______________________________________
ATI RN
CONCEPTS LEVEL 2
(NGN-STYLE QUESTIONS & CASE
SCENARIOS)
This exam typically evaluates basic nursing knowledge and
clinical reasoning
QUESTIONS AND VERIFIED ANSWERS|
100% CORRECT| GRADED A+
EXAM COVER SHEET
PROGRAM: RN Nursing
EXAM NAME: ATI RN Concepts Assessment Level 2
COURSE NAME: Fundamentals of Nursing / Nursing Concepts
ATI RN: CONCEPTS LEVEL 2
,Question 1: Promoting the Elimination of Renal Calculi
A nurse is caring for a 45-year-old client who was admitted to the medical-surgical unit with
severe flank pain, hematuria, and nausea. Diagnostic testing confirms the presence of renal
calculi (kidney stones) within the urinary tract. The healthcare provider explains that the
treatment plan is focused on facilitating the passage of the calculi while preventing
complications such as urinary obstruction and infection. As the nurse develops the client's
plan of care, it is important to identify interventions that will promote stone elimination and
support urinary tract function. Which of the following interventions should the nurse include
to promote the elimination of the calculi?
Multiple Choice Options
A. Maintain bedrest until calculi are passed
B. Withhold thiazide diuretics
C. Encourage intake of at least 3 L of fluid each day
D. Collect all urine for 24 hours in a collection container
Correct Answer: C. Encourage intake of at least 3 L of fluid each day
Rationale
Increasing fluid intake is one of the most important nursing interventions for clients with renal calculi.
Encouraging the client to consume at least 3 liters of fluid per day, unless contraindicated, increases
urine volume and flow through the urinary tract. Increased urine production helps flush small stones
through the ureters and decreases urinary stasis, reducing the risk of obstruction. Adequate hydration
also dilutes urine, lowering the concentration of stone-forming substances such as calcium, oxalate,
and uric acid. In addition to promoting the passage of existing calculi, maintaining high fluid intake
helps reduce the likelihood of future stone formation. Nurses should monitor intake and output, assess
hydration status, and encourage consistent fluid consumption throughout the day.
Question 2: Postoperative Teaching Following a Laparoscopic Cholecystectomy
A nurse is providing discharge education to a 48-year-old client who underwent a
laparoscopic cholecystectomy for the treatment of symptomatic cholelithiasis. The
procedure was completed without complications, and the client is preparing to return
home later that day. During the teaching session, the nurse reviews incision care, activity
restrictions, dietary recommendations, and signs of potential complications. To evaluate
the client's understanding of the postoperative instructions, the nurse asks the client to
verbalize information about recovery and self-care at home. Which of the following client
statements indicates an understanding of the teaching?
,Multiple Choice Options
A. "The adhesive bandages on my incision will fall off as the incision heals."
B. "I will be able to take a shower in 1 day."
C. "I will need to follow a liquid diet for the first 3 days after surgery."
D. "I can begin to resume my normal activity level in 2 weeks."
Correct Answer: A. "The adhesive bandages on my incision will fall off as the incision heals."
Rationale
Following a laparoscopic cholecystectomy, small adhesive strips or bandages are commonly placed
over the incision sites to support wound closure and protect the healing tissue. These adhesive strips
typically begin to loosen within 7 to 10 days and may either fall off on their own or be gently
removed according to the healthcare provider's instructions. The client should avoid pulling them off
prematurely because doing so may disrupt wound healing. Understanding proper incision care is
essential for preventing infection and promoting recovery. This statement accurately reflects
appropriate postoperative teaching and demonstrates the client's understanding of discharge
instructions.
Question 3 (Multiple Choice)
A nurse is planning care to prevent hospital-acquired methicillin-resistant
Staphylococcus aureus (MRSA) infection for a client who is immunocompromised.
Which of the following interventions should the nurse include?
A. Initiate contact precautions for this client
B. Bathe the client with chlorhexidine wipes
C. Administer ceftaroline to the client as a prophylactic measure
D. Avoid using alcohol-based hand sanitizers after caring for the client
Correct Answer: B
, The nurse should bathe a client who is immunocompromised with chlorhexidine wipes to
decrease the risk of contracting hospital-acquired MRSA. Contact precautions (Option A)
are used for clients who ALREADY have MRSA, not for prevention. Prophylactic antibiotics
(Option C) are not recommended due to resistance concerns. Alcohol-based hand
sanitizers (Option D) are actually EFFECTIVE against MRSA and should be used.
Question 4 (Multiple Choice)
A nurse is assessing a client who has developed type 1 herpes simplex virus. Which of
the following descriptions should the nurse identify as characteristic of this type of
viral infection?
A. Painful genital ulcers
B. Recurring cold sores around the mouth
C. Vesicular rash in a dermatomal pattern
D. Widespread maculopapular rash
Correct Answer: B
Herpes simplex virus type 1 (HSV-1) is a common viral infection that causes recurring cold
sores (fever blisters) around the mouth and lips. HSV-2 (Option A) typically causes genital
herpes. Dermatomal vesicular rash (Option C) describes herpes zoster (shingles).
Widespread maculopapular rash (Option D) is not characteristic of HSV-1.
