ATI RN Concept-Based Assessment Level 2 Online Practice A Exam with Rationales Graded A 2025

1. A hospice nurse is caring for a preschooler who has a terminal illness. One of the child's parents tells the nurse that it is too difficult to cope any longer and has decided to move out of the house. Which of the following responses should the nurse make? - A: "Let's talk about a few ways you have dealt with stress in the past." 2. A nurse is teaching a client ways to prevent osteoporotic fractures due to osteoporosis. Which of the following information should the nurse include in the teaching? - A: "Maintain bone health by eating fruits, vegetables, and protein." 3. A nurse is teaching a client who has hypothyroidism about taking levothyroxine. Which of the following statements should the nurse make? - B: "This medication causes adverse effects if the dosage is too high or too low." 4. A nurse in an emergency department is assessing a preschooler who has severe dehydration as a result of gastroenteritis and is receiving isotonic IV fluids. Which of the following findings should the nurse identify as an indication that the treatment is effective? - D: Brisk skin turgor 5. A nurse is caring for a client who has left hemiparesis following a stroke. Which of the following actions should the nurse take? - B: Encourage the client to use wide-grip utensils when eating with the right hand. 6. A nurse is teaching about herbal supplements with a group of newly licensed nurses. Which of the following herbal supplements should the nurse include in the teaching for treating hyperlipidaemia? - D: Garlic 7. A nurse is admitting a client who has an acute bacterial wound infection and a temperature of 39.8° C (103.6° F). Which of the following actions should the nurse take? - D: Set the temperature of the client's room to 22.2° C (72° 8. A nurse is planning care for a client who had surgery for osteomyelitis from a past musculoskeletal trauma to the lower leg. Which of the following interventions should the nurse include in the plan of care? - C: Check for paraesthesia of the affected leg. 9. A nurse is assessing the eyes and ears of a 2-year-old toddler at a well-child visit. Which of the following findings should the nurse report to the provider? - B: Presence of strabismus ATI RN Concept-Based Assessment Level 2 Online Practice A Exam with Rationales Graded A 2025 10. A nurse is teaching a client who has atherosclerosis about self-care. Which of the following instructions should the nurse include in the teaching? - C: Increase fiber intake to at least 30 g per day. 11. A nurse is assessing a client who has as an ulcer due to peripheral vascular disease. Which of the following findings should the nurse identify as an indication that the client has a venous ulcer rather than an arterial ulcer? - B: Discoloration and edema of the right ankle 12. A nurse is providing discharge teaching to a client who is postoperative following a transurethral resection of the prostate (TURP) for treatment of benign prostatic hyperplasia. Which of the following instructions should the nurse include in the teaching? - D: "Perform Kegel exercises several times throughout the day." 13. A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse expect? (Select all the apply.) – A: Nocturia C: Dyspnea D: Hacking cough 14. A nurse is assessing a client who is 1 hour postoperative following a transurethral resection of the prostate (TURP) for treatment of benign prostatic hyperplasia. For which of the following assessment findings should the nurse notify the provider? - C: The catheter tubing has multiple red clots. 15. A nurse is teaching a client who has gastroesophageal reflux disease about ways to prevent reflux. Which of the following information should the nurse include in the teaching? - D: Plan to finish eating at least 3 hr before bedtime. 16. A nurse is providing teaching for a client who has a new diagnosis of benign prostatic hyperplasia (BPH). Which of the following instructions should the nurse include to promote elimination? - B: "Void as soon as you feel the urge." 17. A nurse is assessing for manifestations of hyponatremia in a client who has been taking twice the prescribed dose of a diuretic. Which of the following findings should the nurse expect? - C: Decreased level of consciousness 18. A nurse is teaching a client who has asthma how to use a peak flow meter. Which of the following statements should the nurse identify as an indication the client understands the teaching? - C: "I will base my peak flow meter score on the best of three attempts." 