ATI LEVEL 2 FINAL EXAM STUDY GUIDE |
COMPLETE AND GRADED QUESTIONS AND
ANSWERS 2026 LATEST UPDATED | 100% GRADED
CORRECT | 100% GUARANTEED TO PASS | GET A+
ATI LEVEL 2 FINAL EXAM STUDY GUIDE — Complete Practice Exam
180 Questions with Detailed Explanations
Section 1: Medical-Surgical Nursing
Question 1
A nurse is caring for a client who is experiencing hypovolemic shock due to
postpartum hemorrhage. After notifying the provider, which of the following
actions should the nurse take NEXT?
A) Administer IV fluids
B) Massage the client's fundus
C) Apply oxygen
D) Insert a urinary catheter
Answer: B
Explanation: The greatest risk to the client is hemorrhage. The next action the
nurse should take is to massage the client's fundus to expel clots and promote
uterine contractions. This is the priority intervention to control the source of
bleeding. After fundal massage, IV fluids and oxygen can be administered to
support hemodynamic stability.
,Question 2
A nurse is assessing a client who has acute pancreatitis. Which of the following
findings should the nurse expect?
A) Left upper quadrant pain radiating to the shoulder
B) Periumbilical discoloration
C) Rebound tenderness in the right lower quadrant
D) Epigastric pain radiating to the back
Answer: B
Explanation: Acute pancreatitis can present with periumbilical discoloration
(Cullen's sign) or flank discoloration (Grey Turner's sign) due to retroperitoneal
bleeding. These are late signs indicating severe pancreatitis. Epigastric pain
radiating to the back is the classic symptom of pancreatitis.
Question 3
A nurse is caring for a client who has chronic kidney disease and is receiving
hemodialysis. The client tells the nurse she has decided to stop treatment. Which
of the following actions by the nurse is appropriate in regard to serving as the
client's advocate?
A) Encourage the client to continue treatment
B) Contact the client's family to discuss the decision
C) Support the client's decision regarding treatment
D) Notify the provider to override the client's decision
Answer: C
Explanation: The nurse's role as client advocate is to support the client's decision
to discontinue treatment. The client has the right to make autonomous decisions
about their care, even if those decisions may not align with the healthcare team's
recommendations. The nurse should ensure the client is fully informed about the
consequences of stopping treatment.
,Question 4
A nurse is providing nutrition teaching for a client with neutropenia. Which of the
following instructions should the nurse include?
A) "Eat fresh fruits and vegetables daily"
B) "Avoid foods that contain bacteria, such as fresh fruits and vegetables"
C) "Include raw seafood in your diet for protein"
D) "Avoid all cooked vegetables"
Answer: B
Explanation: Clients with neutropenia have a compromised immune system and
are at high risk for infection. They should avoid foods that may contain bacteria,
including fresh fruits and vegetables, raw or undercooked meats, fish, eggs, and
spices such as pepper and paprika. All foods should be thoroughly cooked to
eliminate pathogens.
Question 5
A nurse is caring for a client receiving chemotherapy. Which of the following
findings should the nurse report to the provider as an adverse effect?
A) Mild nausea
B) Alopecia
C) Temperature of 38.5°C (101.3°F)
D) Fatigue
Answer: C
Explanation: Fever in a client receiving chemotherapy may indicate neutropenia
and infection, which is a medical emergency. Temperature of 38.5°C (101.3°F) or
higher requires immediate reporting to the provider. Nausea, alopecia, and fatigue
are expected side effects of chemotherapy.
, Question 6
A nurse is caring for a client who has a deep vein thrombosis (DVT). Which of the
following findings should the nurse expect?
A) Bilateral leg oedema
B) Calf pain and unilateral leg swelling
C) Warmth in both extremities
D) Decreased pulse in the affected extremity
Answer: B
Explanation: DVT manifests with calf pain, unilateral leg oedema, and warmth in
the affected extremity. The nurse should assess for these findings and notify the
provider immediately, as DVT can lead to pulmonary embolism. The Homan's sign
test is no longer recommended due to risk of emboli dislodgement.
Question 7
A client with heart failure is prescribed furosemide. Which of the following findings
indicates the medication is effective?
A) Decreased oedema
B) Increased dyspnoea
C) Decreased urine output
D) Weight gain
Answer: A
Explanation: Furosemide is a loop diuretic used to treat heart failure by reducing
fluid overload. Effectiveness is indicated by decreased oedema, decreased
dyspnoea, and increased urine output. The nurse should also monitor for
electrolyte imbalances, particularly hypokalaemia, which can lead to cardiac
dysrhythmias.
