ATI RN Concept-Based Assessment Level 2 Practice A Version 2 (Latest 2023/ 2024) Questions and Verified Answers with Rationales| 100% Correct| Grade A
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ATI RN Concept-Based Assessment Level 2 Practice A Version 2 (Latest 2023/ 2024) Questions and Verified Answers with Rationales| 100% Correct| Grade A
ATI RN Concept-Based Assessment Level 2
Practice A Version 2 (Latest 2023/ 2024)
Questions and Verified Answers with
Rationales| 100% Correct| Grade A
Q: A nurse is assessing a client who has appendicitis. Which of the following findings should
the nurse report to the provider immediately?
-WBC 16,000/mm³
-Board-like abdomen
-Nausea and vomiting
-Temperature of 38° C (100.4° F)
Answer:
Board-like abdomen
When using the urgent vs. nonurgent approach to client care, the nurse should identify that a
board-like abdomen is the priority finding indicating peritonitis. The nurse should notify the
provider immediately.
Q: A nurse is teaching a client who has gastroesophageal reflux disease about ways to prevent
reflux. Which of the following information should the nurse include in the teaching?
-Drink tomato juice with the breakfast meal.
-Suck on peppermint when having indigestion.
-Elevate the head of the bed 10 cm (4 in) using wooden blocks.
-Plan to finish eating at least 3 hr before bedtime.
Answer:
Plan to finish eating at least 3 hr before bedtime.
The nurse should encourage the client not to eat anything at least 3 hr before bedtime to prevent
reflux.
Q: A nurse is teaching a client who has a deep-vein thrombosis about a new prescription for
warfarin. Which of the following client statements indicates an understanding of the teaching?
-"I will stop taking the medication immediately if I experience nausea."
-"I should contact my provider if I notice a pink-tinged color to my urine."
-"I will increase my dietary intake of spinach."
-"I will not be able to use an electric razor while I am taking this medication."
Answer:
"I should contact my provider if I notice a pink-tinged color to my urine."
The nurse should instruct the client to monitor for blood in the urine. The client should report a
pink-tinged urine color to the provider.
Q: 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?
-Becomes angry when it is time to perform colostomy care
-Touches the colostomy stoma when the bag is changed
-Looks away as the nurse empties the colostomy bag
-Tells others that it will be nice to have a normal bowel movement again
Answer:
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.
Q: A nurse is reviewing the urinalysis results of a client who has completed a 14-day course of
ciprofloxacin to treat pyelonephritis. Which of the following values should indicate to the nurse
that the client has a continuing infection?
-Negative nitrites
-RBCs < 2>
-Positive leukocyte esterase
-Amber-colored urine
Answer:
Positive leukocyte esterase
The nurse should identify that a positive leukocyte esterase test is an indication of the presence
of WBCs in the urine and the presence of continued infection.
Q: A nurse is assessing a school-age child who has appendicitis with possible perforation.
Which of the following findings should the nurse identify as a manifestation of peritonitis?
-Abdominal distention
-Bradycardia
-Hyperactive bowel sounds
-Slow, deep breathing
Answer:
Abdominal distention
The nurse should identify that peritonitis is an inflammation of the lining of the abdominal wall.
This inflammation, along with the ileus that develops, causes abdominal distention; therefore, the
nurse should identify this as a manifestation of peritonitis.
Q: A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the
following findings is a priority to report to the provider?
-Melena stools
-Hemoglobin 7.6 mg/dL
-Weight gain of 1.4 kg (3 lb) in 2 weeks
-Dyspepsia during the day
Answer:
Hemoglobin 7.6 mg/dL
When using the urgent vs. nonurgent approach to client care, the nurse should determine that the
priority finding to report to the provider is the hemoglobin below the expected reference range,
which in an indication of a peptic ulcer that is chronically bleeding.
Q: A nurse in an emergency department 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?
-Hallucinations
-Vomiting
-Bradycardia
-Seizures
Answer:
Vomiting
The nurse should identify that 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 (101º F and 102º F).
Q: A nurse is providing teaching to a client who is experiencing malabsorption related to
lactose intolerance. Which of the following foods should the nurse recommend to the client as
the best nondairy source of calcium?
-Ground beef
-Collard greens
-Cauliflower
-Walnuts
Answer:
Collard greens
The nurse should determine that collard greens are the best food source to recommend because 1
cup contains 268 mg of calcium per serving.
Q: A nurse is planning care for a client who is postoperative and has developed left lower leg
deep-vein thrombosis. Which of the following interventions should the nurse include in the plan
of care?
-Initiate complete bed rest.
-Massage the left lower leg three times a day.
-Make sure the client's legs are elevated while in bed.
-Apply cold compresses to the left lower leg every 2 hr.
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