ATI- RN Concept-Based Assessment Level 2 & 3 with NGN
Access The Exact Questions for ATI- RN Concept-Based Assessment Level 2 & 3 with NGN
💯 100% Pass Rate guaranteed
🗓️ Unlock for 1 Month
Rated 4.8/5 from over 1000+ reviews
- Unlimited Exact Practice Test Questions
- Trusted By 200 Million Students and Professors
What’s Included:
- Unlock Actual Exam Questions and Answers for ATI- RN Concept-Based Assessment Level 2 & 3 with NGN on monthly basis
- Well-structured questions covering all topics, accompanied by organized images.
- Learn from mistakes with detailed answer explanations.
- Easy To understand explanations for all students.
Free ATI- RN Concept-Based Assessment Level 2 & 3 with NGN Questions
A home health nurse is teaching a parent about diet recommendations for a toddler who has Down syndrome and failure to thrive. Which of the following statements should indicate to the nurse that the parent understands the teaching?
-
"I should continue to feed my child when he pushes food out with his tongue."
-
"I will offer my child apple juice instead of milk."
-
"I will provide his favorite food as a reward for good behavior."
-
"I should increase my child's vitamin A intake by feeding him raw carrot slices."
Explanation
The Correct Answer is:
A. "I should continue to feed my child when he pushes food out with his tongue."
Detailed Explanation:
Children with Down syndrome often have tongue thrust, a reflex that causes them to push food out of their mouths. This does not mean they are refusing food. The parent should gently continue feeding to help the child learn to coordinate tongue and swallowing movements. Persistent, calm feeding promotes adequate nutrition and supports developmental progress. Other options may pose choking hazards or fail to meet the toddler’s nutritional needs.
A nurse is teaching a client who has gambling disorder about the use of cognitive reframing. Which of the following instructions should the nurse give the client?
-
"Reward yourself for not going to the casino for 1 week."
-
"Replace thoughts of gambling with positive self-statements."
-
"Perform deep-breathing exercises when you feel the urge to gamble."
-
"Use a journal to write down thoughts related to gambling."
Explanation
The Correct Answer is:
B. "Replace thoughts of gambling with positive self-statements."
Detailed Explanation:
Cognitive reframing is a cognitive-behavioral therapy (CBT) technique that helps clients identify and replace maladaptive or distorted thoughts with more positive and realistic ones. For a client with gambling disorder, this means challenging thoughts like “I can win this time” and replacing them with rational, positive statements such as “Gambling causes me harm” or “I can find healthier ways to cope.”
Rewarding abstinence (A) and journaling (D) are behavioral strategies, while deep breathing (C) is a relaxation technique—none of these directly address cognitive reframing, which focuses specifically on changing thought patterns.
A home health nurse is evaluating adherence to the plan of care for several clients who have bipolar disorder and are taking lithium. Which of the following clients is demonstrating compliance?
-
A female client who reports that she is actively trying to conceive
-
A young adult client who reports exercising 4 hr daily at a local gym
-
A male client who reports getting 7 hr of sleep each night
-
An older adult client who reports following a low-sodium diet
Explanation
The Correct Answer is:
C. A male client who reports getting 7 hr of sleep each night.
Detailed Explanation:
Adequate sleep and rest are vital for clients taking lithium and managing bipolar disorder, as sleep deprivation can trigger manic or depressive episodes. Maintaining consistent routines, including sufficient rest, hydration, and balanced nutrition, supports mood stability and safe lithium levels.
Lithium has a narrow therapeutic range, and several factors can increase the risk of toxicity. Low sodium intake and excessive exercise lead to dehydration and sodium loss, which raise lithium levels dangerously. Lithium is teratogenic, especially during the first trimester, so women planning pregnancy must discuss safer alternatives with their provider. Thus, the client getting 7 hours of sleep nightly demonstrates the best adherence to both medication safety and bipolar management strategies.
A nurse is assessing a client who has an electrolyte imbalance with an elevated total calcium level of 12.8 mg/dL. Which of the following findings should the nurse expect?
-
Hyperreflexia
-
Muscle twitching
-
Diarrhea
-
Lethargy
Explanation
The Correct Answer is:
D. Lethargy.
Detailed Explanation:
A calcium level of 12.8 mg/dL indicates hypercalcemia, which depresses neuromuscular activity and reduces the excitability of nerve and muscle tissue. This leads to manifestations such as lethargy, confusion, weakness, and decreased deep tendon reflexes. Clients may also experience constipation, bone pain, and cardiac dysrhythmias.
A nurse is caring for a client who is experiencing postpartum hemorrhage. Which of the following actions should the nurse take?
-
Place the client in a high-Fowler's position.
-
Massage the uterine fundus.
-
Apply compression stockings.
-
Administer methyldopa
Explanation
The Correct Answer is:
B. Massage the uterine fundus.
Detailed Explanation:
The first nursing action in postpartum hemorrhage is to massage the uterine fundus firmly to stimulate uterine contraction and reduce bleeding. Uterine atony—when the uterus fails to contract effectively—is the most common cause of postpartum hemorrhage. Fundal massage promotes muscle tightening, compresses uterine blood vessels, and helps expel clots that may be preventing proper contraction.
After stabilizing the client, the nurse should assess the uterus for firmness and position, monitor vital signs, and prepare to administer uterotonic medications such as oxytocin, misoprostol, or methylergonovine if prescribed.
