ATI CBC Level 2 Study Guide questions and
answers 2025-2026 update
A community health nurse is teaching a group of older adult clients about interventions to preven
pneumonia. Which of the following instructions should the nurse include in the teaching? - ✔✔ANS Was
your hands when you return home from running errands
A nurse is reviewing the medical record of a client who has a family history of gallstones. Which of th
following findings should the nurse identify as a risk factor for developing cholecystitis? - ✔✔ANS Clien
is taking atorvastatin
A nurse is assessing a client who is receiving morphine via a PCA pump to manage postoperative pain
The client has a heart rate of 66/min and a respiratory rate of 9/min. Which of the following medication
should the nurse anticipate the provider will prescribe for the client? - ✔✔ANS Naloxone
A nurse is teaching a client who has gastroesophageal reflux disease about ways to prevent reflux. Whic
of the following information should the nurse include in the teaching? - ✔✔ANS Plan to finish eating a
least 3 hr before bedtime
A nurse is assessing a client who has a calcium level of 6.3 mg/dL. Which of the following findings shoul
the nurse expect? - ✔✔ANS Circumoral tingling
A nurse is leading a small group discussion in an acute care mental health facility when one clien
suddenly begins to experience a panic attack. Which of the following actions should the nurse take?
✔✔ANS Remain with the client until manifestations subside
A nurse in an emergency department is assessing a client who reports severe constipation. The nurs
should identify which of the following findings as an indication that the client might have a small-bowe
obstruction? - ✔✔ANS Visible peristaltic waves in the upper abdomen
A nurse is reviewing the urinalysis results of a client who has completed a 14-day course of ciprofloxaci
to treat pyelonephritis. Which of the following values should indicate to the nurse that the client has
continuing infection? - ✔✔ANS Positive leukocyte esterase
, A nurse is providing discharge teaching for a client who had lithotripsy to break up calculi in the righ
kidney. Which of the following findings should the nurse instruct the client to report to the provider?
✔✔ANS Painful urination
A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following finding
is a priority to report to the provider? - ✔✔ANS Hemoglobin 7.6 mg/dL
A nurse in an emergency department is caring for a client whose ABG results are pH 7.31, PaCO2 50mm
Hg, and HCO3- 25 mEq/L after experiencing an airway obstruction. Which of the following intervention
is the nurse's priority for this client? - ✔✔ANS Apply oxygen therapy to the client
A nurse is assessing a client who has Graves' disease. Which of the following findings should the nurs
expect? - ✔✔ANS Exophthalmos
A nurse is providing teaching to a client who has a hearing impairment and has a new prescription for
hearing aid. Which of the following client statements indicates an understanding of the teaching?
✔✔ANS "I will make sure the hearing aid is off before inserting it in my ear"
A nurse is assessing a client who has an ulcer due to peripheral vascular disease. Which of the followin
findings should the nurse identify as an indication that the client has a venous ulcer rather than an arteria
ulcer? - ✔✔ANS Discoloration and edema of the right ankle
A nurse is providing home care instructions to a client who had a short-arm plaster cast applied for
wrist fracture. Which of the following instructions should the nurse include? - ✔✔ANS Elevate the wris
above heart level
A nurse is providing discharge planning for a client who has gestational diabetes. Which of the followin
interventions should the nurse identify as the priority? - ✔✔ANS Determine the client's knowledg
regarding gestational diabetes
A school nurse is assessing a school-age child who has erythema infectiosum (fifth disease). Which o
the following manifestations should the nurse expect? - ✔✔ANS Facial eruption
A nurse is teaching about foot care with a group of older adults who have type 1 diabetes mellitus. Whic
of the following information should the nurse include in the teaching? - ✔✔ANS Trim toenails straigh
across to prevent ingrown toenails
answers 2025-2026 update
A community health nurse is teaching a group of older adult clients about interventions to preven
pneumonia. Which of the following instructions should the nurse include in the teaching? - ✔✔ANS Was
your hands when you return home from running errands
A nurse is reviewing the medical record of a client who has a family history of gallstones. Which of th
following findings should the nurse identify as a risk factor for developing cholecystitis? - ✔✔ANS Clien
is taking atorvastatin
A nurse is assessing a client who is receiving morphine via a PCA pump to manage postoperative pain
The client has a heart rate of 66/min and a respiratory rate of 9/min. Which of the following medication
should the nurse anticipate the provider will prescribe for the client? - ✔✔ANS Naloxone
A nurse is teaching a client who has gastroesophageal reflux disease about ways to prevent reflux. Whic
of the following information should the nurse include in the teaching? - ✔✔ANS Plan to finish eating a
least 3 hr before bedtime
A nurse is assessing a client who has a calcium level of 6.3 mg/dL. Which of the following findings shoul
the nurse expect? - ✔✔ANS Circumoral tingling
A nurse is leading a small group discussion in an acute care mental health facility when one clien
suddenly begins to experience a panic attack. Which of the following actions should the nurse take?
✔✔ANS Remain with the client until manifestations subside
A nurse in an emergency department is assessing a client who reports severe constipation. The nurs
should identify which of the following findings as an indication that the client might have a small-bowe
obstruction? - ✔✔ANS Visible peristaltic waves in the upper abdomen
A nurse is reviewing the urinalysis results of a client who has completed a 14-day course of ciprofloxaci
to treat pyelonephritis. Which of the following values should indicate to the nurse that the client has
continuing infection? - ✔✔ANS Positive leukocyte esterase
, A nurse is providing discharge teaching for a client who had lithotripsy to break up calculi in the righ
kidney. Which of the following findings should the nurse instruct the client to report to the provider?
✔✔ANS Painful urination
A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following finding
is a priority to report to the provider? - ✔✔ANS Hemoglobin 7.6 mg/dL
A nurse in an emergency department is caring for a client whose ABG results are pH 7.31, PaCO2 50mm
Hg, and HCO3- 25 mEq/L after experiencing an airway obstruction. Which of the following intervention
is the nurse's priority for this client? - ✔✔ANS Apply oxygen therapy to the client
A nurse is assessing a client who has Graves' disease. Which of the following findings should the nurs
expect? - ✔✔ANS Exophthalmos
A nurse is providing teaching to a client who has a hearing impairment and has a new prescription for
hearing aid. Which of the following client statements indicates an understanding of the teaching?
✔✔ANS "I will make sure the hearing aid is off before inserting it in my ear"
A nurse is assessing a client who has an ulcer due to peripheral vascular disease. Which of the followin
findings should the nurse identify as an indication that the client has a venous ulcer rather than an arteria
ulcer? - ✔✔ANS Discoloration and edema of the right ankle
A nurse is providing home care instructions to a client who had a short-arm plaster cast applied for
wrist fracture. Which of the following instructions should the nurse include? - ✔✔ANS Elevate the wris
above heart level
A nurse is providing discharge planning for a client who has gestational diabetes. Which of the followin
interventions should the nurse identify as the priority? - ✔✔ANS Determine the client's knowledg
regarding gestational diabetes
A school nurse is assessing a school-age child who has erythema infectiosum (fifth disease). Which o
the following manifestations should the nurse expect? - ✔✔ANS Facial eruption
A nurse is teaching about foot care with a group of older adults who have type 1 diabetes mellitus. Whic
of the following information should the nurse include in the teaching? - ✔✔ANS Trim toenails straigh
across to prevent ingrown toenails
