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Exam (elaborations)

ATI RN FUNDAMENTALS ONLINE PRACTICE 2023 B, ATI RN FUNDAMENTALS PROCTORED EXAM QUESTIONS AND ANSWERS

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ATI RN FUNDAMENTALS ONLINE PRACTICE 2023 B, ATI RN FUNDAMENTALS PROCTORED EXAM QUESTIONS AND ANSWERS

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ATI RN FUNDAMENTALS
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Institution
ATI RN FUNDAMENTALS
Course
ATI RN FUNDAMENTALS

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Uploaded on
April 2, 2025
Number of pages
58
Written in
2024/2025
Type
Exam (elaborations)
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Questions & answers

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ATI RN FUNDAMENTALS ONLINE
PRACTICE 2023 B, ATI RN
FUNDAMENTALS PROCTORED EXAM
QUESTIONS AND ANSWERS

Aginursegiingiagimedical-surgicalgiunitgiisgicaringgiforgisixgiclients.

Completegithegifollowinggisentencegibygiusinggithegilistgiofgioptions.

Thegifirstgiclientgitheginursegishouldgiassessgiisgi_____gifollowedgibygi_____.

Clientgi1:giClientgiisgiadmittedgiwithgiaginewgidiagnosisgiofgirheumatoidgiarthritis.Clientgi2:giC
lientgihasgiagihistorygiofgihyperlipidemia.giAtorvastatingi20gimggiPOgiadministeredgiasgipres
cribed.Clientgi3:giClientgiisgi1gidaygipostoperative.giReportsgipaingiasgi8giongiagiscalegiofgi0gito
gi10.giMorphinegi5gimggisubcutaneousgiadministeredgiasgiprescribed.Clientgi4:giClientgiisgia

dmittedgiwithgiaginewgidiagnosisgiofgiheartgifailure.Clientgi5:giClientgihasgiagistagegi2gipressu
regiinjurygiongithegileftgiheel.Clientgi6:giClientgiisgiadmittedgiwithgiaginewgidiagnosisgiofgidiabet
esgimellitus.gi-gianswer--CorrectgiAnswergi(1):
Clientgi3
Whengiusinggithegiairway,gibreathing,gicirculationgiapproachgitogiclientgicare,githeginursegis
houldgideterminegithatgithisgiclientgiisgithegiprioritygiclientgitogiassess.giThegiclientgihasgiangio
xygengisaturationgithatgiisgilessgithangithegiexpectedgireferencegirange,giwhichgiisgiangiindic
ationgiofgihypoxia.

CorrectgiAnswergi(2):
Clientgi4
Whengiusinggithegiairway,gibreathing,gicirculationgiapproachgitogiclientgicare,githeginursegis
houldgideterminegithatgithisgiclientgiisgitheginextgiprioritygiclientgitogiassess.giThegiclientgihasgi
agipotassiumgilevelgithatgiisgilessgithangithegiexpectedgireferencegirange,giwhichgiplacesgith
egiclientgiatgiriskgiforgidysrhythmias.

IncorrectgiAnswersgi(1):
Clientgi1giisgiincorrect.giTheginursegishouldgiassessgithisgiclientgibecausegithegiclient'sgiC-
reactivegiproteingiisgigreatergithangithegiexpectedgireferencegirange,giwhichgiisgiangiindicati
ongiofgiinflammation.giHowever,githeregiisgianothergiclientgitheginursegishouldgiassessgifirst.

Clientgi2giisgiincorrect.giTheginursegishouldgiassessgithisgiclientgibecausegithegiclient'sgichol
esterolgilevelgiisgigreatergithangithegiexpectedgireferencegirange,giwhichgiplacesgithemgiatgiri
skgiforgicoronarygiheartgidisease.giHowever,githeregiisgianothergiclientgitheginursegishouldgia
ssessgifirst.

IncorrectgiAnswersgi(2):

,Clientgi5giisgiincorrect.giTheginursegishouldgiassessgithisgiclientgibecausegitheirgiprealbumin
gilevelgiisgilessgithangithegiexpectedgireferencegirange,giwhichgiplacesgithemgiatgiriskgiforgidel

ayedgiwoundgihealing.giHowever,githisgiclientgiisginotgitheginextgiprioritygiclientgitogiassess.

