ATI RN Fundamentals Online Practice
2023 B, ATI RN Fundamentals Proctored
Exam UPDATED Study Guide
QUESTIONS AND CORRECT ANSWERS
A nurse in a medical-surgical unit is caring for six clients.
Complete the following sentence by using the list of options.
The first client the nurse should assess is _____ followed by _____.
Client 1: Client is admitted with a new diagnosis of rheumatoid arthritis.Client
2: Client has a history of hyperlipidemia. Atorvastatin 20 mg PO administered
as prescribed.Client 3: Client is 1 day postoperative. Reports pain as 8 on a
scale of 0 to 10. Morphine 5 mg subcutaneous administered as prescribed.Client
4: Client is admitted with a new diagnosis of heart failure.Client 5: Client has a
stage 2 pressure injury on the left heel.Client 6: Client is admitted with a new
diagnosis of diabetes mellitus. - CORRECT ANSWERS Correct Answer
(1):
Client 3
When using the airway, breathing, circulation approach to client care, the nurse
should determine that this client is the priority client to assess. The client has an
oxygen saturation that is less than the expected reference range, which is an
indication of hypoxia.
Correct Answer (2):
Client 4
When using the airway, breathing, circulation approach to client care, the nurse
should determine that this client is the next priority client to assess. The client
has a potassium level that is less than the expected reference range, which
places the client at risk for dysrhythmias.
,Incorrect Answers (1):
Client 1 is incorrect. The nurse should assess this client because the client's C-
reactive protein is greater than the expected reference range, which is an
indication of inflammation. However, there is another client the nurse should
assess first.
Client 2 is incorrect. The nurse should assess this client because the client's
cholesterol level is greater than the expected reference range, which places them
at risk for coronary heart disease. However, there is another client the nurse
should assess first.
Incorrect Answers (2):
Client 5 is incorrect. The nurse should assess this client because their
prealbumin level is less than the expected reference range, which places them at
risk for delayed wound healing. However, this client is not the next priority
client to assess.
Client 6 is incorrect. The nurse should assess this client because their
glycosylated hemoglobin level is greater than the expected reference range,
which indicates poor diabetic control. However, this client is not the next
priority client to assess.
A nurse is caring for a client who has COPD.
Select the 3 findings that require follow-up.
Breath sounds
Blood pressure
Oxygen saturation
Temperature
,Heart rate - CORRECT ANSWERS Correct Answer:
Breath Sounds
Crackles are caused by mucous in the airways and are a manifestation of
pneumonia. Decreased breath sounds indicate decreased ventilation and require
follow-up by the nurse.
Oxygen Saturation
The client's oxygen saturation is below the expected reference range of 95% to
100%, indicating hypoxia, and requires follow-up by the nurse.
Temperature
The client's temperature is greater than the expected reference range, indicating
an infection, and requires follow-up by the nurse.
Incorrect Answer:
Blood pressure is incorrect. The client's blood pressure is within the expected
reference range and does not require follow-up by the nurse.
Heart rate is incorrect. The client's heart rate is within the expected reference
range of 60 to 100/min and does not require follow-up by the nurse.
A nurse in the emergency department (ED) is caring for a client who reports
abdominal pain.
Based on the client's clinical findings, which of the following actions should the
nurse take? Select all that apply.
Assist the client to a left side-lying position with the right knee flexed.
Prepare the client for a chest x-ray.
Administer a cleansing enema.
, Auscultate the client's bowel sounds.
Perform a manual digital examination of the client's rectum.
Administer oxycodone extended-release tablets.
Prepare the client for NG tube placement. - CORRECT ANSWERS
Correct Answer:
Assist the client to a left side-lying position with the right knee flexed
The nurse should place the client in a left side-lying position with the right knee
flexed prior to administering an enema. Because the provider prescribed a
cleansing enema for the client, the nurse should prepare the client for the
procedure.
Administer a cleansing enema
The nurse should administer a cleansing enema for the client as a result of the
provider's prescription. A cleansing enema is intended to assist with bowel
elimination and remove any impacted fecal matter indicated by the abdominal
x-ray.
Auscultate the client's bowel sounds
The nurse should auscultate the client's bowel sounds to determine the status of
the client's peristalsis. This is a necessary part of determining the presence of
bowel sounds, which are an indication of the status of the client's
gastrointestinal tract.
Perform a manual digital examination of the client's rectum
The nurse should perform a manual digital examination of the client's rectum to
determine if impacted stool is present. This is a part of the necessary evaluation
of the status of the client's gastrointestinal tract.
