2026-2027 ATI RN CONCEPT-BASED ASSESSMENT LEVEL 2
PROCTORED EXAM Complete Study Guide & Practice Test
Bank Exam Practice | Questions with Answers & Detailed
Rationales
Achieve a Level 3 proficiency rating on your nursing clinical evaluation with this
definitive ATI RN Concept-Based Assessment Level 2 proctored exam study package.
This comprehensive test bank features realistic practice questions, Next Generation
NCLEX (NGN) style case studies, 100% verified correct answers, and thorough clinical
rationales exploring fluid homeostasis, advanced pharmacology, health promotion, and
professional care coordination. It is an indispensable preparatory resource for nursing
students looking to compress study routines, eliminate test anxiety, and pass their
proctored milestone on the first attempt.
1. A nurse is caring for a client who is postoperative and has a prescription for
morphine sulfate IV push. Which of the following actions should the nurse take
first?
A. Administer the medication slowly over 2 minutes
B. Assess the client's pain level
C. Check the client's respiratory rate
D. Document the medication administration
Answer: C
Rationale: The nurse should first check the client's respiratory rate before administering
morphine. Morphine can cause respiratory depression, and administering it to a client with
a low respiratory rate could be dangerous. Pain assessment, administration, and
documentation are important but follow respiratory assessment.
2. A nurse is caring for a client who has a prescription for a 24-hour urine
collection. Which of the following actions should the nurse take?
A. Save all urine including the first void
B. Discard the first void and begin the collection
C. Keep the urine at room temperature
D. Collect urine in a clean container
,Answer: B
Rationale: For a 24-hour urine collection, the nurse should discard the first void, note the
time, and begin the collection with subsequent voids. The last void at the end of 24 hours
is included. Urine should be refrigerated or placed on ice, and collected in a sterile
container.
3. A nurse is preparing to discharge a client who has a new colostomy. Which of
the following actions should the nurse take first?
A. Provide written discharge instructions
B. Assess the client's readiness to learn
C. Demonstrate how to change the ostomy pouch
D. Schedule a follow-up appointment
Answer: B
Rationale: The nurse should first assess the client's readiness to learn. Teaching is most
effective when the client is ready to receive information. Written instructions,
demonstrations, and follow-up appointments are important but should follow readiness
assessment.
4. A nurse is caring for a client who is confused and attempting to pull out their IV
line. Which of the following actions should the nurse take first?
A. Apply wrist restraints
B. Place the client in a room near the nurses' station
C. Assess the need for the IV line and consider alternatives
D. Administer a sedative medication
Answer: C
Rationale: The least restrictive intervention should be used first. The nurse should assess
the need for the IV line and explore alternatives. Restraints and sedatives should only be
used as a last resort. Room placement is part of the safety plan but is not the first action.
,5. A nurse is caring for a client who has a prescription for a blood transfusion.
Which of the following actions should the nurse take after initiating the
transfusion?
A. Administer the blood over 1 hour
B. Stay with the client for the first 15 minutes
C. Use dextrose 5% in water as the primary IV fluid
D. Monitor vital signs every 30 minutes
Answer: B
Rationale: The nurse should stay with the client for the first 15 minutes of the transfusion
because this is the most critical period for transfusion reactions. Transfusion should be
given over 2-4 hours. Normal saline, not dextrose, is used. Vital signs should be monitored
every 15 minutes initially.
6. A nurse is delegating a task to a licensed practical nurse (LPN). Which of the
following tasks is appropriate to delegate?
A. Performing a comprehensive assessment
B. Administering oral medications to a stable client
C. Creating a plan of care
D. Evaluating client outcomes
Answer: B
Rationale: Administering oral medications to a stable client is within the scope of practice
for an LPN. Comprehensive assessment, creating a plan of care, and evaluating outcomes
are RN responsibilities that cannot be delegated.
7. A nurse is caring for a client who has a do-not-resuscitate (DNR) order. The
client becomes unresponsive and stops breathing. Which of the following actions
should the nurse take?
A. Begin CPR immediately
B. Call a code
C. Provide comfort measures only
D. Notify the family
, Answer: C
Rationale: The nurse should respect the DNR order and provide comfort measures only.
The order is a legal document reflecting the client's wishes. CPR and calling a code would
violate the DNR order. Notifying the family is appropriate but not the priority.
8. A nurse is preparing to administer a medication to a client. The nurse notes that
the client has a known allergy to the medication. Which of the following actions
should the nurse take?
A. Administer the medication and monitor for a reaction
B. Hold the medication and notify the healthcare provider
C. Administer a lower dose
D. Ask the client if they are sure they are allergic
Answer: B
Rationale: The nurse should hold the medication and notify the healthcare provider.
Administering a medication to a client with a known allergy could cause a serious
reaction. Lowering the dose is not appropriate. Questioning the client's allergy is not
appropriate.
9. A nurse is caring for a client who has a prescription for a nasogastric (NG) tube
insertion. Which of the following actions should the nurse take first?
A. Measure the distance from the nose to the earlobe to the xiphoid process
B. Lubricate the NG tube
C. Place the client in a high-Fowler's position
D. Assess the client's nares for patency
Answer: C
Rationale: The nurse should first place the client in a high-Fowler's position to facilitate
insertion and reduce the risk of aspiration. Assessing nares, measuring, and lubricating are
important but follow positioning.
