pt-Based Assessment Level 2 Proctored Exam (New 2026/2027) Questions and Verified Answers with Rationales| 100% Correct| Graded A 2026/2027 | Page 1 | Passing S
ATI NURSING EDUCATION
ATI RN Concept-Based Assessment Level 2
Proctored Exam (New 2026/2027)
2026/2027 Edition - Official Exam 2026/2027
85 P/F N/A
QUESTIONS PASSING SCORE RECERTIFICATION
TABLE OF CONTENTS
Section 1 Management of Care Q1-Q11
Section 2 Safety and Infection Control Q12-Q22
Section 3 Health Promotion and Maintenance Q23-Q33
Section 4 Psychosocial Integrity Q34-Q43
Section 5 Basic Care and Comfort Q44-Q53
Section 6 Pharmacological Therapies Q54-Q63
Section 7 Reduction of Risk Potential Q64-Q74
Section 8 Physiological Adaptation Q75-Q85
Instructions: Select the single best answer for each question. This exam is designed for ATI RN Concept-Based Assessment Level 2
certification preparation. Passing score determined by ATI standard.
ATI RN Concept-Based Level 2 - 2026/2027 | Passing Score: Pass/Fail | Page 1 of 46
, SECTION 1 | Management of Care | Q1-Q11 | ATI RN Concept-Based Level 2 2026/2027
Q1 Question 1 of 85
A 72-year-old client with advanced heart failure is admitted to the medical unit. The client tells
the nurse, "I do not want to be placed on a ventilator if my heart stops." The nurse should
recognize that this statement represents which type of advance directive?
A. A living will declaration that specifies the client's treatment preferences in the event of terminal
illness or permanent unconsciousness
B. A durable power of attorney for health care that designates a surrogate decision-maker for all
medical decisions
C. A do-not-resuscitate order that requires a physician's signature before it becomes legally
binding in the facility
D. An informed consent document that authorizes the healthcare team to withhold all future
medical interventions
Correct Answer: A
Rationale:
A living will is a written advance directive that specifies the treatments a person wants or does not want if
they become terminally ill or permanently unconscious. Option B is incorrect because a durable power of
attorney designates a proxy rather than stating specific treatment preferences directly.
Q2 Question 2 of 85
A charge nurse on a medical-surgical unit is making client assignments for the shift. Four
clients are currently on the unit: a client who is 1 day postoperative with a new colostomy, a
client receiving a continuous heparin infusion, a client with pneumonia requiring hourly
neurovascular checks, and a client awaiting discharge. The charge nurse should assign the
client with the heparin infusion to which team member?
A. A registered nurse because continuous heparin infusions require frequent aPTT monitoring and
dosage adjustments based on laboratory values
B. A licensed practical nurse because heparin infusions are considered routine medications with
established protocols
C. A float nurse from the pediatrics unit because the technical aspects of IV management are
universal across specialties
D. A nursing assistant because the infusion pump automatically adjusts the rate and no clinical
judgment is needed
Correct Answer: A
Rationale:
Heparin infusions require ongoing clinical assessment and dosage adjustments based on aPTT results,
ATI RN Concept-Based Level 2 - 2026/2027 | Passing Score: Pass/Fail | Page 2 of 46
, SECTION 1 | Management of Care | Q1-Q11 | ATI RN Concept-Based Level 2 2026/2027
Q3 Question 3 of 85
A nurse manager is reviewing incident reports from the past month and notices an increase in
medication errors on the night shift. The most effective initial action by the nurse manager
should be which of the following?
A. Conduct a root cause analysis to identify system-level factors contributing to the increase in
medication errors on the night shift
B. Reassign all night-shift nurses to day shifts where more supervision is available to monitor their
performance
C. Implement mandatory double-checking of all medications by two nurses on the night shift
effective immediately
D. Counsel each night-shift nurse individually about the importance of medication safety and
proper technique
Correct Answer: A
Rationale:
A root cause analysis systematically identifies the underlying system issues contributing to errors, which
leads to targeted and effective interventions. Option C is a reactive approach that adds workload without
understanding the actual causes; it may not address the root problems.
Q4 Question 4 of 85
A home health nurse visits a 68-year-old client who was discharged 3 days ago after a total
hip replacement. The client's daughter tells the nurse that she does not want her mother to
know about a new cancer diagnosis. The nurse should respond by explaining which principle?
A. The client has the right to full disclosure of her medical condition, and withholding this
information violates the ethical principle of veracity
B. The daughter's wishes should be respected because family preferences take priority over
individual autonomy in healthcare decisions
C. The physician alone has the authority to decide whether to disclose the cancer diagnosis to the
client
D. The nurse should defer to the family's judgment because cultural sensitivity requires honoring
family decisions in all cases
Correct Answer: A
Rationale:
Veracity is the ethical obligation to tell the truth, and clients have the right to know their diagnoses to make
informed decisions about their care. Option B incorrectly prioritizes family preferences over the client's
fundamental right to autonomy and informed decision-making.
