/dL
B. Hematocrit 32%
C. Blood pressure 110/70 mmHg
D. Heart rate 88 bpm
Answer: A. Hemoglobin 14.9 g/dL
2
,Rationale: An increase in hemoglobin level indicates that the
packed RBC transfusion therapy has been effective in increasing
the oxygen-carrying capacity of the blood. Normal hemoglobin
levels for adult females are 12-16 g/dL and for adult males are
14-18 g/dL. A hemoglobin of 14.9 g/dL would be within normal
range, suggesting treatment effectiveness .
QUESTION 3
A nurse working in an emergency department is triaging four
clients. Which of the following clients should the nurse recommend
for treatment first?
A. A middle adult client who has unstable vital signs
B. An older adult client who has a fractured wrist
C. A young adult client who has a laceration on the hand
D. An adolescent client who has a fever and cough
Answer: A. A middle adult client who has unstable vital signs
3
, Rationale: Clients with unstable vital signs indicate a life-
threatening condition that requires immediate attention. The
triage process prioritizes clients based on the severity of their
condition. Unstable vital signs (e.g., hypotension, tachycardia,
respiratory distress) suggest the client is at risk for deterioration
and should be seen first .
QUESTION 4
A nurse is caring for a client who has fluid volume overload.
Which of the following tasks should the nurse delegate to an
assistive personnel?
A. Measure the client's daily weight
B. Assess the client's lung sounds
C. Evaluate the client's intake and output
D. Monitor the client's level of consciousness
Answer: A. Measure the client's daily weight
4
