Since $X \sim \chi_{2n}^{2}=\Gamma(n,2)$, we have $P(X<2\lambda)=\displaystyle\int_{0}^{2\lambda}\frac{1}{\Gamma(n)2^n}x^{n-1}e^{-\frac{x}{2}}dx$. Also, we have $P(Y\geq n)=1-P(Y \leq n-1)=1-\displaystyle\sum_{i=0}^{n-1}\frac{e^{-\lambda}\lambda^i}{i!}$.
Now differentiate both in terms of $\lambda$. For the integral we obtain $\displaystyle\frac{2}{\Gamma(n)2^n}(2\lambda)^{n-1}e^{-\lambda}=\frac{\lambda^{n-1}e^{-\lambda}}{(n-1)!}$, and for the sum we obtain $\displaystyle\sum_{i=0}^{n-1}\frac{e^{-\lambda}\lambda^i}{i!}-\displaystyle\sum_{i=1}^{n-1}\frac{e^{-\lambda}\lambda^{i-1}}{(i-1)!}=\frac{\lambda^{n-1}e^{-\lambda}}{(n-1)!}$.
Since their derivative in terms of $\lambda$ is same, they are at most different by a constant. Substituting $\lambda = 0$ implies that both terms are zero, thus their values are same.