1
ATI TESTING LEVEL 2 PROCTORED EXAM WITH
ACTUAL 2026-27 VERSION QUESTIONS AND
CORRECT SOLUTIONS WITH RATIONALES
A nurse is developing an in-service for a group of coworkers about
adolescents' reactions to death. Which of the following information should the
nurse include when discussing an adolescent's response to death?
Adolescents cope with death better than children of other ages.
Adolescents view funeral services as an opportunity for closure.
Adolescents are more concerned with the past than the present or future.
Adolescents often alienate themselves from their peers when grieving.
Adolescents often alienate themselves from their peers when grieving.
,2
The nurse should identify that adolescents dealing with death often have difficulty
communicating their feelings and alienate themselves from their peers and families.
A nurse in an emergency department is assessing a client who is experiencing
mild hypothermia. Which of the following manifestations should the nurse
expect?
Stupor
Decreased pulse
Slurred speech
Dysrhythmias
Slurred speech
The nurse should expect a client who is experiencing mild hypothermia to exhibit
manifestations such as slurred speech, shivering, decreased coordination, and
diuresis.
A nurse is providing discharge teaching to an older adult client who had
surgery to treat visual impairment due to cataracts. Which of the following
client statements indicates an understanding of the teaching?
"I will keep an eye patch in place for the first 3 days after surgery."
"It is okay for me to lift my 2-year-old granddaughter."
"I will be able run the vacuum cleaner in a day or two."
"It might take 4 to 6 weeks for my vision to fully improve."
"It might take 4 to 6 weeks for my vision to fully improve."
The nurse should instruct the client that it can take up to 4 to 6 weeks for optimal
recovery; however, the client can expect visual improvement immediately following
surgery.
A nurse on a mental health unit is developing a plan of care for a client who is
experiencing a panic level of anxiety. Which of the following actions should
the nurse identify as the priority?
Reduce environmental stimulation.
Protect the client from harm.
Administer an anxiolytic.
Encourage physical exercise.
,3
Protect the client from harm.
The greatest risk to this client is injury from uncontrollable thoughts and activity;
therefore, the priority intervention is to protect the client from harming himself or
others by moving to a quiet environment with decreased stimulation and staying with
the client.
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?
Diminished peripheral pulsations in the right lower leg
Discoloration and edema of the right ankle
Atrophy of the skin and hair loss on the right leg
Dependent rubor in the right leg
Discoloration and edema of the right ankle
The nurse should identify that manifestations of peripheral venous disease include
discoloration and edema of the ankle, resulting from venous hypertension.
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?
Teach the client how to use breathing techniques while continuing the
discussion.
Remain with the client until manifestations subside.
Speak in a high-pitched louder voice to gain the client's attention.
Instruct the client to join another group who is practicing yoga.
Remain with the client until manifestations subside.
The nurse should remain with the client in a quiet place throughout the panic attack
to ensure the client's safety and assist with anxiety reduction techniques.
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?
Metabolic acidosis
Metabolic alkalosis
, 4
Respiratory acidosis
Respiratory alkalosis
Respiratory acidosis
With this acid-base imbalance, the client's pH is below the expected reference range,
the PaCO2 is above the expected reference range, and the HCO3- is within or
possibly above the expected reference range. Common causes of respiratory
acidosis are respiratory depression due to anesthesia or opioid administration,
airway obstruction, and inadequate chest expansion.
A nurse has arrived at the site of an accident where a client has sustained a
traumatic amputation of the big toe. Identify the sequence of steps the nurse
should take to treat the musculoskeletal trauma. (Move the steps into the box
on the right, placing them in the order of performance. Use all the steps.)
The nurse should first call 911 and examine the amputation site. Next, the nurse
should apply direct pressure with layers of dry cloth to slow or stop the bleeding.
Then, the nurse should elevate the affected extremity above the client's heart to slow
the bleeding. Next, the nurse should find the toe and wrap it in sterile gauze or a
clean cloth to decrease contamination for possible surgical reattachment. Finally, the
nurse should place the wrapped toe in a bag and place the bag in 1 part ice and 3
parts water to maintain tissue integrity for possible reattachment.
A nurse is assessing a client who has been taking antacids frequently for
gastrointestinal distress. The assessment findings include drowsiness,
muscle weakness, bradycardia, and hypotension. Which of the following
electrolyte imbalances should the nurse suspect?
Hypophosphatemia
Hypochloremia
Hypermagnesemia
Hypernatremia
Hypermagnesemia
The nurse should identify that frequent ingestion of antacids and laxatives that
contain magnesium can cause hypermagnesemia. Manifestations include
hypotension, bradycardia, absent deep tendon reflexes, weak skeletal muscle
contractions, ECG changes, lethargy, and drowsiness that can progress to coma.
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.)
