TEST BANK
ATI RN Concepts Level 2 Comprehensive
Curriculum Ques on Complete Exam-Style
Evalua on with Verified Answer Key
Ques on 1
A nurse is preparing to administer medica ons to four clients. Which client should the nurse
assess first?
A. A client receiving oral an bio cs who reports mild nausea
B. A client receiving IV morphine who has a respiratory rate of 8/min
C. A client scheduled for discharge who requests pain medica on
D. A client with hypertension whose blood pressure is 150/88 mm Hg
Answer: B. A client receiving IV morphine who has a respiratory rate of 8/min
Ra onale: A respiratory rate of 8/min indicates respiratory depression, a poten ally life-
threatening adverse effect of opioids. This client requires immediate assessment and
interven on using the ABC (Airway, Breathing, Circula on) priority framework.
Ques on 2
Which ac on by the nurse best demonstrates adherence to standard precau ons?
A. Wearing gloves only when handling blood
B. Performing hand hygiene before and a er every pa ent contact
C. Wearing an N95 respirator for every pa ent
D. Using sterile gloves for rou ne vital signs
Answer: B. Performing hand hygiene before and a er every pa ent contact
,Ra onale: Hand hygiene is the single most effec ve measure for preven ng healthcare-
associated infec ons and is required before and a er all pa ent contact.
Ques on 3
A nurse iden fies a fire in a pa ent's room. According to the RACE protocol, what is the
nurse's first ac on?
A. Ac vate the alarm
B. Remove clients from danger
C. Close doors
D. Ex nguish the fire
Answer: B. Remove clients from danger
Ra onale: RACE stands for Rescue, Alarm, Contain, Ex nguish/Evacuate. The first priority is
rescuing anyone in immediate danger.
Ques on 4
Which finding requires the nurse's immediate interven on?
A. Temperature 37.8°C (100°F)
B. Oxygen satura on 88% on room air
C. Heart rate 96/min
D. Blood pressure 138/82 mm Hg
Answer: B. Oxygen satura on 88% on room air
Ra onale: An oxygen satura on below 90% indicates hypoxemia and requires prompt
assessment and interven on.
Ques on 5
A nurse is caring for a client receiving con nuous enteral feedings. Which interven on helps
reduce aspira on risk?
,A. Keep the head of the bed elevated 30–45°
B. Lay the client flat during feedings
C. Flush the tube only once daily
D. Stop feedings every hour
Answer: A. Keep the head of the bed elevated 30–45°
Ra onale: Eleva ng the head of the bed reduces the risk of aspira on during enteral
nutri on.
Ques on 6
A nurse is reinforcing teaching about fall preven on. Which statement by the client indicates
understanding?
A. "I'll wear nonskid shoes when walking."
B. "I'll leave my bed in the highest posi on."
C. "I'll use furniture for support."
D. "I'll avoid using my walker."
Answer: A. "I'll wear nonskid shoes when walking."
Ra onale: Proper footwear reduces fall risk. Beds should be kept low, assis ve devices should
be used correctly, and furniture should not replace mobility aids.
Ques on 7
Which laboratory value should the nurse report immediately?
A. Sodium 138 mEq/L
B. Potassium 6.3 mEq/L
C. Hemoglobin 13.8 g/dL
D. Platelets 240,000/mm³
Answer: B. Potassium 6.3 mEq/L
, Ra onale: Severe hyperkalemia increases the risk of life-threatening cardiac dysrhythmias
and requires urgent interven on.
Ques on 8
Which client is at the highest risk for developing a pressure injury?
A. A client who ambulates independently
B. A client on prolonged bed rest with limited mobility
C. A client with seasonal allergies
D. A client with controlled hypertension
Answer: B. A client on prolonged bed rest with limited mobility
Ra onale: Immobility is one of the strongest risk factors for pressure injuries because of
prolonged pressure on bony prominences.
Ques on 9
The nurse should iden fy which finding as a manifesta on of hypoglycemia?
A. Warm, dry skin
B. Tremors and diaphoresis
C. Fruity breath odor
D. Kussmaul respira ons
Answer: B. Tremors and diaphoresis
Ra onale: Hypoglycemia commonly presents with swea ng, tremors, tachycardia, hunger,
and confusion.
Ques on 10
A nurse is caring for a client receiving IV potassium chloride. Which ac on is appropriate?
