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 caring for a client who has a new prescription for oxygen therapy.
Which of the following actions should the nurse take first?
A. Apply the oxygen delivery device
B. Assess the client's respiratory status
C. Obtain a prescription for oxygen saturation monitoring
D. Document the administration of oxygen
Answer: B
Rationale: The nurse should first assess the client's respiratory status to determine the
appropriate oxygen delivery method and flow rate. This includes evaluating respiratory
rate, depth, effort, and oxygen saturation. Applying the device, monitoring, and
documenting come after assessment.
2. A nurse is preparing to administer a medication to a client. The nurse notes that
the medication is not on the client's medication administration record (MAR).
Which of the following actions should the nurse take?
,A. Administer the medication and document it
B. Hold the medication and notify the healthcare provider
C. Ask the client if they take the medication at home
D. Check the medication in the Pyxis for correct dosage
Answer: B
Rationale: The nurse should hold the medication and notify the healthcare provider if it is
not on the MAR. Administering an unverified medication could cause harm. The provider
must clarify the order before administration.
3. A nurse is delegating a task to a nursing assistant. Which of the following tasks
is appropriate to delegate to the nursing assistant?
A. Administering oral medications
B. Performing a sterile wound dressing change
C. Assisting a client with ambulation
D. Inserting a urinary catheter
Answer: C
Rationale: Assisting a client with ambulation is within the scope of practice for a nursing
assistant. Administering medications, wound care, and catheter insertion require licensed
nursing skills and are not appropriate to delegate.
4. A nurse is caring for a client who has a do-not-resuscitate (DNR) order. The
client's family requests that CPR be performed if the client experiences cardiac
arrest. Which of the following actions should the nurse take?
A. Perform CPR as the family requests
B. Respect the DNR order
C. Notify the healthcare provider
D. Request an ethics committee consultation
Answer: B
Rationale: The nurse should respect the DNR order as it is a legal document reflecting the
client's wishes. The family's request does not override the client's advance directive. The
nurse should explain the order to the family and notify the provider if needed.
,5. A nurse is providing discharge teaching to a client. Which of the following
actions demonstrates effective client education?
A. Providing written materials only
B. Asking the client to verbalize understanding
C. Speaking quickly to cover all topics
D. Giving the client a list of medications without explanation
Answer: B
Rationale: Asking the client to verbalize understanding (teach-back) is an effective method
to confirm comprehension. Written materials are helpful but should be supplemented with
verbal instruction. Teaching should be paced appropriately and include explanations.
6. A nurse is caring for a client who is confused and attempting to remove an
indwelling urinary catheter. Which of the following is the most appropriate action?
A. Apply wrist restraints
B. Place the client in a room near the nurses' station
C. Administer a sedative medication
D. Assess the need for the catheter and consider alternatives
Answer: D
Rationale: The least restrictive intervention should be used. The nurse should assess the
need for the catheter and explore alternatives. Restraints and sedatives should be used
only as a last resort. Frequent observation can help prevent the client from removing the
catheter.
7. A nurse is caring for a client who has a prescription for a blood transfusion.
Which of the following actions should the nurse take before initiating the
transfusion?
A. Verify the blood product with another nurse
B. Administer the blood through a microfilter
, C. Use dextrose 5% in water as the primary IV fluid
D. Infuse the blood over 1 hour
Answer: A
Rationale: A two-nurse verification process is required before blood administration to
ensure patient safety. Blood should be administered through a standard filter, not a
microfilter. Normal saline, not dextrose, is used. Transfusion should be given over 2-4
hours.
8. A nurse is caring for a client who is at risk for falls. Which of the following
actions should the nurse take?
A. Keep the bed in the highest position
B. Place the call light within reach
C. Leave the client's room door closed
D. Use wrist restraints
Answer: B
Rationale: Keeping the call light within reach allows the client to call for assistance,
reducing fall risk. The bed should be in the lowest position. Restraints should only be used
as a last resort. The door should remain open for visibility.
9. A nurse is preparing to perform a sterile procedure. Which of the following
actions maintains sterility?
A. Opening sterile packages over the sterile field
B. Reaching over the sterile field to retrieve an item
C. Keeping the sterile field at waist level
D. Allowing the sterile field to become wet
Answer: C
Rationale: The sterile field should be kept at waist level or above. Opening packages over
the field can cause contamination. Reaching over the field and allowing it to become wet
both compromise sterility. The 1-inch border of the sterile field is considered
contaminated.