ATI TESTING LEVEL 2 PROCTORED EXAM WITH
ACTUAL 2026-27 VERSION QUESTIONS AND
CORRECT SOLUTIONS WITH RATIONALES
A nurse is developing an in-service for a group of coworkers about
adolescents' reactions to death. Which of the following information should the
nurse include when discussing an adolescent's response to death?
Adolescents cope with death better than children of other ages.
Adolescents view funeral services as an opportunity for closure.
Adolescents are more concerned with the past than the present or future.
Adolescents often alienate themselves from their peers when grieving.
Adolescents often alienate themselves from their peers when grieving.
,2
The nurse should identify that adolescents dealing with death often have difficulty
communicating their feelings and alienate themselves from their peers and families.
A nurse in an emergency department is assessing a client who is experiencing
mild hypothermia. Which of the following manifestations should the nurse
expect?
Stupor
Decreased pulse
Slurred speech
Dysrhythmias
Slurred speech
The nurse should expect a client who is experiencing mild hypothermia to exhibit
manifestations such as slurred speech, shivering, decreased coordination, and
diuresis.
A nurse is providing discharge teaching to an older adult client who had
surgery to treat visual impairment due to cataracts. Which of the following
client statements indicates an understanding of the teaching?
"I will keep an eye patch in place for the first 3 days after surgery."
"It is okay for me to lift my 2-year-old granddaughter."
"I will be able run the vacuum cleaner in a day or two."
"It might take 4 to 6 weeks for my vision to fully improve."
"It might take 4 to 6 weeks for my vision to fully improve."
The nurse should instruct the client that it can take up to 4 to 6 weeks for optimal
recovery; however, the client can expect visual improvement immediately following
surgery.
A nurse on a mental health unit is developing a plan of care for a client who is
experiencing a panic level of anxiety. Which of the following actions should
the nurse identify as the priority?
Reduce environmental stimulation.
Protect the client from harm.
Administer an anxiolytic.
Encourage physical exercise.
,3
Protect the client from harm.
The greatest risk to this client is injury from uncontrollable thoughts and activity;
therefore, the priority intervention is to protect the client from harming himself or
others by moving to a quiet environment with decreased stimulation and staying with
the client.
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?
Diminished peripheral pulsations in the right lower leg
Discoloration and edema of the right ankle
Atrophy of the skin and hair loss on the right leg
Dependent rubor in the right leg
Discoloration and edema of the right ankle
The nurse should identify that manifestations of peripheral venous disease include
discoloration and edema of the ankle, resulting from venous hypertension.
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?
Teach the client how to use breathing techniques while continuing the
discussion.
Remain with the client until manifestations subside.
Speak in a high-pitched louder voice to gain the client's attention.
Instruct the client to join another group who is practicing yoga.
Remain with the client until manifestations subside.
The nurse should remain with the client in a quiet place throughout the panic attack
to ensure the client's safety and assist with anxiety reduction techniques.
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?
Metabolic acidosis
Metabolic alkalosis
, 4
Respiratory acidosis
Respiratory alkalosis
Respiratory acidosis
With this acid-base imbalance, the client's pH is below the expected reference range,
the PaCO2 is above the expected reference range, and the HCO3- is within or
possibly above the expected reference range. Common causes of respiratory
acidosis are respiratory depression due to anesthesia or opioid administration,
airway obstruction, and inadequate chest expansion.
A nurse has arrived at the site of an accident where a client has sustained a
traumatic amputation of the big toe. Identify the sequence of steps the nurse
should take to treat the musculoskeletal trauma. (Move the steps into the box
on the right, placing them in the order of performance. Use all the steps.)
The nurse should first call 911 and examine the amputation site. Next, the nurse
should apply direct pressure with layers of dry cloth to slow or stop the bleeding.
Then, the nurse should elevate the affected extremity above the client's heart to slow
the bleeding. Next, the nurse should find the toe and wrap it in sterile gauze or a
clean cloth to decrease contamination for possible surgical reattachment. Finally, the
nurse should place the wrapped toe in a bag and place the bag in 1 part ice and 3
parts water to maintain tissue integrity for possible reattachment.
A nurse is assessing a client who has been taking antacids frequently for
gastrointestinal distress. The assessment findings include drowsiness,
muscle weakness, bradycardia, and hypotension. Which of the following
electrolyte imbalances should the nurse suspect?
Hypophosphatemia
Hypochloremia
Hypermagnesemia
Hypernatremia
Hypermagnesemia
The nurse should identify that frequent ingestion of antacids and laxatives that
contain magnesium can cause hypermagnesemia. Manifestations include
hypotension, bradycardia, absent deep tendon reflexes, weak skeletal muscle
contractions, ECG changes, lethargy, and drowsiness that can progress to coma.
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.)