A. Administer by rapid IV push
B. Dilute before infusion using an infusion pump
ATI RN Concepts Level 2 Comprehensive
Curriculum Ques on Complete Exam-Style
Evalua on with Verified Answer Key
Ques on 1
A nurse is preparing to administer medica ons to four clients. Which client should the nurse
assess first?
A. A client receiving oral an bio cs who reports mild nausea
B. A client receiving IV morphine who has a respiratory rate of 8/min
C. A client scheduled for discharge who requests pain medica on
D. A client with hypertension whose blood pressure is 150/88 mm Hg
Answer: B. A client receiving IV morphine who has a respiratory rate of 8/min
Ra onale: A respiratory rate of 8/min indicates respiratory depression, a poten ally life-
threatening adverse effect of opioids. This client requires immediate assessment and
interven on using the ABC (Airway, Breathing, Circula on) priority framework.
Ques on 2
Which ac on by the nurse best demonstrates adherence to standard precau ons?
A. Wearing gloves only when handling blood
B. Performing hand hygiene before and a er every pa ent contact
C. Wearing an N95 respirator for every pa ent
D. Using sterile gloves for rou ne vital signs
Answer: B. Performing hand hygiene before and a er every pa ent contact
,Ra onale: Hand hygiene is the single most effec ve measure for preven ng healthcare-
associated infec ons and is required before and a er all pa ent contact.
Ques on 3
A nurse iden fies a fire in a pa ent's room. According to the RACE protocol, what is the
nurse's first ac on?
A. Ac vate the alarm
B. Remove clients from danger
C. Close doors
D. Ex nguish the fire
Answer: B. Remove clients from danger
Ra onale: RACE stands for Rescue, Alarm, Contain, Ex nguish/Evacuate. The first priority is
rescuing anyone in immediate danger.
Ques on 4
Which finding requires the nurse's immediate interven on?
A. Temperature 37.8°C (100°F)
B. Oxygen satura on 88% on room air
C. Heart rate 96/min
D. Blood pressure 138/82 mm Hg
Answer: B. Oxygen satura on 88% on room air
Ra onale: An oxygen satura on below 90% indicates hypoxemia and requires prompt
assessment and interven on.
Ques on 5
A nurse is caring for a client receiving con nuous enteral feedings. Which interven on helps
reduce aspira on risk?
,A. Keep the head of the bed elevated 30–45°
B. Lay the client flat during feedings
C. Flush the tube only once daily
D. Stop feedings every hour
Answer: A. Keep the head of the bed elevated 30–45°
Ra onale: Eleva ng the head of the bed reduces the risk of aspira on during enteral
nutri on.
Ques on 6
A nurse is reinforcing teaching about fall preven on. Which statement by the client indicates
understanding?
A. "I'll wear nonskid shoes when walking."
B. "I'll leave my bed in the highest posi on."
C. "I'll use furniture for support."
D. "I'll avoid using my walker."
Answer: A. "I'll wear nonskid shoes when walking."
Ra onale: Proper footwear reduces fall risk. Beds should be kept low, assis ve devices should
be used correctly, and furniture should not replace mobility aids.
Ques on 7
Which laboratory value should the nurse report immediately?
A. Sodium 138 mEq/L
B. Potassium 6.3 mEq/L
C. Hemoglobin 13.8 g/dL
D. Platelets 240,000/mm³
Answer: B. Potassium 6.3 mEq/L
, Ra onale: Severe hyperkalemia increases the risk of life-threatening cardiac dysrhythmias
and requires urgent interven on.
Ques on 8
Which client is at the highest risk for developing a pressure injury?
A. A client who ambulates independently
B. A client on prolonged bed rest with limited mobility
C. A client with seasonal allergies
D. A client with controlled hypertension
Answer: B. A client on prolonged bed rest with limited mobility
Ra onale: Immobility is one of the strongest risk factors for pressure injuries because of
prolonged pressure on bony prominences.
Ques on 9
The nurse should iden fy which finding as a manifesta on of hypoglycemia?
A. Warm, dry skin
B. Tremors and diaphoresis
C. Fruity breath odor
D. Kussmaul respira ons
Answer: B. Tremors and diaphoresis
Ra onale: Hypoglycemia commonly presents with swea ng, tremors, tachycardia, hunger,
and confusion.
Ques on 10
A nurse is caring for a client receiving IV potassium chloride. Which ac on is appropriate?
A. Administer by rapid IV push
B. Dilute before infusion using an infusion pump
