RN ATI FUNDAMENTALS
OF NURSING
PROCTORED EXAM
2024/25 WITH NGN
GRADED A+ WITH 250
VERIFIED QUESTIONS
MERGEDWITH ANSWERS
AND DETAILED
RATIONALES exam 2
, p 3
Practice Exam 3 and Rationales
i
1. The nurse is assessing the circulation of a patient in a long leg Quick Answer: 220
cast. Which of the following assessments indicate adequate circu- Detailed Answer: 223
lation to the extremity?
❍ A. Patient denies pain in the affected leg and foot.
❍ B. Patient is able to wiggle the toes on command.
❍ C. Sensation is reported when the soles of feet are touched.
❍ D. Brisk capillary refill of less than three seconds.
2. The amniocentesis reveals that the patient has a high AFP level. Quick Answer: 220
The nurse is aware that a high level of AFP is associated with Detailed Answer: 223
which of the following?
❍ A. Myelomeningocele
❍ B. Esophageal atresia
❍ C. Omphalocele
❍ D. Trisomy 21
3. Which nursing intervention would be of highest priority when car- Quick Answer: 220
ing for a patient admitted in sickle cell vaso-occlusive crisis? Detailed Answer: 223
❍ A. Starting intravenous normal saline
❍ B. Applying oxygen
❍ C. Applying heat to the affected joints
❍ D. Administering pain medication
4. The physician has ordered an amniocentesis to determine the L/S
ratio. The L/S ratio is a reliable indicator of: Quick Answer: 220
Detailed Answer: 223
❍ A. Renal function
❍ B. Rh isoimmunization
❍ C. Fetal lung maturity
❍ D. Anatomical abnormalities
, Practice Exam 3 and Rationales 168
✓
Quick Check
Quick Answer: 220
5. The nurse is caring for a patient hospitalized with leukopenia.
Which of the following assessments should be reported to the Detailed Answer: 223
physician immediately?
❍ A. The blood pressure is 110/62.
❍ B. The apical pulse is 90.
❍ C. The temperature has increased from 98.6ºF to 99.8ºF.
❍ D. The respiratory rate is 24.
6. Which meal selection is most appropriate for a patient with iron Quick Answer: 220
deficiency anemia? Detailed Answer: 223
❍ A. Roast turkey, gelatin, green beans
❍ B. Chicken salad sandwich, coleslaw, French fries
❍ C. Egg salad on wheat bread, carrot sticks, spinach and
kale salad
❍ D. Pork chop, mashed potatoes, green peas
7. Which skin assessment in a newborn indicates a need for follow-up? Quick Answer: 220
Detailed Answer: 223
❍ A. Miliaria rubra
❍ B. Erythema toxicum
❍ C. Mongolian spots
❍ D. Jaundice at birth
8. A two-year-old is being evaluated for hearing loss. Which finding Quick Answer: 220
in the child’s history is likely to be a significant factor? Detailed Answer: 223
❍ A. Birth at 36 weeks gestation
❍ B. Maternal history of hypertension
❍ C. Birth weight of 6 pounds 6 ounces
❍ D. Meningitis treated with intravenous garamycin
9. A vaginal exam of a laboring client reveals that the fetus is at 0
station. This assessment means that: Quick Answer: 220
Detailed Answer: 223
❍ A. The fetus has not descended into the birth canal.
❍ B. The fetus is in a transverse lie.
❍ C. The fetus is level with the ischial spines.
❍ D. The fetus is at increased risk for precipitate delivery.
, Practice Exam 3 and Rationales 169
✓
Quick Check
Quick Answer: 220
10. The nurse is conducting a physical assessment on a client with
mild anemia. Which of the following would the nurse expect to Detailed Answer: 223
observe?
❍ A. Heart murmur
❍ B. Increased respiratory rate
❍ C. Activity intolerance
❍ D. Frequent respiratory infections
11. The nurse is teaching the client with polycythemia vera about pre- Quick Answer: 220
vention of complications of the disease. Which of the following Detailed Answer: 223
statements by the client indicates a need for further teaching?
❍ A. “I will restrict my fluid intake to 1 liter per day.”
❍ B. “I will apply support hose before arising in the morning.”
❍ C. “I will elevate my legs when sitting.”
❍ D. “I will use an electric razor for shaving.”
12. Which finding is considered a risk factor in the development of Quick Answer: 220
leukemia? Detailed Answer: 223
❍ A. The client is an avid stamp collector.
❍ B. The client works as a computer programmer.
❍ C. The client had radiation for Hodgkin’s lymphoma.
❍ D. The client’s grandmother had stomach cancer.
13. The nurse is caring for an older client hospitalized with dehydra-
Quick Answer: 220
tion. Which site should be used to check for skin turgor?
Detailed Answer: 224
❍ A. Hand
❍ B. Arm
❍ C. Abdomen
❍ D. Forehead
14. Assessment of the client’s skin reveals numerous café au lait
Quick Answer: 220
spots over the trunk. These changes are associated with which
Detailed Answer: 224
diagnosis?
