ATI Cbc Level 2 Practice a

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Sample questions from ATI Cbc Level 2 Practice a

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At change of shift on a medical-surgical unit, an RN receives report on four clients. Which client should the RN assess first?

   • A.A client with a urinary tract infection who has a temperature of 38.1 C (100.6 F)
   • B.A client with heart failure who has gained 1 kg in 24 hours and has bilateral ankle edema
   • C.A client with diabetes whose premeal glucose is 242 mg/dL and who requests lunch
   • D.A client 6 hours after thyroidectomy who is restless and has audible stridor

   Rationale: Restlessness and stridor after thyroid surgery suggest airway obstruction from edema or bleeding, which can rapidly become fatal. The client requires immediate airway assessment and intervention. The other findings need follow-up but do not indicate the same immediate threat to life.

2. 2.In a rehabilitation facility, an RN is planning assignments for a registered nurse (RN), a licensed practical nurse (LPN), and an unlicensed assistive personnel (UAP). Which task is appropriate to delegate to the UAP?

   • A.Obtain routine vital signs for a stable client before lunch
   • B.Evaluate a client's response to a newly prescribed antihypertensive
   • C.Teach a client how to use a walker on stairs
   • D.Assess a client who reports new shortness of breath

   Rationale: Obtaining routine vital signs for a stable client is a predictable task that can be delegated to trained UAP. Evaluating medication response and assessing new dyspnea require nursing judgment. Teaching also requires the nurse's assessment and evaluation of learning.

3. 3.In an outpatient clinic, a 52-year-old client with limited English proficiency is scheduled for an invasive procedure. Which actions should the nurse take to support informed consent? Select all that apply.

   • A.Confirm the client can explain the procedure and its major risks in their own words
   • B.Tell the client which option the nurse thinks they should choose
   • C.Witness the client's signature after the provider has explained the procedure
   • D.Arrange for a qualified medical interpreter
   • E.Ask the client's adult child to translate the consent discussion

   Rationale: A qualified interpreter supports accurate communication, and teach-back helps the nurse identify whether the client understands. The nurse may witness the signature after the provider explains the procedure and the client voluntarily signs. A family member should not replace a qualified interpreter, and the nurse must not make the decision for the client.

4. 4.During a home health visit, an RN finds a 76-year-old client with a new prescription for warfarin and an INR of 5.2 (expected therapeutic range 2.0 to 3.0). The client denies bleeding and has stable vital signs. Which action should the nurse take first?

   • A.Encourage the client to eat a large serving of leafy greens immediately
   • B.Schedule a routine INR check in one month
   • C.Hold the next dose and contact the prescribing clinician for instructions
   • D.Administer the next dose with food to reduce stomach irritation

   Answer and rationale are in the full material.

5. 5.The charge nurse is assigning clients on a medical unit. Which client is most appropriate for an LPN to care for?

   • A.A client receiving a blood transfusion who develops chills and back pain
   • B.A client with stable chronic obstructive pulmonary disease who needs scheduled oral medications and a dressing change
   • C.A client with a new seizure who needs an initial neurologic assessment
   • D.A client admitted 30 minutes ago with chest pressure and diaphoresis

   Answer and rationale are in the full material.