Placing the client in a high-Fowler’s position is contraindicated because it can impair venous return, while methyldopa is an antihypertensive, not a uterotonic, and compression stockings do not address active bleeding.
A nurse is assessing a 6-month-old infant who has Down syndrome. Which of the following clinical manifestations should the nurse expect?
-
Epicanthal folds
-
Large ears
-
Absent red reflex
-
Hypertonia
Explanation
The Correct Answer is:
A. Epicanthal folds.
Detailed Explanation:
Epicanthal folds—skin folds of the upper eyelid covering the inner corner of the eye—are a classic facial feature of infants with Down syndrome (trisomy 21). Other common characteristics include a flat facial profile, upward slanting palpebral fissures, small, low-set ears, protruding tongue, and a single transverse palmar crease. Neuromuscularly, these infants typically exhibit hypotonia (low muscle tone) rather than hypertonia. The condition is also associated with developmental delays and an increased risk of congenital heart defects, especially atrioventricular septal defects.
A nurse is assessing a school-age child who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following findings should the nurse expect?
-
Hemoglobin 14.5 g/dL
-
Increased urination
-
Hepatomegaly
-
Periorbital edema
Explanation
The Correct Answer is:
C. Hepatomegaly.
Detailed Explanation:
During a vaso-occlusive crisis, the sickled red blood cells obstruct blood flow to tissues and organs, leading to ischemia, severe pain, and organ enlargement. The liver (hepatomegaly) and spleen (splenomegaly) often become enlarged due to vascular congestion and red blood cell sequestration. This can result in tenderness in the upper abdomen and impaired liver function if the crisis is prolonged.
The child may also experience pallor, jaundice, and pain in joints or bones. The hemoglobin level is typically low (6–9 g/dL) due to chronic hemolysis, not elevated. Increased urination is not expected; rather, dehydration can worsen the crisis. Periorbital edema is not a common finding—it is more associated with renal or cardiac conditions, not sickle cell vaso-occlusion.
A nurse is teaching a group of newly licensed nurses about palliative care. Which of the following information should the nurse include in the teaching?
-
Is not appropriate for clients still receiving curative treatments
-
Is available for clients who have a serious illness
-
Provides financial assistance for clients in need
-
Is limited to clients who are in an acute care setting
Explanation
The Correct Answer is:
B. Is available for clients who have a serious illness.
Detailed Explanation:
Palliative care is specialized, holistic care designed to improve the quality of life for clients with serious, chronic, or life-threatening illnesses—such as cancer, heart failure, or COPD—regardless of the stage of disease or prognosis. It focuses on symptom management, emotional and spiritual support, and enhancing comfort rather than curing the illness.
Unlike hospice care, which is reserved for clients with a life expectancy of 6 months or less and focuses solely on comfort, palliative care can be provided concurrently with curative treatments at any stage of illness and in any setting, including home, hospital, or long-term care facilities.
It does not provide direct financial assistance but instead supports clients and families by helping them navigate healthcare decisions, coordinate care, and manage complex symptoms.
A nurse is assessing a 6-month-old infant who has cerebral palsy. Which of the following findings should the nurse expect?
-
Absence of head lag
-
Hypoactive deep tendon reflexes
-
Difficulty sucking and swallowing
-
Absence of palmar grasp reflex
Explanation
The Correct Answer is:
C. Difficulty sucking and swallowing.
Detailed Explanation:
Infants with cerebral palsy (CP) often exhibit difficulty sucking and swallowing due to oromotor dysfunction caused by impaired neuromuscular control. These feeding difficulties can result in poor weight gain, drooling, and risk for aspiration. The problem stems from abnormal muscle tone—commonly hypertonia—affecting coordination of the tongue and facial muscles.
In contrast, head lag often persists beyond the expected age (around 4 months) in infants with CP, rather than being absent. Deep tendon reflexes are typically hyperactive, not hypoactive, because of spasticity. The palmar grasp reflex may persist abnormally rather than disappear at the normal age, reflecting delayed neurological maturation.
A client in a situational crisis is being cared for by a nurse. What should the nurse do first from the list below?
-
Determine if the client is experiencing suicidal ideation.
-
Instruct the client about coping skills
-
Identify the client’s social support.
-
Explore the client’s perception of the event.
Explanation
The Correct Answer is:
D. Explore the client’s perception of the event.
Detailed Explanation:
When a client is experiencing a situational crisis—a sudden, unexpected event such as loss, trauma, or major life change—the first nursing action is to explore how the client perceives the event. Each person interprets and responds to stress differently, and understanding the client’s perception allows the nurse to assess the level of anxiety, coping capacity, and emotional needs.
Once the nurse understands the client’s view of the crisis, further interventions such as assessing for suicidal ideation, identifying support systems, and teaching coping strategies can follow in sequence. Immediate assessment of perception establishes the foundation for effective, individualized crisis intervention.
How to Order
Select Your Exam
Click on your desired exam to open its dedicated page with resources like practice questions, flashcards, and study guides.Choose what to focus on, Your selected exam is saved for quick access Once you log in.
Subscribe
Hit the Subscribe button on the platform. With your subscription, you will enjoy unlimited access to all practice questions and resources for a full 1-month period. After the month has elapsed, you can choose to resubscribe to continue benefiting from our comprehensive exam preparation tools and resources.
Pay and unlock the practice Questions
Once your payment is processed, you’ll immediately unlock access to all practice questions tailored to your selected exam for 1 month .