RN ATI concept-based assessment, proctored exam for level 2|Test Bank

RN ATI CONCEPT –BASED
ASSESSMENT PROCTORED EXAM
FOR LEVEL 2 TEST BANK
✓ ATI Concept-based assessment online practice A Level 2
✓ RN Concept-Based Assessment Level 2 Online Practice B
✓ RN Concept-Based Assessment Level 2
✓ ATI RN Concept-Based Assessment Level 2 Practice A

Question:- A nurse is assessing a client who has been taking digoxin for heart failure.
Which of the following findings indicates the client may be experiencing digoxin
toxicity?

a. Heart rate 58/min

b. Visual disturbances (yellow halos)

c. Blood pressure 118/76 mm Hg

d. Serum potassium 4.0 mEq/L

{{Correct Ans- b}}

Rationale: Visual disturbances such as yellow or green halos around objects are a
classic sign of digoxin toxicity. While bradycardia can occur, visual changes are a
more definitive indicator requiring immediate intervention.

Question:- A nurse is teaching a client who has a new prescription for warfarin. Which
of the following over-the-counter medications should the nurse instruct the client to
avoid?

a. Acetaminophen

b. Diphenhydramine

c. Ibuprofen

d. Loratadine

,{{Correct Ans- c}}

Rationale: NSAIDs such as ibuprofen increase bleeding risk when taken with
warfarin. Acetaminophen is generally safe in moderation but excessive doses should
be avoided.

Question:- A nurse is preparing to administer IV potassium chloride to a client who
has hypokalemia. Which of the following actions is most important?

a. Administer via IV push over 3 minutes

b. Dilute in a 50 mL bolus

c. Use an infusion pump and monitor cardiac rhythm

d. Warm the solution to body temperature

{{Correct Ans- c}}

Rationale: IV potassium can cause fatal hyperkalemia and arrhythmias. It must be
diluted and given slowly (usually no faster than 10 mEq/hr peripherally) using an
infusion pump with continuous cardiac monitoring.

Question:- A nurse is assessing a client who has been taking levothyroxine for
hypothyroidism. Which of the following findings indicates the client may be
experiencing an overdose?

a. Weight gain

b. Bradycardia

c. Insomnia and tremors

d. Cold intolerance

{{Correct Ans- c}}

Rationale: Insomnia and tremors are signs of hyperthyroidism from levothyroxine
excess. Weight gain, bradycardia, and cold intolerance are signs of hypothyroidism
(underdose).

,Question:- A nurse is teaching a client who has a new prescription for cefazolin.
Which of the following statements by the client indicates an understanding of the
teaching?

a. "I should take this medication with a full glass of milk."

b. "I should avoid drinking alcohol while taking this medication."

c. "I should stop taking this medication immediately if I develop a rash."

d. "I should take this medication with an antacid to prevent stomach upset."

{{Correct Ans- b}}

Rationale: Cephalosporins can cause a disulfiram-like reaction (severe nausea,
vomiting, flushing, tachycardia) when combined with alcohol. The client should avoid
alcohol during therapy.

Question:- A nurse is caring for a client who is receiving IV furosemide. Which of the
following laboratory values requires immediate intervention?

a. Serum potassium 2.8 mEq/L

b. Serum sodium 138 mEq/L

c. Blood urea nitrogen (BUN) 18 mg/dL

d. Serum creatinine 1.0 mg/dL

{{Correct Ans- a}}

Rationale: Furosemide is a loop diuretic that causes potassium excretion. A level of
2.8 mEq/L indicates severe hypokalemia, which places the client at high risk for
cardiac arrhythmias.

Question:- A nurse is teaching a client who has a new prescription for prednisone.
Which of the following instructions should the nurse include?

a. "You should stop taking this medication abruptly if you feel better."

b. "You should avoid contact with people who have active infections."

, c. "You should take this medication at bedtime."

d. "You should decrease your dietary intake of potassium."

{{Correct Ans- b}}

Rationale: Prednisone suppresses the immune system, increasing the risk for
infection. It must be tapered slowly, taken in the morning to mimic cortisol rhythm,
and may require increased potassium intake.

Question:- A nurse is assessing a client who is postoperative following a below-the-
knee amputation. Which of the following actions should the nurse take to prevent
contractures?

a. Place a pillow under the residual limb

b. Elevate the residual limb on a pillow for 24 hours

c. Position the client in a prone position several times a day

d. Keep the residual limb in a dependent position

{{Correct Ans- c}}

Rationale: Prone positioning helps stretch the hip flexors and prevents hip flexion
contractures. Pillows under the residual limb or prolonged elevation can cause
contractures.

Question:- A nurse is assessing a client who has a new colostomy. Which of the
following findings should the nurse report to the provider?

a. Stoma is pink and moist

b. Stoma is dark red and dry

c. Small amount of bleeding at the stoma site

d. Colostomy output is liquid

{{Correct Ans- b}}