ATI RN
CONCEPTS LEVEL 2
(NGN-STYLE QUESTIONS & CASE
SCENARIOS)
This exam typically evaluates basic nursing knowledge and
clinical reasoning
QUESTIONS AND VERIFIED ANSWERS|
100% CORRECT| GRADED A+
EXAM COVER SHEET
PROGRAM: RN Nursing
EXAM NAME: ATI RN Concepts Assessment Level 2
COURSE NAME: Fundamentals of Nursing / Nursing Concepts
ATI RN: CONCEPTS LEVEL 2
,Question 1: Promoting the Elimination of Renal Calculi
A nurse is caring for a 45-year-old client who was admitted to the medical-surgical unit with
severe flank pain, hematuria, and nausea. Diagnostic testing confirms the presence of renal
calculi (kidney stones) within the urinary tract. The healthcare provider explains that the
treatment plan is focused on facilitating the passage of the calculi while preventing
complications such as urinary obstruction and infection. As the nurse develops the client's
plan of care, it is important to identify interventions that will promote stone elimination and
support urinary tract function. Which of the following interventions should the nurse include
to promote the elimination of the calculi?
Multiple Choice Options
A. Maintain bedrest until calculi are passed
B. Withhold thiazide diuretics
C. Encourage intake of at least 3 L of fluid each day
D. Collect all urine for 24 hours in a collection container
Correct Answer: C. Encourage intake of at least 3 L of fluid each day
Rationale
Increasing fluid intake is one of the most important nursing interventions for clients with renal calculi.
Encouraging the client to consume at least 3 liters of fluid per day, unless contraindicated, increases
urine volume and flow through the urinary tract. Increased urine production helps flush small stones
through the ureters and decreases urinary stasis, reducing the risk of obstruction. Adequate hydration
also dilutes urine, lowering the concentration of stone-forming substances such as calcium, oxalate,
and uric acid. In addition to promoting the passage of existing calculi, maintaining high fluid intake
helps reduce the likelihood of future stone formation. Nurses should monitor intake and output, assess
hydration status, and encourage consistent fluid consumption throughout the day.
Question 2: Postoperative Teaching Following a Laparoscopic Cholecystectomy
A nurse is providing discharge education to a 48-year-old client who underwent a
laparoscopic cholecystectomy for the treatment of symptomatic cholelithiasis. The
procedure was completed without complications, and the client is preparing to return
home later that day. During the teaching session, the nurse reviews incision care, activity
restrictions, dietary recommendations, and signs of potential complications. To evaluate
the client's understanding of the postoperative instructions, the nurse asks the client to
verbalize information about recovery and self-care at home. Which of the following client
statements indicates an understanding of the teaching?
,Multiple Choice Options
A. "The adhesive bandages on my incision will fall off as the incision heals."
B. "I will be able to take a shower in 1 day."
C. "I will need to follow a liquid diet for the first 3 days after surgery."
D. "I can begin to resume my normal activity level in 2 weeks."
Correct Answer: A. "The adhesive bandages on my incision will fall off as the incision heals."
Rationale
Following a laparoscopic cholecystectomy, small adhesive strips or bandages are commonly placed
over the incision sites to support wound closure and protect the healing tissue. These adhesive strips
typically begin to loosen within 7 to 10 days and may either fall off on their own or be gently
removed according to the healthcare provider's instructions. The client should avoid pulling them off
prematurely because doing so may disrupt wound healing. Understanding proper incision care is
essential for preventing infection and promoting recovery. This statement accurately reflects
appropriate postoperative teaching and demonstrates the client's understanding of discharge
instructions.
Question 3 (Multiple Choice)
A nurse is planning care to prevent hospital-acquired methicillin-resistant
Staphylococcus aureus (MRSA) infection for a client who is immunocompromised.
Which of the following interventions should the nurse include?
A. Initiate contact precautions for this client
B. Bathe the client with chlorhexidine wipes
C. Administer ceftaroline to the client as a prophylactic measure
D. Avoid using alcohol-based hand sanitizers after caring for the client
Correct Answer: B
, The nurse should bathe a client who is immunocompromised with chlorhexidine wipes to
decrease the risk of contracting hospital-acquired MRSA. Contact precautions (Option A)
are used for clients who ALREADY have MRSA, not for prevention. Prophylactic antibiotics
(Option C) are not recommended due to resistance concerns. Alcohol-based hand
sanitizers (Option D) are actually EFFECTIVE against MRSA and should be used.
Question 4 (Multiple Choice)
A nurse is assessing a client who has developed type 1 herpes simplex virus. Which of
the following descriptions should the nurse identify as characteristic of this type of
viral infection?
A. Painful genital ulcers
B. Recurring cold sores around the mouth
C. Vesicular rash in a dermatomal pattern
D. Widespread maculopapular rash
Correct Answer: B
Herpes simplex virus type 1 (HSV-1) is a common viral infection that causes recurring cold
sores (fever blisters) around the mouth and lips. HSV-2 (Option A) typically causes genital
herpes. Dermatomal vesicular rash (Option C) describes herpes zoster (shingles).
Widespread maculopapular rash (Option D) is not characteristic of HSV-1.