PROCTORED EXAM Complete Study Guide & Practice Test
Bank Exam Practice | Questions with Answers & Detailed
Rationales
Achieve a Level 3 proficiency rating on your nursing clinical evaluation with this
definitive ATI RN Concept-Based Assessment Level 2 proctored exam study package.
This comprehensive test bank features realistic practice questions, Next Generation
NCLEX (NGN) style case studies, 100% verified correct answers, and thorough clinical
rationales exploring fluid homeostasis, advanced pharmacology, health promotion, and
professional care coordination. It is an indispensable preparatory resource for nursing
students looking to compress study routines, eliminate test anxiety, and pass their
proctored milestone on the first attempt.
1. A nurse is caring for a client who is postoperative and has a prescription for
morphine sulfate IV push. Which of the following actions should the nurse take
first?
A. Administer the medication slowly over 2 minutes
B. Assess the client's pain level
C. Check the client's respiratory rate
D. Document the medication administration
Answer: C
Rationale: The nurse should first check the client's respiratory rate before administering
morphine. Morphine can cause respiratory depression, and administering it to a client with
a low respiratory rate could be dangerous. Pain assessment, administration, and
documentation are important but follow respiratory assessment.
2. A nurse is caring for a client who has a prescription for a 24-hour urine
collection. Which of the following actions should the nurse take?
A. Save all urine including the first void
B. Discard the first void and begin the collection
C. Keep the urine at room temperature
D. Collect urine in a clean container
,Answer: B
Rationale: For a 24-hour urine collection, the nurse should discard the first void, note the
time, and begin the collection with subsequent voids. The last void at the end of 24 hours
is included. Urine should be refrigerated or placed on ice, and collected in a sterile
container.
3. A nurse is preparing to discharge a client who has a new colostomy. Which of
the following actions should the nurse take first?
A. Provide written discharge instructions
B. Assess the client's readiness to learn
C. Demonstrate how to change the ostomy pouch
D. Schedule a follow-up appointment
Answer: B
Rationale: The nurse should first assess the client's readiness to learn. Teaching is most
effective when the client is ready to receive information. Written instructions,
demonstrations, and follow-up appointments are important but should follow readiness
assessment.
4. A nurse is caring for a client who is confused and attempting to pull out their IV
line. Which of the following actions should the nurse take first?
A. Apply wrist restraints
B. Place the client in a room near the nurses' station
C. Assess the need for the IV line and consider alternatives
D. Administer a sedative medication
Answer: C
Rationale: The least restrictive intervention should be used first. The nurse should assess
the need for the IV line and explore alternatives. Restraints and sedatives should only be
used as a last resort. Room placement is part of the safety plan but is not the first action.
,5. A nurse is caring for a client who has a prescription for a blood transfusion.
Which of the following actions should the nurse take after initiating the
transfusion?
A. Administer the blood over 1 hour
B. Stay with the client for the first 15 minutes
C. Use dextrose 5% in water as the primary IV fluid
D. Monitor vital signs every 30 minutes
Answer: B
Rationale: The nurse should stay with the client for the first 15 minutes of the transfusion
because this is the most critical period for transfusion reactions. Transfusion should be
given over 2-4 hours. Normal saline, not dextrose, is used. Vital signs should be monitored
every 15 minutes initially.
6. A nurse is delegating a task to a licensed practical nurse (LPN). Which of the
following tasks is appropriate to delegate?
A. Performing a comprehensive assessment
B. Administering oral medications to a stable client
C. Creating a plan of care
D. Evaluating client outcomes
Answer: B
Rationale: Administering oral medications to a stable client is within the scope of practice
for an LPN. Comprehensive assessment, creating a plan of care, and evaluating outcomes
are RN responsibilities that cannot be delegated.
7. A nurse is caring for a client who has a do-not-resuscitate (DNR) order. The
client becomes unresponsive and stops breathing. Which of the following actions
should the nurse take?
A. Begin CPR immediately
B. Call a code
C. Provide comfort measures only
D. Notify the family
, Answer: C
Rationale: The nurse should respect the DNR order and provide comfort measures only.
The order is a legal document reflecting the client's wishes. CPR and calling a code would
violate the DNR order. Notifying the family is appropriate but not the priority.
8. A nurse is preparing to administer a medication to a client. The nurse notes that
the client has a known allergy to the medication. Which of the following actions
should the nurse take?
A. Administer the medication and monitor for a reaction
B. Hold the medication and notify the healthcare provider
C. Administer a lower dose
D. Ask the client if they are sure they are allergic
Answer: B
Rationale: The nurse should hold the medication and notify the healthcare provider.
Administering a medication to a client with a known allergy could cause a serious
reaction. Lowering the dose is not appropriate. Questioning the client's allergy is not
appropriate.
9. A nurse is caring for a client who has a prescription for a nasogastric (NG) tube
insertion. Which of the following actions should the nurse take first?
A. Measure the distance from the nose to the earlobe to the xiphoid process
B. Lubricate the NG tube
C. Place the client in a high-Fowler's position
D. Assess the client's nares for patency
Answer: C
Rationale: The nurse should first place the client in a high-Fowler's position to facilitate
insertion and reduce the risk of aspiration. Assessing nares, measuring, and lubricating are
important but follow positioning.