❍ A. Polycythemia vera
❍ B. Neurofibromatosis
❍ C. Thalassemia major
❍ D. Acoustic neuroma
OF NURSING
PROCTORED EXAM
2024/25 WITH NGN
GRADED A+ WITH 250
VERIFIED QUESTIONS
MERGEDWITH ANSWERS
AND DETAILED
RATIONALES exam 2
, p 3
Practice Exam 3 and Rationales
i
1. The nurse is assessing the circulation of a patient in a long leg Quick Answer: 220
cast. Which of the following assessments indicate adequate circu- Detailed Answer: 223
lation to the extremity?
❍ A. Patient denies pain in the affected leg and foot.
❍ B. Patient is able to wiggle the toes on command.
❍ C. Sensation is reported when the soles of feet are touched.
❍ D. Brisk capillary refill of less than three seconds.
2. The amniocentesis reveals that the patient has a high AFP level. Quick Answer: 220
The nurse is aware that a high level of AFP is associated with Detailed Answer: 223
which of the following?
❍ A. Myelomeningocele
❍ B. Esophageal atresia
❍ C. Omphalocele
❍ D. Trisomy 21
3. Which nursing intervention would be of highest priority when car- Quick Answer: 220
ing for a patient admitted in sickle cell vaso-occlusive crisis? Detailed Answer: 223
❍ A. Starting intravenous normal saline
❍ B. Applying oxygen
❍ C. Applying heat to the affected joints
❍ D. Administering pain medication
4. The physician has ordered an amniocentesis to determine the L/S
ratio. The L/S ratio is a reliable indicator of: Quick Answer: 220
Detailed Answer: 223
❍ A. Renal function
❍ B. Rh isoimmunization
❍ C. Fetal lung maturity
❍ D. Anatomical abnormalities
, Practice Exam 3 and Rationales 168
✓
Quick Check
Quick Answer: 220
5. The nurse is caring for a patient hospitalized with leukopenia.
Which of the following assessments should be reported to the Detailed Answer: 223
physician immediately?
❍ A. The blood pressure is 110/62.
❍ B. The apical pulse is 90.
❍ C. The temperature has increased from 98.6ºF to 99.8ºF.
❍ D. The respiratory rate is 24.
6. Which meal selection is most appropriate for a patient with iron Quick Answer: 220
deficiency anemia? Detailed Answer: 223
❍ A. Roast turkey, gelatin, green beans
❍ B. Chicken salad sandwich, coleslaw, French fries
❍ C. Egg salad on wheat bread, carrot sticks, spinach and
kale salad
❍ D. Pork chop, mashed potatoes, green peas
7. Which skin assessment in a newborn indicates a need for follow-up? Quick Answer: 220
Detailed Answer: 223
❍ A. Miliaria rubra
❍ B. Erythema toxicum
❍ C. Mongolian spots
❍ D. Jaundice at birth
8. A two-year-old is being evaluated for hearing loss. Which finding Quick Answer: 220
in the child’s history is likely to be a significant factor? Detailed Answer: 223
❍ A. Birth at 36 weeks gestation
❍ B. Maternal history of hypertension
❍ C. Birth weight of 6 pounds 6 ounces
❍ D. Meningitis treated with intravenous garamycin
9. A vaginal exam of a laboring client reveals that the fetus is at 0
station. This assessment means that: Quick Answer: 220
Detailed Answer: 223
❍ A. The fetus has not descended into the birth canal.
❍ B. The fetus is in a transverse lie.
❍ C. The fetus is level with the ischial spines.
❍ D. The fetus is at increased risk for precipitate delivery.
, Practice Exam 3 and Rationales 169
✓
Quick Check
Quick Answer: 220
10. The nurse is conducting a physical assessment on a client with
mild anemia. Which of the following would the nurse expect to Detailed Answer: 223
observe?
❍ A. Heart murmur
❍ B. Increased respiratory rate
❍ C. Activity intolerance
❍ D. Frequent respiratory infections
11. The nurse is teaching the client with polycythemia vera about pre- Quick Answer: 220
vention of complications of the disease. Which of the following Detailed Answer: 223
statements by the client indicates a need for further teaching?
❍ A. “I will restrict my fluid intake to 1 liter per day.”
❍ B. “I will apply support hose before arising in the morning.”
❍ C. “I will elevate my legs when sitting.”
❍ D. “I will use an electric razor for shaving.”
12. Which finding is considered a risk factor in the development of Quick Answer: 220
leukemia? Detailed Answer: 223
❍ A. The client is an avid stamp collector.
❍ B. The client works as a computer programmer.
❍ C. The client had radiation for Hodgkin’s lymphoma.
❍ D. The client’s grandmother had stomach cancer.
13. The nurse is caring for an older client hospitalized with dehydra-
Quick Answer: 220
tion. Which site should be used to check for skin turgor?
Detailed Answer: 224
❍ A. Hand
❍ B. Arm
❍ C. Abdomen
❍ D. Forehead
14. Assessment of the client’s skin reveals numerous café au lait
Quick Answer: 220
spots over the trunk. These changes are associated with which
Detailed Answer: 224
diagnosis?
❍ A. Polycythemia vera
❍ B. Neurofibromatosis
❍ C. Thalassemia major
❍ D. Acoustic neuroma
