2026 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 assigned to care for four clients. Which client should the nurse assess
first?
A. A client who is 2 hours postoperative and requesting pain medication
B. A client with a new diagnosis of diabetes who needs discharge teaching
C. A client with a chest tube who has bubbling in the water seal chamber
D. A client who needs assistance with ambulation
Answer: C
Rationale: The client with a chest tube who has bubbling in the water seal chamber
requires immediate assessment. Continuous bubbling indicates an air leak, which can lead
to pneumothorax. Pain management, teaching, and ambulation are important but not as
urgent as a potential air leak.
2. A nurse is preparing to discharge a client who speaks a different language.
Which action should the nurse take to ensure effective communication?
A. Ask a family member to interpret
B. Use a professional medical interpreter
C. Speak loudly and slowly
D. Provide written materials only
,Answer: B
Rationale: A professional medical interpreter should be used to ensure accurate
communication. Family members may not provide accurate interpretation, and speaking
loudly does not improve understanding. Written materials are helpful but should be
supplemented with verbal explanation.
3. A nurse is caring for a client who refuses a prescribed medication. Which of the
following actions should the nurse take?
A. Administer the medication by hiding it in food
B. Respect the client's refusal and document it
C. Notify the healthcare provider immediately
D. Ask another nurse to administer the medication
Answer: B
Rationale: The nurse should respect the client's right to refuse treatment and document
the refusal. Hiding medication in food is unethical and illegal. Notifying the provider and
providing education are appropriate, but respecting the refusal is the priority.
4. A nurse is delegating a task to an unlicensed assistive personnel (UAP). Which of
the following tasks is appropriate to delegate?
A. Assessing a client's pain level
B. Administering oral medications
C. Assisting a client with feeding
D. Performing a sterile dressing change
Answer: C
Rationale: Assisting a client with feeding is within the scope of practice for a UAP.
Assessment, medication administration, and sterile procedures require licensed nursing
skills and are not appropriate to delegate to a UAP.
,5. A nurse is caring for a client who has a living will. The client's family requests
that life-sustaining measures be continued despite the client's wishes. Which
action should the nurse take?
A. Honor the family's request
B. Respect the client's living will
C. Notify the ethics committee
D. Discuss the matter with the healthcare provider
Answer: B
Rationale: The living will is a legal document that reflects the client's wishes. The nurse
should respect the client's wishes and advocate for the client. The family's request does not
override the living will.
6. A nurse is providing education to a client about a new diagnosis. Which action
demonstrates effective teaching?
A. Providing a pamphlet and asking the client to read it
B. Using the teach-back method
C. Speaking in complex medical terminology
D. Providing all information at once
Answer: B
Rationale: The teach-back method (asking the client to explain the information in their
own words) confirms understanding and identifies areas needing further education.
Pamphlets are helpful but should be supplemented with verbal instruction. Medical
terminology and overwhelming information can hinder understanding.
7. A nurse is caring for a client who is at risk for falls. Which of the following
actions should the nurse take?
A. Place the bed in the highest position
B. Keep the call light within reach
C. Apply wrist restraints
D. Leave the client's room door closed
, Answer: B
Rationale: Keeping the call light within reach allows the client to call for assistance. The
bed should be in the lowest position. Restraints should only be used as a last resort. The
door should remain open for visibility and safety.
8. A nurse is preparing a client for a surgical procedure. Which action should the
nurse take to ensure informed consent?
A. Have the client sign the consent form immediately
B. Explain the procedure to the client and obtain consent
C. Verify that the client understands the procedure and risks
D. Ask the client's family to sign the consent form
Answer: C
Rationale: The nurse should verify that the client understands the procedure, risks, and
benefits. The provider is responsible for explaining the procedure and obtaining consent.
The family can sign only if the client is unable to do so.
9. A nurse is caring for a client who has a new prescription for restraints. Which of
the following actions should the nurse take first?
A. Apply the restraints as ordered
B. Assess the client for less restrictive alternatives
C. Obtain a healthcare provider's order
D. Notify the client's family
Answer: B
Rationale: The nurse should first assess for less restrictive alternatives to restraints.
Restraints should only be used as a last resort. Orders for restraints must be obtained, but
assessing alternatives is the priority.
10. A nurse is preparing to administer a blood transfusion. Which of the following
actions should the nurse take first?
