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 nurse is planning a community education program about palliative care. Which of the following information should the nurse plan to include?
-
Care is initiated when the client has less than 6 months of life expectancy.
-
Care is extended to the client and the client’s family.
-
Care is intended to prolong the client’s life.
-
Care is limited to traditional medical treatments.
Explanation
The Correct Answer is:
B. Care is extended to the client and the client’s family.
Detailed Explanation:
Palliative care is a specialized approach focused on improving quality of life for clients with serious, chronic, or life-limiting illnesses and their families. It provides holistic support—addressing physical, emotional, spiritual, and psychosocial needs. Importantly, palliative care is not limited by prognosis and can be provided at any stage of illness, alongside curative or life-prolonging treatments.
The care team offers pain and symptom management, emotional counseling, and assistance with decision-making to both the client and the family. Unlike hospice care, which is specifically for clients with a life expectancy of 6 months or less and focuses solely on comfort, palliative care can begin at diagnosis and continue through all stages of treatment.
Therefore, the defining feature of palliative care is that it extends compassionate, supportive care to both the client and their loved ones.
A nurse is providing teaching to a client who has neutropenia about preventing foodborne illness. Which of the following instructions should the nurse include?
-
"Cut damaged areas from fruits and vegetables before consuming."
-
"Thaw frozen foods at room temperature before cooking."
-
"Cook raw fish and steak to the well-done stage."
-
"Reduce your intake of calcium-containing foods."
Explanation
The Correct Answer is:
C. "Cook raw fish and steak to the well-done stage."
Detailed Explanation:
Clients with neutropenia have a significantly weakened immune system, placing them at high risk for infection, including those caused by foodborne pathogens. The nurse should instruct the client to cook all meats, poultry, and seafood thoroughly—to the well-done stage—to destroy harmful bacteria such as Salmonella, E. coli, and Listeria. Raw or undercooked meats and fish (such as sushi or rare steak) should be avoided entirely.
Additional precautions include avoiding raw fruits and vegetables with damaged skins, unpasteurized dairy products or juices, and foods left at room temperature for more than 2 hours. Thawing foods should be done in the refrigerator, not at room temperature, to prevent bacterial growth. Reducing calcium intake has no relationship to infection prevention.
A nurse in a long-term care facility is admitting a client who has multiple sclerosis. Which of the following findings is the priority for the nurse to address?
-
Decreased problem-solving ability.
-
Increased nystagmus.
-
Increased confusion.
-
Decreased hearing acuity.
Explanation
The Correct Answer is:
C. Increased confusion.
Detailed Explanation:
For a client with multiple sclerosis, increased confusion is the priority finding because it can indicate hypoxia, infection, or an adverse medication effect, all of which require immediate intervention to prevent deterioration. While other findings like nystagmus, decreased problem-solving ability, and hearing loss are common or expected in MS due to demyelination, acute confusion suggests a potentially reversible or life-threatening complication. The nurse should promptly assess vital signs, oxygenation, and infection indicators to determine the underlying cause and intervene accordingly.
A nurse is creating a postoperative plan of care for a client who has a chest tube drainage system following a lobectomy for lung adenocarcinoma. Which of the following interventions should the nurse include in the plan?
-
Strip the chest tube every hour.
-
Empty the collection chamber when drainage reaches the tube base.
-
Clamp the tubing briefly when checking for an air leak.
-
Maintain the drainage system at the level of the chest.
Explanation
The Correct Answer is:
C. Clamp the tubing briefly when checking for an air leak.
Detailed Explanation:
When a continuous bubbling is noted in the water-seal chamber, the nurse should briefly clamp the chest tube near the client’s chest to determine if the air leak originates from the client or the drainage system. If bubbling stops when clamped, the leak is from the client’s thoracic cavity; if it continues, the leak is in the system. Clamping should only be done for a few seconds to avoid causing a tension pneumothorax.
The drainage system should always be kept below the level of the chest to promote gravity drainage and prevent backflow of fluid into the pleural space. The chest tube should never be stripped or milked, as this creates excessive negative pressure and can damage lung tissue. The collection chamber should not be emptied—once it’s full, the entire drainage system must be replaced to maintain sterility and proper function.
Therefore, the appropriate intervention is to briefly clamp the tubing when checking for an air leak while maintaining correct positioning and sterility of the system.
A nurse is reviewing the laboratory results of a client who has Crohn's disease and experienced an exacerbation 7 days ago. Which of the following laboratory results should the nurse identify as an indication the client is experiencing malnutrition?
-
Prealbumin 9 mg/dL
-
reactive protein 15 mg/L
-
Iron 160 mcg/dL
-
Hematocrit 37%
Explanation
The Correct Answer is:
A. Prealbumin 9 mg/dL.
Detailed Explanation:
Prealbumin is a sensitive indicator of nutritional status because it reflects recent protein intake and synthesis. A normal prealbumin level is typically 15–36 mg/dL. A level of 9 mg/dL indicates malnutrition and inadequate protein status. In Crohn’s disease, inflammation and poor nutrient absorption contribute to protein deficiency. Monitoring prealbumin helps evaluate the effectiveness of nutritional interventions and detect ongoing malnutrition during disease exacerbations.