ATI RN Concept-Based Level 2 - 2026/2027 | Passing Score: Pass/Fail | Page 3 of 46
, SECTION 1 | Management of Care | Q1-Q11 | ATI RN Concept-Based Level 2 2026/2027
Q5 Question 5 of 85
A new graduate nurse is preparing to administer a blood transfusion to a client for the first
time. The charge nurse should intervene if the new graduate takes which action?
A. Sets the infusion rate to 200 mL/hr during the first 15 minutes of the transfusion without
remaining at the bedside
B. Verifies the client's identity and blood product using two identifiers at the bedside with another
nurse
C. Takes baseline vital signs including temperature, pulse, respirations, and blood pressure before
initiating the transfusion
D. Ensures that a 0.9% sodium chloride solution is the only IV fluid connected to the blood
administration set
Correct Answer: A
Rationale:
Blood transfusions should be started slowly (approximately 2 mL/min or about 120 mL/hr) for the first 15
minutes while the nurse remains at the bedside to monitor for acute hemolytic reactions. Setting the rate at
200 mL/hr and leaving the bedside creates unacceptable risk for missing early signs of a transfusion
reaction.
Q6 Question 6 of 85
A nurse is caring for a client who has been declared brain dead after a traumatic head injury.
The client's family asks about organ donation. The nurse's best response should be based on
which legal principle?
A. The Uniform Anatomical Gift Act allows individuals to donate their organs and gives legal
authority to the donor's previously expressed wishes or next of kin
B. Organ donation cannot proceed unless the client signed a consent form while still competent
and alert before the injury
C. The hospital administration has sole authority to decide whether organ procurement occurs for
brain-dead clients
D. Organ donation is prohibited in cases of traumatic brain injury due to the risk of organ damage
from the trauma
Correct Answer: A
Rationale:
The Uniform Anatomical Gift Act provides the legal framework for organ donation, honoring the donor's prior
directives or allowing the next of kin to make the decision. Option B is incorrect because the law allows
family members to consent to donation even if the client did not previously sign a form.
ATI RN Concept-Based Level 2 - 2026/2027 | Passing Score: Pass/Fail | Page 4 of 46
ATI NURSING EDUCATION
ATI RN Concept-Based Assessment Level 2
Proctored Exam (New 2026/2027)
2026/2027 Edition - Official Exam 2026/2027
85 P/F N/A
QUESTIONS PASSING SCORE RECERTIFICATION
TABLE OF CONTENTS
Section 1 Management of Care Q1-Q11
Section 2 Safety and Infection Control Q12-Q22
Section 3 Health Promotion and Maintenance Q23-Q33
Section 4 Psychosocial Integrity Q34-Q43
Section 5 Basic Care and Comfort Q44-Q53
Section 6 Pharmacological Therapies Q54-Q63
Section 7 Reduction of Risk Potential Q64-Q74
Section 8 Physiological Adaptation Q75-Q85
Instructions: Select the single best answer for each question. This exam is designed for ATI RN Concept-Based Assessment Level 2
certification preparation. Passing score determined by ATI standard.
ATI RN Concept-Based Level 2 - 2026/2027 | Passing Score: Pass/Fail | Page 1 of 46
, SECTION 1 | Management of Care | Q1-Q11 | ATI RN Concept-Based Level 2 2026/2027
Q1 Question 1 of 85
A 72-year-old client with advanced heart failure is admitted to the medical unit. The client tells
the nurse, "I do not want to be placed on a ventilator if my heart stops." The nurse should
recognize that this statement represents which type of advance directive?
A. A living will declaration that specifies the client's treatment preferences in the event of terminal
illness or permanent unconsciousness
B. A durable power of attorney for health care that designates a surrogate decision-maker for all
medical decisions
C. A do-not-resuscitate order that requires a physician's signature before it becomes legally
binding in the facility
D. An informed consent document that authorizes the healthcare team to withhold all future
medical interventions
Correct Answer: A
Rationale:
A living will is a written advance directive that specifies the treatments a person wants or does not want if
they become terminally ill or permanently unconscious. Option B is incorrect because a durable power of
attorney designates a proxy rather than stating specific treatment preferences directly.
Q2 Question 2 of 85
A charge nurse on a medical-surgical unit is making client assignments for the shift. Four
clients are currently on the unit: a client who is 1 day postoperative with a new colostomy, a
client receiving a continuous heparin infusion, a client with pneumonia requiring hourly
neurovascular checks, and a client awaiting discharge. The charge nurse should assign the
client with the heparin infusion to which team member?