COMPLETE AND GRADED QUESTIONS AND
ANSWERS 2026 LATEST UPDATED | 100% GRADED
CORRECT | 100% GUARANTEED TO PASS | GET A+
ATI LEVEL 2 FINAL EXAM STUDY GUIDE — Complete Practice Exam
180 Questions with Detailed Explanations
Section 1: Medical-Surgical Nursing
Question 1
A nurse is caring for a client who is experiencing hypovolemic shock due to
postpartum hemorrhage. After notifying the provider, which of the following
actions should the nurse take NEXT?
A) Administer IV fluids
B) Massage the client's fundus
C) Apply oxygen
D) Insert a urinary catheter
Answer: B
Explanation: The greatest risk to the client is hemorrhage. The next action the
nurse should take is to massage the client's fundus to expel clots and promote
uterine contractions. This is the priority intervention to control the source of
bleeding. After fundal massage, IV fluids and oxygen can be administered to
support hemodynamic stability.
,Question 2
A nurse is assessing a client who has acute pancreatitis. Which of the following
findings should the nurse expect?
A) Left upper quadrant pain radiating to the shoulder
B) Periumbilical discoloration
C) Rebound tenderness in the right lower quadrant
D) Epigastric pain radiating to the back
Answer: B
Explanation: Acute pancreatitis can present with periumbilical discoloration
(Cullen's sign) or flank discoloration (Grey Turner's sign) due to retroperitoneal
bleeding. These are late signs indicating severe pancreatitis. Epigastric pain
radiating to the back is the classic symptom of pancreatitis.
Question 3
A nurse is caring for a client who has chronic kidney disease and is receiving
hemodialysis. The client tells the nurse she has decided to stop treatment. Which
of the following actions by the nurse is appropriate in regard to serving as the
client's advocate?
A) Encourage the client to continue treatment
B) Contact the client's family to discuss the decision
C) Support the client's decision regarding treatment
D) Notify the provider to override the client's decision
Answer: C
Explanation: The nurse's role as client advocate is to support the client's decision
to discontinue treatment. The client has the right to make autonomous decisions
about their care, even if those decisions may not align with the healthcare team's
recommendations. The nurse should ensure the client is fully informed about the
consequences of stopping treatment.
,Question 4
A nurse is providing nutrition teaching for a client with neutropenia. Which of the
following instructions should the nurse include?
A) "Eat fresh fruits and vegetables daily"
B) "Avoid foods that contain bacteria, such as fresh fruits and vegetables"
C) "Include raw seafood in your diet for protein"
D) "Avoid all cooked vegetables"
Answer: B
Explanation: Clients with neutropenia have a compromised immune system and
are at high risk for infection. They should avoid foods that may contain bacteria,
including fresh fruits and vegetables, raw or undercooked meats, fish, eggs, and
spices such as pepper and paprika. All foods should be thoroughly cooked to
eliminate pathogens.
Question 5
A nurse is caring for a client receiving chemotherapy. Which of the following
findings should the nurse report to the provider as an adverse effect?
A) Mild nausea
B) Alopecia
C) Temperature of 38.5°C (101.3°F)
D) Fatigue
Answer: C
Explanation: Fever in a client receiving chemotherapy may indicate neutropenia
and infection, which is a medical emergency. Temperature of 38.5°C (101.3°F) or
higher requires immediate reporting to the provider. Nausea, alopecia, and fatigue
are expected side effects of chemotherapy.
, Question 6
A nurse is caring for a client who has a deep vein thrombosis (DVT). Which of the
following findings should the nurse expect?
A) Bilateral leg oedema
B) Calf pain and unilateral leg swelling
C) Warmth in both extremities
D) Decreased pulse in the affected extremity
Answer: B
Explanation: DVT manifests with calf pain, unilateral leg oedema, and warmth in
the affected extremity. The nurse should assess for these findings and notify the
provider immediately, as DVT can lead to pulmonary embolism. The Homan's sign
test is no longer recommended due to risk of emboli dislodgement.
Question 7
A client with heart failure is prescribed furosemide. Which of the following findings
indicates the medication is effective?
A) Decreased oedema
B) Increased dyspnoea
C) Decreased urine output
D) Weight gain
Answer: A
Explanation: Furosemide is a loop diuretic used to treat heart failure by reducing
fluid overload. Effectiveness is indicated by decreased oedema, decreased
dyspnoea, and increased urine output. The nurse should also monitor for
electrolyte imbalances, particularly hypokalaemia, which can lead to cardiac
dysrhythmias.
