ATI Cbc Level 2 Practice B

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Sample questions from ATI Cbc Level 2 Practice B

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, a 67-year-old client admitted with pneumonia becomes increasingly confused. Refer to the client's chart. Which actions should the nurse take now? Select all that apply.

   • A.Apply oxygen as prescribed and reassess oxygenation
   • B.Notify the rapid response team about the acute change
   • C.Obtain a focused respiratory assessment and compare it with the earlier findings
   • D.Ask the nursing assistant to stay with the client while the nurse completes other rounds
   • E.Place the client supine and offer oral fluids

   Rationale: The client's new confusion, increasing respiratory rate, and falling SpO2 indicate possible worsening hypoxemia, so oxygen, focused reassessment, and urgent escalation are appropriate. Asking an assistant to stay does not replace the nurse's immediate assessment and response. Supine positioning can worsen breathing, and oral fluids are not the priority during acute respiratory decline.

2. 2.In a rehabilitation facility, a 78-year-old client with a new prescription for warfarin asks why the nurse checks the INR. Which response is best?

   • A.It measures how long your blood takes to clot and helps guide your dose.
   • B.It measures the number of platelets available to stop bleeding.
   • C.It shows whether your kidneys are clearing the medication.
   • D.It confirms that the medication is preventing all blood clots.

   Rationale: The INR standardizes prothrombin time and is used to monitor warfarin effect and guide dosing. Kidney function is assessed with tests such as creatinine, not INR. An INR does not guarantee that clots cannot occur, and platelet count is a separate test.

3. 3.During rounds in an outpatient clinic, a 52-year-old client reports new chest pressure and shortness of breath. The client is pale, diaphoretic, and has a blood pressure of 88/54 mm Hg and pulse of 118/min. Which action should the nurse take first?

   • A.Provide written instructions about a low-sodium diet
   • B.Obtain a detailed family history
   • C.Activate emergency response and remain with the client
   • D.Schedule an outpatient stress test

   Rationale: Hypotension, tachycardia, diaphoresis, chest pressure, and dyspnea suggest an acute, potentially life-threatening cardiac event. Activating emergency response and staying with the client supports immediate stabilization. A stress test, history-taking, and diet teaching can wait until the client is safe.

4. 4.A charge nurse in a long-term care facility is assigning care for four clients. Which task is appropriate to delegate to an experienced unlicensed assistive personnel (UAP)?

   • A.Evaluate whether a PRN analgesic relieved a client's pain
   • B.Obtain routine morning weights for stable clients
   • C.Assess a client who reports sudden dizziness after standing
   • D.Teach a client with heart failure how to record daily weights

   Answer and rationale are in the full material.

5. 5.A provider prescribes a blood transfusion for a 44-year-old client with symptomatic anemia on a medical unit. Which actions should the nurse take before and during the transfusion? Select all that apply.

   • A.Remain with the client during the initial 15 minutes
   • B.Verify the client's identity and blood product with a second qualified clinician according to policy
   • C.Prime the blood tubing with 5% dextrose in water
   • D.Use a blood administration set with an appropriate filter
   • E.Stop the transfusion and assess the client if chills and back pain develop

   Answer and rationale are in the full material.