Incorrect Answer:
Prepare the client for a chest x-ray is incorrect. A chest x-ray is typically
performed for a client who has an impairment of the upper thorax or lungs, not
2023 B, ATI RN Fundamentals Proctored
Exam UPDATED Study Guide
QUESTIONS AND CORRECT ANSWERS
A nurse in a medical-surgical unit is caring for six clients.
Complete the following sentence by using the list of options.
The first client the nurse should assess is _____ followed by _____.
Client 1: Client is admitted with a new diagnosis of rheumatoid arthritis.Client
2: Client has a history of hyperlipidemia. Atorvastatin 20 mg PO administered
as prescribed.Client 3: Client is 1 day postoperative. Reports pain as 8 on a
scale of 0 to 10. Morphine 5 mg subcutaneous administered as prescribed.Client
4: Client is admitted with a new diagnosis of heart failure.Client 5: Client has a
stage 2 pressure injury on the left heel.Client 6: Client is admitted with a new
diagnosis of diabetes mellitus. - CORRECT ANSWERS Correct Answer
(1):
Client 3
When using the airway, breathing, circulation approach to client care, the nurse
should determine that this client is the priority client to assess. The client has an
oxygen saturation that is less than the expected reference range, which is an
indication of hypoxia.
Correct Answer (2):
Client 4
When using the airway, breathing, circulation approach to client care, the nurse
should determine that this client is the next priority client to assess. The client
has a potassium level that is less than the expected reference range, which
places the client at risk for dysrhythmias.
,Incorrect Answers (1):
Client 1 is incorrect. The nurse should assess this client because the client's C-
reactive protein is greater than the expected reference range, which is an
indication of inflammation. However, there is another client the nurse should
assess first.
Client 2 is incorrect. The nurse should assess this client because the client's
cholesterol level is greater than the expected reference range, which places them
at risk for coronary heart disease. However, there is another client the nurse
should assess first.
Incorrect Answers (2):
Client 5 is incorrect. The nurse should assess this client because their
prealbumin level is less than the expected reference range, which places them at
risk for delayed wound healing. However, this client is not the next priority
client to assess.
Client 6 is incorrect. The nurse should assess this client because their
glycosylated hemoglobin level is greater than the expected reference range,
which indicates poor diabetic control. However, this client is not the next
priority client to assess.
A nurse is caring for a client who has COPD.
Select the 3 findings that require follow-up.
Breath sounds
Blood pressure
Oxygen saturation
Temperature
,Heart rate - CORRECT ANSWERS Correct Answer:
Breath Sounds
Crackles are caused by mucous in the airways and are a manifestation of
pneumonia. Decreased breath sounds indicate decreased ventilation and require
follow-up by the nurse.
Oxygen Saturation
The client's oxygen saturation is below the expected reference range of 95% to
100%, indicating hypoxia, and requires follow-up by the nurse.
Temperature
The client's temperature is greater than the expected reference range, indicating
an infection, and requires follow-up by the nurse.
Incorrect Answer:
Blood pressure is incorrect. The client's blood pressure is within the expected
reference range and does not require follow-up by the nurse.
Heart rate is incorrect. The client's heart rate is within the expected reference
range of 60 to 100/min and does not require follow-up by the nurse.
A nurse in the emergency department (ED) is caring for a client who reports
abdominal pain.
Based on the client's clinical findings, which of the following actions should the
nurse take? Select all that apply.
Assist the client to a left side-lying position with the right knee flexed.
Prepare the client for a chest x-ray.
Administer a cleansing enema.
, Auscultate the client's bowel sounds.
Perform a manual digital examination of the client's rectum.
Administer oxycodone extended-release tablets.
Prepare the client for NG tube placement. - CORRECT ANSWERS
Correct Answer:
Assist the client to a left side-lying position with the right knee flexed
The nurse should place the client in a left side-lying position with the right knee
flexed prior to administering an enema. Because the provider prescribed a
cleansing enema for the client, the nurse should prepare the client for the
procedure.
Administer a cleansing enema
The nurse should administer a cleansing enema for the client as a result of the
provider's prescription. A cleansing enema is intended to assist with bowel
elimination and remove any impacted fecal matter indicated by the abdominal
x-ray.
Auscultate the client's bowel sounds
The nurse should auscultate the client's bowel sounds to determine the status of
the client's peristalsis. This is a necessary part of determining the presence of
bowel sounds, which are an indication of the status of the client's
gastrointestinal tract.
Perform a manual digital examination of the client's rectum
The nurse should perform a manual digital examination of the client's rectum to
determine if impacted stool is present. This is a part of the necessary evaluation
of the status of the client's gastrointestinal tract.
Incorrect Answer:
Prepare the client for a chest x-ray is incorrect. A chest x-ray is typically
performed for a client who has an impairment of the upper thorax or lungs, not