A. A registered nurse because continuous heparin infusions require frequent aPTT monitoring and
dosage adjustments based on laboratory values
B. A licensed practical nurse because heparin infusions are considered routine medications with
established protocols
C. A float nurse from the pediatrics unit because the technical aspects of IV management are
universal across specialties
D. A nursing assistant because the infusion pump automatically adjusts the rate and no clinical
judgment is needed
Correct Answer: A
Rationale:
Heparin infusions require ongoing clinical assessment and dosage adjustments based on aPTT results,
ATI RN Concept-Based Level 2 - 2026/2027 | Passing Score: Pass/Fail | Page 2 of 46
, SECTION 1 | Management of Care | Q1-Q11 | ATI RN Concept-Based Level 2 2026/2027
Q3 Question 3 of 85
A nurse manager is reviewing incident reports from the past month and notices an increase in
medication errors on the night shift. The most effective initial action by the nurse manager
should be which of the following?
A. Conduct a root cause analysis to identify system-level factors contributing to the increase in
medication errors on the night shift
B. Reassign all night-shift nurses to day shifts where more supervision is available to monitor their
performance
C. Implement mandatory double-checking of all medications by two nurses on the night shift
effective immediately
D. Counsel each night-shift nurse individually about the importance of medication safety and
proper technique
Correct Answer: A
Rationale:
A root cause analysis systematically identifies the underlying system issues contributing to errors, which
leads to targeted and effective interventions. Option C is a reactive approach that adds workload without
understanding the actual causes; it may not address the root problems.
Q4 Question 4 of 85
A home health nurse visits a 68-year-old client who was discharged 3 days ago after a total
hip replacement. The client's daughter tells the nurse that she does not want her mother to
know about a new cancer diagnosis. The nurse should respond by explaining which principle?
A. The client has the right to full disclosure of her medical condition, and withholding this
information violates the ethical principle of veracity
B. The daughter's wishes should be respected because family preferences take priority over
individual autonomy in healthcare decisions
C. The physician alone has the authority to decide whether to disclose the cancer diagnosis to the
client
D. The nurse should defer to the family's judgment because cultural sensitivity requires honoring
family decisions in all cases
Correct Answer: A
Rationale:
Veracity is the ethical obligation to tell the truth, and clients have the right to know their diagnoses to make
informed decisions about their care. Option B incorrectly prioritizes family preferences over the client's
fundamental right to autonomy and informed decision-making.
ATI RN Concept-Based Level 2 - 2026/2027 | Passing Score: Pass/Fail | Page 3 of 46
, SECTION 1 | Management of Care | Q1-Q11 | ATI RN Concept-Based Level 2 2026/2027
Q5 Question 5 of 85
A new graduate nurse is preparing to administer a blood transfusion to a client for the first
time. The charge nurse should intervene if the new graduate takes which action?
A. Sets the infusion rate to 200 mL/hr during the first 15 minutes of the transfusion without
remaining at the bedside
B. Verifies the client's identity and blood product using two identifiers at the bedside with another
nurse
C. Takes baseline vital signs including temperature, pulse, respirations, and blood pressure before
initiating the transfusion
D. Ensures that a 0.9% sodium chloride solution is the only IV fluid connected to the blood
administration set
Correct Answer: A
Rationale:
Blood transfusions should be started slowly (approximately 2 mL/min or about 120 mL/hr) for the first 15
minutes while the nurse remains at the bedside to monitor for acute hemolytic reactions. Setting the rate at
200 mL/hr and leaving the bedside creates unacceptable risk for missing early signs of a transfusion
reaction.
Q6 Question 6 of 85
A nurse is caring for a client who has been declared brain dead after a traumatic head injury.
The client's family asks about organ donation. The nurse's best response should be based on
which legal principle?
A. The Uniform Anatomical Gift Act allows individuals to donate their organs and gives legal
authority to the donor's previously expressed wishes or next of kin
B. Organ donation cannot proceed unless the client signed a consent form while still competent
and alert before the injury
C. The hospital administration has sole authority to decide whether organ procurement occurs for
brain-dead clients
D. Organ donation is prohibited in cases of traumatic brain injury due to the risk of organ damage
from the trauma
Correct Answer: A
Rationale:
The Uniform Anatomical Gift Act provides the legal framework for organ donation, honoring the donor's prior
directives or allowing the next of kin to make the decision. Option B is incorrect because the law allows
family members to consent to donation even if the client did not previously sign a form.
ATI RN Concept-Based Level 2 - 2026/2027 | Passing Score: Pass/Fail | Page 4 of 46
