1.
ATI RN Concept-Based Assessment Level 2 Online 2026 REAL ACTUAL
EXAM REVIEW 150+ QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES COVERING THE RECENT TESTED QUESTIONS GUARANTEE
A+ GRADE
A nurse is caring for a child who has contact dermatitis due to poison ivy. The parent asks the nurse
how to prevent further reactions. Which of the following responses should the nurse make?
1. "Rinse your child's skin with hot water within 30 min of contact with the poison ivy plant."
2. "Wash your child's exposed clothing with hot water and detergent."
3. "Scrub your child's exposed skin with warm water and antibacterial soap."
4. "Don't allow your child to have contact with other children who have poison ivy." - correct answer
"Wash your child's exposed clothing with hot water and detergent."
Rat : The nurse should instruct the parent to wash the child's clothing in hot water and detergent after
exposure to the poison ivy plant. This will remove the oil, urushiol, which causes the skin reaction.
A nurse is providing change-of-shift report about a group of clients to the oncoming nurse at the end
of the shift. Which of the following statements should the nurse include?
1. "The client received a PRN dose of pain medication this morning."
2. "The client has been very tearful since finding out he has diabetes mellitus."
3. "The client's routine vital signs were obtained at 0700, 1100, and 1500."
4. "The client's husband visited during lunch as he has done each day." - correct answer -"The client has
been very tearful since finding out he has diabetes mellitus."
Rat : The nurse should include significant information such as a new diagnosis in the change-of-shift
report. The nurse should also identify changes in the client's emotional status that might indicate a need
for additional client support and teaching.
,2.
A nurse is planning care for a newly-admitted school-age child who has rubeola. Which of the
following isolation precautions should the nurse plan to initiate?
1. Droplet
Airborne
3. Contact
4. Protective environment - correct answer -Airborne
Rat : The nurse should initiate airborne precautions for a client who has varicella, measles (rubeola), or
pulmonary tuberculosis. Airborne precautions include a private room with negative pressure airflow,
with 6 to 12 air exchanges/hr via a high-efficiency particulate air (HEPA) filtRat ion system.
A nurse is preparing to leave the room of a client who is on isolation precautions. Which of the
following actions should the nurse take when removing a tied surgical mask?
1. Take the mask off immediately after leaving the client's room.
2. Perform hand hygiene prior to removing the mask.
3. Untie the top strings of the mask and then untie the lower strings.
4. Remove the mask by securely holding the ties and moving it away from the face. - correct answer
Remove the mask by securely holding the ties and moving it away from the face.
Rat : The nurse should untie the bottom strings and then the top strings. Finally, while still holding the
strings, the nurse should remove the mask from her face. This action prevents the nurse from touching
the front of the mask, which is contaminated.
A nurse is caring for a client who has cancer and is planning discharge to home with hospice care.
Which of the following statements by the client indicates that he is experiencing spiritual distress?
1. "I am thankful for what I have, because things could be worse."
2. "I wish God had not allowed this cancer to invade my body."
3. "I will have to ask my son to read the Torah to me."
4. "I would like to speak to the rabbi at my synagogue." - correct answer -"I wish God had not allowed
this cancer to invade my body."
,3.
Rat : The nurse should identify that this statement indicates the client is experiencing spiritual distress,
which occurs when there is a disturbance in a client's belief system. This client is expressing spiritual
anger and not accepting his condition.
A nurse is teaching a young adult female clients about health screening for breast cancer. Which of the
following statements by the client indicates an understanding of breast self-examination (BSE)?
1. "I should perform a BSE about 1 week before my period each month."
2. "I should use the fingers of my right hand to feel for lumps in my right breast."
"I should report a lump in my breast if it remains for two consecutive BSEs."
4. "I should expect to feel a firm ridge along the bottom curve of each breast." - correct answer -"I
should expect to feel a firm ridge along the bottom curve of each breast."
Rat : The nurse should instruct the client that a firm ridge is expected along the bottom curve of each
breast. The client should be able to feel this area during the BSE. Performing a BSE promotes breast
selfawareness so that the client knows how her breasts normally feel. This awareness increases the
client's ability to identify changes that require further evaluation and treatment.