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 assigned to care for four clients. Which client should the nurse assess
first?
A. A client who is 2 hours postoperative and requesting pain medication
B. A client with a new diagnosis of diabetes who needs discharge teaching
C. A client with a chest tube who has bubbling in the water seal chamber
D. A client who needs assistance with ambulation
Answer: C
Rationale: The client with a chest tube who has bubbling in the water seal chamber
requires immediate assessment. Continuous bubbling indicates an air leak, which can lead
to pneumothorax. Pain management, teaching, and ambulation are important but not as
urgent as a potential air leak.
2. A nurse is preparing to discharge a client who speaks a different language.
Which action should the nurse take to ensure effective communication?
A. Ask a family member to interpret
B. Use a professional medical interpreter
C. Speak loudly and slowly
D. Provide written materials only
,Answer: B
Rationale: A professional medical interpreter should be used to ensure accurate
communication. Family members may not provide accurate interpretation, and speaking
loudly does not improve understanding. Written materials are helpful but should be
supplemented with verbal explanation.
3. A nurse is caring for a client who refuses a prescribed medication. Which of the
following actions should the nurse take?
A. Administer the medication by hiding it in food
B. Respect the client's refusal and document it
C. Notify the healthcare provider immediately
D. Ask another nurse to administer the medication
Answer: B
Rationale: The nurse should respect the client's right to refuse treatment and document
the refusal. Hiding medication in food is unethical and illegal. Notifying the provider and
providing education are appropriate, but respecting the refusal is the priority.
4. A nurse is delegating a task to an unlicensed assistive personnel (UAP). Which of
the following tasks is appropriate to delegate?
A. Assessing a client's pain level
B. Administering oral medications
C. Assisting a client with feeding
D. Performing a sterile dressing change
Answer: C
Rationale: Assisting a client with feeding is within the scope of practice for a UAP.
Assessment, medication administration, and sterile procedures require licensed nursing
skills and are not appropriate to delegate to a UAP.
,5. A nurse is caring for a client who has a living will. The client's family requests
that life-sustaining measures be continued despite the client's wishes. Which
action should the nurse take?
A. Honor the family's request
B. Respect the client's living will
C. Notify the ethics committee
D. Discuss the matter with the healthcare provider
Answer: B
Rationale: The living will is a legal document that reflects the client's wishes. The nurse
should respect the client's wishes and advocate for the client. The family's request does not
override the living will.
6. A nurse is providing education to a client about a new diagnosis. Which action
demonstrates effective teaching?
A. Providing a pamphlet and asking the client to read it
B. Using the teach-back method
C. Speaking in complex medical terminology
D. Providing all information at once
Answer: B
Rationale: The teach-back method (asking the client to explain the information in their
own words) confirms understanding and identifies areas needing further education.
Pamphlets are helpful but should be supplemented with verbal instruction. Medical
terminology and overwhelming information can hinder understanding.
7. A nurse is caring for a client who is at risk for falls. Which of the following
actions should the nurse take?
A. Place the bed in the highest position
B. Keep the call light within reach
C. Apply wrist restraints
D. Leave the client's room door closed
, Answer: B
Rationale: Keeping the call light within reach allows the client to call for assistance. The
bed should be in the lowest position. Restraints should only be used as a last resort. The
door should remain open for visibility and safety.
8. A nurse is preparing a client for a surgical procedure. Which action should the
nurse take to ensure informed consent?
A. Have the client sign the consent form immediately
B. Explain the procedure to the client and obtain consent
C. Verify that the client understands the procedure and risks
D. Ask the client's family to sign the consent form
Answer: C
Rationale: The nurse should verify that the client understands the procedure, risks, and
benefits. The provider is responsible for explaining the procedure and obtaining consent.
The family can sign only if the client is unable to do so.
9. A nurse is caring for a client who has a new prescription for restraints. Which of
the following actions should the nurse take first?
A. Apply the restraints as ordered
B. Assess the client for less restrictive alternatives
C. Obtain a healthcare provider's order
D. Notify the client's family
Answer: B
Rationale: The nurse should first assess for less restrictive alternatives to restraints.
Restraints should only be used as a last resort. Orders for restraints must be obtained, but
assessing alternatives is the priority.
10. A nurse is preparing to administer a blood transfusion. Which of the following
actions should the nurse take first?