Clientgi6giisgiincorrect.giTheginursegishouldgiassessgithisgiclientgibecausegitheirgiglycosylate
dgihemoglobingilevelgiisgigreatergithangithegiexpectedgireferencegirange,giwhichgiindicatesgi
poorgidiabeticgicontrol.giHowever,githisgiclientgiisginotgitheginextgiprioritygiclientgitogiassess.

AginursegiisgicaringgiforgiagiclientgiwhogihasgiCOPD.

Selectgithegi3gifindingsgithatgirequiregifollow-up.

Breathgisounds
Bloodgipressure
Oxygengisaturation
Temperature
Heartgirategi-gianswer--CorrectgiAnswer:
BreathgiSounds
Cracklesgiaregicausedgibygimucousgiingithegiairwaysgiandgiaregiagimanifestationgiofgipneum
onia.giDecreasedgibreathgisoundsgiindicategidecreasedgiventilationgiandgirequiregifollow-
upgibygitheginurse.

OxygengiSaturation
Thegiclient'sgioxygengisaturationgiisgibelowgithegiexpectedgireferencegirangegiofgi95%gitogi1
00%,giindicatinggihypoxia,giandgirequiresgifollow-upgibygitheginurse.

Temperature
Thegiclient'sgitemperaturegiisgigreatergithangithegiexpectedgireferencegirange,giindicatinggia
ngiinfection,giandgirequiresgifollow-upgibygitheginurse.

IncorrectgiAnswer:
Bloodgipressuregiisgiincorrect.giThegiclient'sgibloodgipressuregiisgiwithingithegiexpectedgirefe
rencegirangegiandgidoesginotgirequiregifollow-upgibygitheginurse.

Heartgirategiisgiincorrect.giThegiclient'sgiheartgirategiisgiwithingithegiexpectedgireferencegiran
gegiofgi60gitogi100/mingiandgidoesginotgirequiregifollow-upgibygitheginurse.

Aginursegiingithegiemergencygidepartmentgi(ED)giisgicaringgiforgiagiclientgiwhogireportsgiabdo
minalgipain.gi

Basedgiongithegiclient'sgiclinicalgifindings,giwhichgiofgithegifollowinggiactionsgishouldgitheginu
rsegitake?giSelectgiallgithatgiapply.

Assistgithegiclientgitogiagileftgiside-lyinggipositiongiwithgithegirightgikneegiflexed.
Preparegithegiclientgiforgiagichestgix-ray.
Administergiagicleansinggienema.
Auscultategithegiclient'sgibowelgisounds.
Performgiagimanualgidigitalgiexaminationgiofgithegiclient'sgirectum.
Administergioxycodonegiextended-releasegitablets.
PreparegithegiclientgiforgiNGgitubegiplacement.gi-gianswer--CorrectgiAnswer:

,Assistgithegiclientgitogiagileftgiside-lyinggipositiongiwithgithegirightgikneegiflexedgi
Theginursegishouldgiplacegithegiclientgiingiagileftgiside-
lyinggipositiongiwithgithegirightgikneegiflexedgipriorgitogiadministeringgiangienema.giBecauseg
ithegiprovidergiprescribedgiagicleansinggienemagiforgithegiclient,githeginursegishouldgiprepar

egithegiclientgiforgithegiprocedure.

Administergiagicleansinggienemagi
Theginursegishouldgiadministergiagicleansinggienemagiforgithegiclientgiasgiagiresultgiofgithegipr
ovider'sgiprescription.giAgicleansinggienemagiisgiintendedgitogiassistgiwithgibowelgieliminati
ongiandgiremovegianygiimpactedgifecalgimattergiindicatedgibygithegiabdominalgix-ray.

Auscultategithegiclient'sgibowelgisoundsgi
Theginursegishouldgiauscultategithegiclient'sgibowelgisoundsgitogideterminegithegistatusgiofgit
hegiclient'sgiperistalsis.giThisgiisgiaginecessarygipartgiofgidetermininggithegipresencegiofgibow
elgisounds,giwhichgiaregiangiindicationgiofgithegistatusgiofgithegiclient'sgigastrointestinalgitract
.