A nurse is planning to implement bladder retraining for a client who has urge incontinence. Which of
the following actions should the nurse plan to take?
1. Assist the client to the toilet as soon as the urge to void is reported.
2. Apply an adult diaper to the client during nighttime hours.
3. Gradually lengthen the time between the client's scheduled voids.
4. Decrease the client's fluid intake beginning at 2000. - correct answer -Gradually lengthen the time
between the client's scheduled voids.
Rat : The nurse should gradually lengthen the time between scheduled voids when implementing
bladder retraining. The client is encouraged and taught to suppress the urge to void between scheduled
voids through the use of pelvic exercises, distraction, and abdominal breathing. When the client is
successfully able to suppress the urge, the time between voids is slightly increased. This process of
scheduled voiding promotes retraining of the bladder and decreases urge incontinence.
, 4.
A nurse is administering ophthalmic solution to a client who has bacterial conjunctivitis. What action
should the nurse take?
1. Have the client lie supine.
2. Tell the client to look down toward the floor.
3. Place a finger on the upper eyelid to pull it outward.
4. Instill the drops onto the client's cornea. - correct answer -Have the client lie supine.
A nurse in a long-term care facility discovers a small fire a client's trash can. After moving the client to
safety, which of the following actions should the nurse take next?
1. Return to the room to extinguish the fire.
2. Close the doors and windows on the unit.
3. Pull the alarm to notify emergency services.
Turn off oxygen and electrical equipment. - correct answer -Pull the alarm to notify emergency
services.
Rat : Evidence-based practice indicates the nurse should first rescue and remove clients in immediate
danger and then activate the alarm to notify authorities of the situation.
A nurse on a pediatric unit is admitting an infant who has pertussis, what isolation precautions should
the nurse initiate?
1. Protective environment
2. Airborne
3. Droplet
4. Contact - correct answer -Droplet
Rat : The nurse should initiate droplet precautions for an infant who has pertussis. The nurse should
initiate droplet precautions for micro-organisms that are transmitted via droplets larger than 5 microns,
including rubella, streptococcal pharyngitis, and diphtheria. Droplet precautions include a private room
and a mask or respiRat or.
ATI RN Concept-Based Assessment Level 2 Online 2026 REAL ACTUAL
EXAM REVIEW 150+ QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES COVERING THE RECENT TESTED QUESTIONS GUARANTEE
A+ GRADE
A nurse is caring for a child who has contact dermatitis due to poison ivy. The parent asks the nurse
how to prevent further reactions. Which of the following responses should the nurse make?
1. "Rinse your child's skin with hot water within 30 min of contact with the poison ivy plant."
2. "Wash your child's exposed clothing with hot water and detergent."
3. "Scrub your child's exposed skin with warm water and antibacterial soap."
4. "Don't allow your child to have contact with other children who have poison ivy." - correct answer
"Wash your child's exposed clothing with hot water and detergent."
Rat : The nurse should instruct the parent to wash the child's clothing in hot water and detergent after
exposure to the poison ivy plant. This will remove the oil, urushiol, which causes the skin reaction.
A nurse is providing change-of-shift report about a group of clients to the oncoming nurse at the end
of the shift. Which of the following statements should the nurse include?
1. "The client received a PRN dose of pain medication this morning."
2. "The client has been very tearful since finding out he has diabetes mellitus."
3. "The client's routine vital signs were obtained at 0700, 1100, and 1500."
4. "The client's husband visited during lunch as he has done each day." - correct answer -"The client has
been very tearful since finding out he has diabetes mellitus."
Rat : The nurse should include significant information such as a new diagnosis in the change-of-shift
report. The nurse should also identify changes in the client's emotional status that might indicate a need
for additional client support and teaching.
,2.
A nurse is planning care for a newly-admitted school-age child who has rubeola. Which of the
following isolation precautions should the nurse plan to initiate?
1. Droplet
Airborne
3. Contact
4. Protective environment - correct answer -Airborne
Rat : The nurse should initiate airborne precautions for a client who has varicella, measles (rubeola), or
pulmonary tuberculosis. Airborne precautions include a private room with negative pressure airflow,
with 6 to 12 air exchanges/hr via a high-efficiency particulate air (HEPA) filtRat ion system.