19. A nurse is assessing a school-age child who has diabetes mellitus and a blood glucose level of 250 mg/dL. Which of the following findings should the nurse expect? - B: Fruity breath odor 20. A nurse is assessing a 1-hour-old newborn who has hypothermia, with a temperature of 36.1° C (97° F). Which of the following manifestations should the nurse expect? - A: Hypoglycemia 21. A nurse is teaching a client who has type 1 diabetes mellitus about actions to take when having manifestations of hypoglycemia with a glucometer reading between 40 and 60 mg/dL. Which of the following instructions should the nurse include? - D: Drink 120 mL (4 oz) of fruit juice. 22. A nurse is leading a small group discussion in an acute care mental health facility when one client suddenly begins to experience a panic attack. Which of the following actions should the nurse take? - B: Remain with the client until manifestations subside. 23. A nurse in an emergency department is caring for a client who has heat stroke. Which of the following actions should the nurse take to treat this form of hyperthermia? - A: Apply ice packs to the client's axillae, neck, groin, and chest. 24. A nurse in a provider's office is completing a preoperative screening for a client who is scheduled for a knee arthroplasty later that week. Which of the following findings requires the nurse's intervention? (Click on the exhibit button for additional information about the client. There are three tabs that contain separate categories of data.) - D: Coagulation time 25. A nurse is planning care for a client who has pneumonia. WHich of the following interventions should the nurse include in the plan? - C: Teach the client how to cough up secretions. 26. A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings is a priority to report to the provider? - B: Hemoglobin 7.6 mg/dL 27. A nurse is caring for a client who has a fear of open spaces. WHich of the following clinical names for this fear should the nurse document in the client's medical record? - B; Agoraphobia 28. A nurse on a pediatric unit is admitting a school-age child who has pertussis. Which of the following actions should the nurse take? - C: Initiate droplet precautions for the child. 29. A nurse is teaching a client who has tuberculosis about taking rifampin. Which of the following instructions should the nurse include? - B: "Do not drink alcohol while taking this medication." 30. A nurse is caring for a client who has Cushing's disease. The nurse should identify that the client is at risk for which of the following acid-base imbalances? - B: Metabolic alkalosis 31. A nurse is planning care for a client who has chemotherapy-induced anemia and is starting epoetin. Which of the following interventions should the nurse include in the plan? - D: Monitor for hypertension. 32. A nurse is assessing a client for manifestations of grief after having a colostomy for removal of colon cancer. Which of the following findings indicates to the nurse that the client has accepted the loss? - B: Touches the colostomy stoma when the bag is changed 33. A nurse is caring for a client who has respiratory depression following opioid administration to control cancer-related pain. The client's ABG results are ph 7.28, PaCO2 49 mm Hg, and HCO3 24 mEq/L. Based on these findings, the nurse should identify that the client has which of the following acid-base imbalances? - C: Respiratory acidosis 34. A nurse is teaching a female adult client who is obese about disease management. Which of the following information should the nurse include in the teaching? - C: Morbid obesity is measured as a BMI over 40. 35. A nurse is assessing a client who is 1 day postoperative following open ileostomy placement to treat an inflammatory bowel disorder. Which of the following findings is the priority for the nurse to report to the provider? - C: The stoma is purple in color. 36. A nurse is reviewing the urinalysis results of a client who has completed a 14- day course of ciprofloxacin to treat pyelonephritis. WHich of the following values should indicate to the nurse that the client has a continuing infection? - C: Positive leukocyte esterase 37. A community health nurse is teaching a group of older adult clients about interventions to prevent pneumonia. Which of the following instructions should the nurse include in the teaching? - C: "Wash your hands when you return home from running errands." 38. A nurse is providing discharge teaching for a client who has a hearing impairment. Which of the following actions should the nurse take? - A: Encourage the client to repeat what the nurse has said. 39. A nurse is providing postoperative education for a client following a laparoscopic cholecystectomy for cholelithiasis. Which of the following client statements indicates an understanding of the teaching? - A: "The adhesive bandages on my incision will fall off as the incision heals." 40. A school nurse is assessing a school-age child who has erythema infectiosum (fifth disease). Which of the following manifestations should the nurse expect? - C: Facial eruption