ATI RN CONCEPT-BASED ASSESSMENT LEVEL 2, ACTUAL EXAM
2025/2026 COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
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A nurse is assessing the eyes and ears of a 2-year-old toddler at a well-child visit.
Which of the following findings should the nurse report to the provider?
A. Presence of a transparent cornea
B. Presence of strabismus
C. Pinna moderately extends outward from the skull
D. Walls of peripheral aspect of the auditory canal are pink
B. Presence of strabismus
-The nurse should recognize that the presence of strabismus, or crossing of the
eyes, should disappear by 4 months of age. If this is not corrected by 4 to 6 years
of age, it can lead to amblyopia; therefore, the nurse should report this finding to
the provider.
A nurse in an emergency department is assessing a client who is experiencing mild
hypothermia. Which of the following manifestations should the nurse expect?
A. Stupor
B. Decreased Pulse
C. Slurred Speech
D. Dysrhythmias
C. Slurred Speech
- The nurse should expect a client who is experiencing mild hypothermia to exhibit
manifestations such as slurred speech, shivering, decreased coordination, and
diuresis.
A nurse is assessing a client for manifestations of grief after having a colostomy for
removal of colon cancer. Which of the following findings indicates to the nurse
that the client has accepted the loss?
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, ATI RN Concept-Based Assessment Level 2, Actual Exam
A. Becomes angry when it is time to perform colostomy care
B. Touches the colostomy stoma when the bag is changed
C. Looks away as the nurse empties the colostomy bag
D. Tells others that it will be nice to have a normal bowel movement again
B. Touches the colostomy stoma when the bag is changed
-The client touching the colostomy stoma when the bag is changed should
indicate to the nurse that the client is accepting and coping with the alteration of
body image and has gone through the stages of grief.
A nurse in an ED is caring for a client who has heat stroke. Which of the following
actions should the nurse take to treat this form of hyperthermia?
A. Apply ice packs to the clients axillae, neck, groin and chest
B. Administer aspirin to the client
C. Initially offer the client cool, oral fluids
D. Continue cooling measures until the clients rectal temp is 99
A. Apply ice packs to the clients axillae, neck, groin and chest
-The nurse should recognize that treatment for heat stroke involves cooling the
client's core body temperature quickly. The nurse should apply ice to the client's
axillae, neck, groin, and chest while also spraying the client's body with tepid
water.
A nurse in an ED is assessing a client who has hyperthermia. Which of the
following findings should the nurse identify as an indication that the client has
heat exhaustion?
A. Hallucinations
B. Vomiting
C. Bradycardia
D. Seizures
B. Vomiting
- heat exhaustion is usually the result of excess sweating, leading to dehydration.
Manifestations include nausea, vomiting, headache, dizziness, fainting, and a
temperature typically between 38.3º C and 38.9º C
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, ATI RN Concept-Based Assessment Level 2, Actual Exam
A nurse is caring for a client who has left hemiparesis following a stroke. Which of
the following actions should the nurse take?
A. Use a gait belt and stand on the clients right side to assist with ambulation
B. Encourage the client to use wide grip utensils when eating with his right hand
C. Place personal items on the bedside table close to the bed on the clients left
side
D. Remove rolled toilet paper from the holder for easier access for the client
B. Encourage the client to use wide grip utensils when eating with his right hand
- to use wide-grip utensils when eating with the right hand, which can
accommodate a weak grasp and encourage independence in eating.
A nurse is reviewing the medical record of a client who has a family history of
gallstones. Which of the following findings should the nurse identify as a risk
factor for developing cholecystitis?
A. Adult male
B. Takin atorvastatin
C. Asians descent
D. History of asthma
B. Takin atorvastatin
- increased serum cholesterol and taking cholesterol-lowering medications, such
as atorvastatin, increases the client's risk of developing cholecystitis.
A nurse is admitting a client who has an acute bacterial wound infection and a
temp of 103.6. Which of the following actions should the nurse take?
A. Obtain a wound culture 30 min after initiating IV antibiotics
B. Place a fan on the lowest setting in the clients room
C. Apply a cooling blanket directly on the client skin
D. Set the temp of the clients room to 72
D. Set the temp of the clients room to 72
- The nurse should set the temperature of the client's (70° F to 80° F). This
promotes a reduction in the client's fever without causing shivering. By combining
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, ATI RN Concept-Based Assessment Level 2, Actual Exam
nonpharmacological interventions with antipyretics, the nurse can reduce the
client's fever.
A nurse is assessing a client who has a calcium level of 6.3. Which of the following
findings should the nurse expect?
A. Circumoral tingling
B. Hypoactive reflexes
C. Fatigue
D.. Anorexia
A. Circumoral tingling
-The nurse should identify that hypocalcemia causes paresthesias, which is
circumoral numbness and tingling of the fingers, toes, and around the mouth.
A nurse is providing discharge planning for a client who has gestational diabetes.
Which of the following interventions should the nurse identify as the priority?
A. Determine the clients knowledge regarding gestational diabetes
B. Explain the effects of gestational diabetes on the pregnancy and fetus with the
client
C. Discuss dietary meal plans for gestational diabetes with he client
D> Tell the client about manifestation of hypoglycemia
A. Determine the clients knowledge regarding gestational diabetes
- assess the client. It is important for the nurse to determine the client's
knowledge level regarding the disease process. This provides the nurse with
information regarding where to start with the client teaching process.
A nurse on a mental health unit is developing a plan of care for a client who is
experiencing a panic level of anxiety. Which of the following actions should the
nurse identify as the priority?
A. Reduce environmental stimulation
B. Protect the client from harm
C. Administer an anxiolytic
D. Encourage physical exercise
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