ATI RN CONCEPT BASED ASSESSMENT LEVEL 2 2025/2026
NEWEST ACTUAL EXAM WITH COMPLETE QUESTIONS AND
VERIFIED ANSWERS |ALREADY GRADED A+|
A nurse is caring for a client who is experiencing a hyperglycemic-
hyperosmolar state related to complication of diabetes mellitus.
Which of the following findings should the nurse expect? -
ANSWERS-Hypotension. The pt who is in a hyperglycemic-
hyperosmolar state develops hypotension as a result of highly
elevated glucose levels, inability of kidneys to regulate blood
osmolarity & increased diuresis. Pt who is in a hyperglycemic-
hyperosmolar state can have a serum glucose level greater than
600 mg/dL. A pt who has DKA will have serum glucose level >300
mg/dL.
A nurse is teaching a client who recently lost his partner to a
terminal illness. The client aska how his 4-year-old son is
expected to react to the death of his partner. WHich of the
following information should the nurse include in the teaching? -
ANSWERS-A preschooler often believes that death is reversible.
The nurse should identify that preschoolers tend to have difficulty
understanding the reality of death and often believe that it is
, Page |2
reversible. Because of magical thinking, the preschooler might
think that his thoughts or behavior might have caused the person
to die.
nurse in a community health clinic is reviewing data from the
medical records of four clients. Which of the following
communicable diseases requires reporting by the nurse? -
ANSWERS-A: Gonorrhea, Gonorrhea is an infectious condition
listed on the Nationally Notifiable Infectious Conditions Listing.
The nurse should report this communicable disease to the
Centers for Disease Control and Prevention.
A nurse is providing teaching about exercise to a client who has
osteoarthritis. Which of the following information should the nurse
include? -ANSWERS-Perform exercise even on days when joints
are painful. The nurse should instruct the client to continue
exercising even if joints are painful because consistency will help
with management of the disease. The client can reduce the
amount of exercise if joints are especially painful.
nurse is performing a focused assessment on a client who has
cholelithiasis and reports pain. Which of the following areas
, Page |3
should the nurses assess? -ANSWERS-Upper Right Quadrant.
The nurse should assess the gallbladder for the presence of pain
or discomfort as a result of biliary colic, which is caused by a
gallbladder stone obstructing the bile duct. The pain can radiate
from the right upper quadrant of the client's abdomen to the
client's right shoulder.
nurse is reviewing the medical record of a client who is receiving
total parenteral nutrition for a malabsorption disorder. Which of
the following findings should the nurse identify as an indication
that the client's nutritional status is improving? -ANSWERS-1 kg
(2.2 lb) weight gain over the past 2 days. Total parenteral nutrition
is administered to clients who have inflammatory bowel disorders
and are unable to tolerate enteral nutrition. A weight gain of 0.5 kg
(1.1 lb) daily is an indication that the client is responding to the
parenteral nutrition.
A nurse is reviewing the medical record of a client who has AIDS
and is experiencing anorexia. Which of the following medications
should the nurse expect the provider to prescribe to reduce the
client's risk of failure to thrive? -ANSWERS-Megestrol. The nurse
should expect the provider to prescribe megestrol for the client
, Page |4
who is experiencing failure to thrive related to HIV/AIDS.
Megestrol increases appetite in clients who have HIV/AIDS.
A nurse is assessing a client who has renal calculi. For which of
the following findings should the nurse notify the provider
immediately? -ANSWERS-Oliguria with bladder distention. The
greatest risk to this client is injury due to bladder obstruction as
indicated by decreased urinary output in the presence of bladder
distention. The calculi can create an obstruction of the bladder
neck or urethra. The nurse should identify this as a medical
emergency and notify the provider immediately.
64. A nurse is reviewing the laboratory report of a client who is
taking atorvastatin. Which of the following findings should the
nurse identify as an indication that the medication is having an
adverse effect? -ANSWERS-Aspartate aminotransferase (AST)
45 units/L. The nurse should identify that an aspartate
aminotransferase level of 45 units/L is greater than the expected
reference range of 0 to 35 units/L and indicates hepatotoxicity, an
adverse effect of atorvastatin.