RN ATI CONCEPT-BASED ASSESSMENT
PROCTORED EXAM FOR LEVEL 2 2026 EXAM-
STYLE QUESTIONS AND MODEL RESPONSES
◉ What drug may cause an adverse affect when combined with
METAMINE?. Answer: -SODIUM BICARBONATE (antacid used to
treat GI upset) b/c this can increase accumulation of METAMINE
which can lead to TOXICITY
◉ Teachings for client who has genital herpes. Answer: -wear gloves
when applying anesthetic ointment
-begin ORAL ANTIVIRALS with in 1 day of outbreak
-use latex or plyurethane condoms during sexual intercourse.
-take a sitz bath 3-4 times a day to help minimize discomfort
◉ What meds should the nurse expect to administer for a client who
is in post-partum and experiencing hemorrhaging?. Answer: -
METHYLERGONOUINE (causes contractions of the uterine muscle,
which decreases bleeding. Adverse affect is HTN).
-MISOPROSTOL (uterotonic med)
,◉ What meds should the nurse expect to administer for a client who
is in PRE-TERM LABOR?. Answer: -BETHAMETHASONE
(glucocorticoid given to stimulate fetal lung maturity)
-TERBUTALINE (tocolytic med which causes relaxation of smooth
muscles of the uterine wall).
◉ What meds should the nurse expect to administer for a client who
is experiencing PRE-ECLAMPSIA?. Answer: -MAGNESIUM SULFATE
(prevents seizures)
-NIFEDIPINE (Ca Channel blocker that relaxes vascular smooth
muscles which lower BP).
◉ How should a nurse plan care for a client with DEMENTIA?.
Answer: -USE LARGE CALENDARS that are easy for client to read.
-keep client's room dimly lit at night to prevent falls and wandering
-speak slowly to client in a NORMAL VOLUME
-provide SIMPLE explanation and directions
◉ What are some signs/symptoms of OPIOID WITHDRAWAL?.
Answer: -RHINORRHEA
-yawning
-tearing
-hyperthermia
-TACHYPNEA
,-diaphoresis
-enlarged pupils
-hyperflexia
◉ What are the early manifestations of ALS?. Answer: -
fascilfulcations of the face
-twitching of the tongue
-nasal tone of voice leading to DYSARTHRIA (diff speaking)
-muscle atrophy of ARMS & HANDS
◉ Client teaching for gestation HTN. Answer: -gestations HTN will
resolve during the 1st week of postpartum but can last for 12 wks.
-gestational HTN will begin around 20th week of pregnancy
-client will NOT EXPERIENCE vaginal discharge for a few days.
◉ What are some contraindications for a client taking ORAL
CONTRACEPTIVES?. Answer: -patient that is EXPERIENCING a
HEADACHE w/aura
-client who has a history of DM for 20 yrs w/ vascular disease
-client who has liver tumors, HTN, and/or GALL BLADDER disease
◉ What are the nursing interventions for a newborn with PDA?.
Answer: -offer small frequent feedings.
, -weight infants DAILY at the same time of day using the same scale.
-ASSESS APICAL pulse ever 2-4 hours.
-elevate infants bed to 30-45 degrees.
◉ What should the nurse tell a patient who has experienced sexual
violence?. Answer: "You are safe here."
◉ What are the expected lab values for a client with HELLP
SYNDROME?. Answer: -WBC <100,000 mm3
-HCT < 33%
-SERUM URIC ACID <2.7 OR >7.3 mg/dL (due to decreased renal
perfusion)
-BUN <10 or >20 mg/dL
◉ What are some of the manifestations of DOWN'S SYNDROME?.
Answer: -DEPRESSED NASAL BRIDGE
-small nose
-belpharitis (up and outward slant of the eyes)
-board, short hands w/stubby fingers
-protruding abdomen
PROCTORED EXAM FOR LEVEL 2 2026 EXAM-
STYLE QUESTIONS AND MODEL RESPONSES
◉ What drug may cause an adverse affect when combined with
METAMINE?. Answer: -SODIUM BICARBONATE (antacid used to
treat GI upset) b/c this can increase accumulation of METAMINE
which can lead to TOXICITY
◉ Teachings for client who has genital herpes. Answer: -wear gloves
when applying anesthetic ointment
-begin ORAL ANTIVIRALS with in 1 day of outbreak
-use latex or plyurethane condoms during sexual intercourse.
-take a sitz bath 3-4 times a day to help minimize discomfort
◉ What meds should the nurse expect to administer for a client who
is in post-partum and experiencing hemorrhaging?. Answer: -
METHYLERGONOUINE (causes contractions of the uterine muscle,
which decreases bleeding. Adverse affect is HTN).
-MISOPROSTOL (uterotonic med)
,◉ What meds should the nurse expect to administer for a client who
is in PRE-TERM LABOR?. Answer: -BETHAMETHASONE
(glucocorticoid given to stimulate fetal lung maturity)
-TERBUTALINE (tocolytic med which causes relaxation of smooth
muscles of the uterine wall).
◉ What meds should the nurse expect to administer for a client who
is experiencing PRE-ECLAMPSIA?. Answer: -MAGNESIUM SULFATE
(prevents seizures)
-NIFEDIPINE (Ca Channel blocker that relaxes vascular smooth
muscles which lower BP).
◉ How should a nurse plan care for a client with DEMENTIA?.
Answer: -USE LARGE CALENDARS that are easy for client to read.
-keep client's room dimly lit at night to prevent falls and wandering
-speak slowly to client in a NORMAL VOLUME
-provide SIMPLE explanation and directions
◉ What are some signs/symptoms of OPIOID WITHDRAWAL?.
Answer: -RHINORRHEA
-yawning
-tearing
-hyperthermia
-TACHYPNEA
,-diaphoresis
-enlarged pupils
-hyperflexia
◉ What are the early manifestations of ALS?. Answer: -
fascilfulcations of the face
-twitching of the tongue
-nasal tone of voice leading to DYSARTHRIA (diff speaking)
-muscle atrophy of ARMS & HANDS
◉ Client teaching for gestation HTN. Answer: -gestations HTN will
resolve during the 1st week of postpartum but can last for 12 wks.
-gestational HTN will begin around 20th week of pregnancy
-client will NOT EXPERIENCE vaginal discharge for a few days.
◉ What are some contraindications for a client taking ORAL
CONTRACEPTIVES?. Answer: -patient that is EXPERIENCING a
HEADACHE w/aura
-client who has a history of DM for 20 yrs w/ vascular disease
-client who has liver tumors, HTN, and/or GALL BLADDER disease
◉ What are the nursing interventions for a newborn with PDA?.
Answer: -offer small frequent feedings.
, -weight infants DAILY at the same time of day using the same scale.
-ASSESS APICAL pulse ever 2-4 hours.
-elevate infants bed to 30-45 degrees.
◉ What should the nurse tell a patient who has experienced sexual
violence?. Answer: "You are safe here."
◉ What are the expected lab values for a client with HELLP
SYNDROME?. Answer: -WBC <100,000 mm3
-HCT < 33%
-SERUM URIC ACID <2.7 OR >7.3 mg/dL (due to decreased renal
perfusion)
-BUN <10 or >20 mg/dL
◉ What are some of the manifestations of DOWN'S SYNDROME?.
Answer: -DEPRESSED NASAL BRIDGE
-small nose
-belpharitis (up and outward slant of the eyes)
-board, short hands w/stubby fingers
-protruding abdomen