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 caring for a client who has a new prescription for oxygen therapy.
Which of the following actions should the nurse take first?
A. Apply the oxygen delivery device
B. Assess the client's respiratory status
C. Obtain a prescription for oxygen saturation monitoring
D. Document the administration of oxygen
Answer: B
Rationale: The nurse should first assess the client's respiratory status to determine the
appropriate oxygen delivery method and flow rate. This includes evaluating respiratory
rate, depth, effort, and oxygen saturation. Applying the device, monitoring, and
documenting come after assessment.
2. A nurse is preparing to administer a medication to a client. The nurse notes that
the medication is not on the client's medication administration record (MAR).
Which of the following actions should the nurse take?
,A. Administer the medication and document it
B. Hold the medication and notify the healthcare provider
C. Ask the client if they take the medication at home
D. Check the medication in the Pyxis for correct dosage
Answer: B
Rationale: The nurse should hold the medication and notify the healthcare provider if it is
not on the MAR. Administering an unverified medication could cause harm. The provider
must clarify the order before administration.
3. A nurse is delegating a task to a nursing assistant. Which of the following tasks
is appropriate to delegate to the nursing assistant?
A. Administering oral medications
B. Performing a sterile wound dressing change
C. Assisting a client with ambulation
D. Inserting a urinary catheter
Answer: C
Rationale: Assisting a client with ambulation is within the scope of practice for a nursing
assistant. Administering medications, wound care, and catheter insertion require licensed
nursing skills and are not appropriate to delegate.
4. A nurse is caring for a client who has a do-not-resuscitate (DNR) order. The
client's family requests that CPR be performed if the client experiences cardiac
arrest. Which of the following actions should the nurse take?
A. Perform CPR as the family requests
B. Respect the DNR order
C. Notify the healthcare provider
D. Request an ethics committee consultation
Answer: B
Rationale: The nurse should respect the DNR order as it is a legal document reflecting the
client's wishes. The family's request does not override the client's advance directive. The
nurse should explain the order to the family and notify the provider if needed.
,5. A nurse is providing discharge teaching to a client. Which of the following
actions demonstrates effective client education?
A. Providing written materials only
B. Asking the client to verbalize understanding
C. Speaking quickly to cover all topics
D. Giving the client a list of medications without explanation
Answer: B
Rationale: Asking the client to verbalize understanding (teach-back) is an effective method
to confirm comprehension. Written materials are helpful but should be supplemented with
verbal instruction. Teaching should be paced appropriately and include explanations.
6. A nurse is caring for a client who is confused and attempting to remove an
indwelling urinary catheter. Which of the following is the most appropriate action?
A. Apply wrist restraints
B. Place the client in a room near the nurses' station
C. Administer a sedative medication
D. Assess the need for the catheter and consider alternatives
Answer: D
Rationale: The least restrictive intervention should be used. The nurse should assess the
need for the catheter and explore alternatives. Restraints and sedatives should be used
only as a last resort. Frequent observation can help prevent the client from removing the
catheter.
7. A nurse is caring for a client who has a prescription for a blood transfusion.
Which of the following actions should the nurse take before initiating the
transfusion?
A. Verify the blood product with another nurse
B. Administer the blood through a microfilter
, C. Use dextrose 5% in water as the primary IV fluid
D. Infuse the blood over 1 hour
Answer: A
Rationale: A two-nurse verification process is required before blood administration to
ensure patient safety. Blood should be administered through a standard filter, not a
microfilter. Normal saline, not dextrose, is used. Transfusion should be given over 2-4
hours.
8. A nurse is caring for a client who is at risk for falls. Which of the following
actions should the nurse take?
A. Keep the bed in the highest position
B. Place the call light within reach
C. Leave the client's room door closed
D. Use wrist restraints
Answer: B
Rationale: Keeping the call light within reach allows the client to call for assistance,
reducing fall risk. The bed should be in the lowest position. Restraints should only be used
as a last resort. The door should remain open for visibility.
9. A nurse is preparing to perform a sterile procedure. Which of the following
actions maintains sterility?
A. Opening sterile packages over the sterile field
B. Reaching over the sterile field to retrieve an item
C. Keeping the sterile field at waist level
D. Allowing the sterile field to become wet
Answer: C
Rationale: The sterile field should be kept at waist level or above. Opening packages over
the field can cause contamination. Reaching over the field and allowing it to become wet
both compromise sterility. The 1-inch border of the sterile field is considered
contaminated.