A nurse is preparing to leave the room of a client who is on isolation precautions. Which of the
following actions should the nurse take when removing a tied surgical mask?
1. Take the mask off immediately after leaving the client's room.
2. Perform hand hygiene prior to removing the mask.
3. Untie the top strings of the mask and then untie the lower strings.
4. Remove the mask by securely holding the ties and moving it away from the face. - correct answer
Remove the mask by securely holding the ties and moving it away from the face.
Rat : The nurse should untie the bottom strings and then the top strings. Finally, while still holding the
strings, the nurse should remove the mask from her face. This action prevents the nurse from touching
the front of the mask, which is contaminated.
A nurse is caring for a client who has cancer and is planning discharge to home with hospice care.
Which of the following statements by the client indicates that he is experiencing spiritual distress?
1. "I am thankful for what I have, because things could be worse."
2. "I wish God had not allowed this cancer to invade my body."
3. "I will have to ask my son to read the Torah to me."
4. "I would like to speak to the rabbi at my synagogue." - correct answer -"I wish God had not allowed
this cancer to invade my body."
,3.
Rat : The nurse should identify that this statement indicates the client is experiencing spiritual distress,
which occurs when there is a disturbance in a client's belief system. This client is expressing spiritual
anger and not accepting his condition.
A nurse is teaching a young adult female clients about health screening for breast cancer. Which of the
following statements by the client indicates an understanding of breast self-examination (BSE)?
1. "I should perform a BSE about 1 week before my period each month."
2. "I should use the fingers of my right hand to feel for lumps in my right breast."
"I should report a lump in my breast if it remains for two consecutive BSEs."
4. "I should expect to feel a firm ridge along the bottom curve of each breast." - correct answer -"I
should expect to feel a firm ridge along the bottom curve of each breast."
Rat : The nurse should instruct the client that a firm ridge is expected along the bottom curve of each
breast. The client should be able to feel this area during the BSE. Performing a BSE promotes breast
selfawareness so that the client knows how her breasts normally feel. This awareness increases the
client's ability to identify changes that require further evaluation and treatment.
A nurse is planning to implement bladder retraining for a client who has urge incontinence. Which of
the following actions should the nurse plan to take?
1. Assist the client to the toilet as soon as the urge to void is reported.
2. Apply an adult diaper to the client during nighttime hours.
3. Gradually lengthen the time between the client's scheduled voids.
4. Decrease the client's fluid intake beginning at 2000. - correct answer -Gradually lengthen the time
between the client's scheduled voids.
Rat : The nurse should gradually lengthen the time between scheduled voids when implementing
bladder retraining. The client is encouraged and taught to suppress the urge to void between scheduled
voids through the use of pelvic exercises, distraction, and abdominal breathing. When the client is
successfully able to suppress the urge, the time between voids is slightly increased. This process of
scheduled voiding promotes retraining of the bladder and decreases urge incontinence.
, 4.
A nurse is administering ophthalmic solution to a client who has bacterial conjunctivitis. What action
should the nurse take?
1. Have the client lie supine.
2. Tell the client to look down toward the floor.
3. Place a finger on the upper eyelid to pull it outward.
4. Instill the drops onto the client's cornea. - correct answer -Have the client lie supine.
A nurse in a long-term care facility discovers a small fire a client's trash can. After moving the client to
safety, which of the following actions should the nurse take next?
1. Return to the room to extinguish the fire.
2. Close the doors and windows on the unit.
3. Pull the alarm to notify emergency services.
Turn off oxygen and electrical equipment. - correct answer -Pull the alarm to notify emergency
services.
Rat : Evidence-based practice indicates the nurse should first rescue and remove clients in immediate
danger and then activate the alarm to notify authorities of the situation.
A nurse on a pediatric unit is admitting an infant who has pertussis, what isolation precautions should
the nurse initiate?
1. Protective environment
2. Airborne
3. Droplet
4. Contact - correct answer -Droplet
Rat : The nurse should initiate droplet precautions for an infant who has pertussis. The nurse should
initiate droplet precautions for micro-organisms that are transmitted via droplets larger than 5 microns,
including rubella, streptococcal pharyngitis, and diphtheria. Droplet precautions include a private room
and a mask or respiRat or.