A nurse is providing discharge teaching to a client who had a myringoplasty about how to decrease trauma and hearing impairment. Which of the following statements should the nurse include in the teaching?
-
"Clean dried blood in your ear canal with a cotton-tipped applicator."
-
"Avoid blowing your nose for 1 month after surgery."
-
"Use petroleum jelly on a cotton ball to plug your ear when shampooing."
-
"Notify your provider if you have popping or crackling sensations in the affected ear."
Explanation
The Correct Answer is:
C. "Use petroleum jelly on a cotton ball to plug your ear when shampooing."
Detailed Explanation:
After a myringoplasty (surgical repair of the tympanic membrane), it is essential to keep the ear canal dry to prevent infection and protect the surgical site. Inserting a cotton ball coated with petroleum jelly while showering or shampooing creates a waterproof barrier. Clients should avoid inserting cotton swabs or other objects into the ear. Nose blowing should be done gently after healing, and popping or crackling sensations are normal during recovery as the eardrum adjusts
A client who was admitted after suffering an ischemic stroke is being cared for by a nurse. The nurse should do which of the following? (Check all that are relevant.)
-
Keep the client's head in a midline neutral position.
-
Monitor the client's vital signs every 4 hr.
-
Provide rest breaks between nursing care activities.
-
Notify the provider of a systolic BP higher than 180 mm Hg.
-
Administer aspirin 650 mg every 6 hr for a headache.
Explanation
The Correct Answers are:
A. Keep the client's head in a midline neutral position, C. Provide rest breaks between nursing care activities, and D. Notify the provider of a systolic BP higher than 180 mm Hg.
Detailed Explanation:
A. Keep the client's head in a midline neutral position:
Maintaining a midline head position promotes optimal cerebral venous drainage and helps prevent increased intracranial pressure (ICP). Flexion or rotation can obstruct blood flow and worsen cerebral edema.
C. Provide rest breaks between nursing care activities:
After a stroke, clients experience fatigue due to neurological impairment. Allowing rest periods conserves energy and prevents overstimulation, which can increase ICP and delay recovery.
D. Notify the provider of a systolic BP higher than 180 mm Hg:
Elevated blood pressure following an ischemic stroke can increase the risk of hemorrhagic conversion or further vascular damage. The nurse should promptly report a systolic BP above 180 mm Hg for possible antihypertensive adjustment.
A nurse is caring for a client who is taking potassium chloride supplements daily for hypokalemia. Which of the following findings should indicate to the nurse the supplements are effective?
-
Decreased deep-tendon reflexes
-
Regular heart rhythm
-
Hypoactive bowel sounds
-
Respiratory rate 10/min
Explanation
The Correct Answer is:
B. Regular heart rhythm.
Detailed Explanation:
A regular heart rhythm indicates that potassium levels have returned to normal. Potassium is essential for maintaining proper electrical conduction in the heart, and low potassium (hypokalemia) often causes irregular heart rhythms such as premature ventricular contractions or dysrhythmias. When potassium chloride supplements are effective, the restoration of normal serum potassium (3.5–5.0 mEq/L) stabilizes cardiac function and leads to a regular heart rhythm.
A nurse in a long-term care facility is planning care for a client who has advanced Alzheimer’s disease. Which of the following interventions should the nurse plan to use when communicating with the client?
-
Ask the client questions requiring a "yes" or "no" response.
-
Give the client three simple instructions at a time.
-
Avoid using hand gestures when talking with the client.
-
Assume that the client does not understand verbal instructions.
Explanation
The Correct Answer is:
A. Ask the client questions requiring a "yes" or "no" response."
Detailed Explanation:
Clients with advanced Alzheimer’s disease experience significant cognitive decline, including memory loss, difficulty processing complex language, and decreased attention span. The nurse should simplify communication by asking direct, closed-ended questions that require only a “yes” or “no” response, which reduces confusion and frustration.
Other helpful techniques include speaking slowly, using calm tone, maintaining eye contact, and supporting verbal communication with nonverbal cues such as gestures or demonstrations. Giving multiple instructions at once overwhelms the client, and assuming they do not understand is disrespectful and may prevent engagement. Simplifying communication fosters trust, reduces anxiety, and promotes cooperation in care.
A nurse is planning care for a client who is experiencing moderate vaginal bleeding due to a placental abruption. Which of the following interventions should the nurse include in the plan?
-
Check cervical dilation every 2 hr.
-
Obtain vital signs every 4 hr.
-
Initiate an IV with an 18-gauge catheter.
-
Monitor FHR hourly.
Explanation
The Correct Answer is:
C. Initiate an IV with an 18-gauge catheter.
Detailed Explanation:
Placental abruption involves premature separation of the placenta from the uterine wall, leading to maternal hemorrhage and potential fetal distress. The priority intervention is to establish rapid IV access using a large-bore (18-gauge or larger) catheter to enable fluid resuscitation, blood transfusions, and medication administration. Maintaining hemodynamic stability is essential to prevent hypovolemic shock.
Frequent vital signs (every 15 minutes or as indicated) and continuous fetal heart rate monitoring are required to assess for signs of maternal or fetal compromise. Repeated cervical exams are avoided because they can worsen bleeding. This situation is a medical emergency that requires prompt stabilization and possible delivery, depending on the severity of the abruption and the fetal status.
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 .