Performgiagimanualgidigitalgiexaminationgiofgithegiclient'sgirectum
Theginursegishouldgiperformgiagimanualgidigitalgiexaminationgiofgithegiclient'sgirectumgitogid
eterminegiifgiimpactedgistoolgiisgipresent.giThisgiisgiagipartgiofgitheginecessarygievaluationgiof
githegistatusgiofgithegiclient'sgigastrointestinalgitract.



IncorrectgiAnswer:
Preparegithegiclientgiforgiagichestgix-raygiisgiincorrect.giAgichestgix-
raygiisgitypicallygiperformedgiforgiagiclientgiwhogihasgiangiimpairmentgiofgithegiuppergithoraxgi
orgilungs,ginotgithegiabdomen.giThegiclientgihasgialreadygireceivedgiangiabdominalgix-
ray;githerefore,giagichestgix-raygiisginotginecessary.

PreparegithegiclientgiforgiNGgitubegiplacementgiisgiincorrect.giTheginursegishouldginotgiprepa
regithegiclientgiforgiplacementgiofgiangiNGgitubegibecausegitheregiisginogiindicationgiorgiprescr
iptiongitogidogiso.giPlacementgiofgiangiNGgitubegiisgirequiredgiwhengitheregiisgiangiobstruction
giofgithegigastrointestinalgitractgiandgiperistalsisgiisgiabsent.



Aginursegiisgicaringgiforgiagiclientgiwhogiasksgiaboutgithegipurposegiofgiadvancegidirectives.gi
Whichgiofgithegifollowinggistatementsgishouldgitheginursegimake?

"Theygiallowgithegicourtgitogioverrulegiangiadultgiclient'sgirefusalgiofgimedicalgitreatment."
"Theygiindicategithegiformgiofgitreatmentgiagiclientgiisgiwillinggitogiacceptgiingithegieventgiofgiagi
seriousgiillness."
"Theygipermitgiagiclientgitogiwithholdgimedicalgiinformationgifromgihealthgicaregipersonnel."
"Theygiallowgihealthgicaregipersonnelgiingithegiemergencygidepartmentgitogistabilizegiagiclie
nt'sgicondition."gi-gianswer--CorrectgiAnswer:
"Theygiindicategithegiformgiofgitreatmentgiagiclientgiisgiwillinggitogiacceptgiingithegieventgiofgiagi
seriousgiillness."
Advancegidirectivesgiincludegiagilivinggiwill,giwhichgipermitsgiclientsgitogidirectgithegitreatme
ntgitheygiwillgireceivegiingithegieventgiofgiagimedicalgiemergencygiorgiseriousgiillness.

IncorrectgiAnswer:
"Theygiallowgithegicourtgitogioverrulegiangiadultgiclient'sgirefusalgiofgimedicalgitreatment."

, Agicourtgicangionlygioverrulegiangiadultgiclient'sgirefusalgiofgimedicalgitreatmentgiifgithegiclient
giisgilegallygiincompetent.



"Theygipermitgiagiclientgitogiwithholdgimedicalgiinformationgifromgihealthgicaregipersonnel."
ThegiAmericansgiwithgiDisabilitiesgiAct,ginotgiadvancegidirectives,giprotectsgithegiprivacygio
fgiagiclientgiwhogichoosesginotgitogidisclosegiagimedicalgidisability.

"Theygiallowgihealthgicaregipersonnelgiingithegiemergencygidepartmentgitogistabilizegiagiclie
nt'sgicondition."
ThegiEmergencygiMedicalgiTreatmentgiandgiActivegiLaborgiAct,ginotgiadvancegidirectives,gi
directsgiemergencygipersonnelgitogiprovidegiscreeninggiandgistabilizinggicaregibeforegidisc
harginggiorgitransferringgiclientsgitogianothergifacility.

Aginursegiisgicaringgiforgiagiclientgiwhogihasgiagiprescriptiongiforgi5giunitsgiofgiregulargiinsulingi
andgi10giunitsgiofgiNPHgiinsulingitogimixgitogethergiandgiadministergisubcutaneously.giDeter
minegithegicorrectgiordergiofgistepsgiforgithisgiprocedure.gi

Injectgi5giunitsgiofgiairgiintogithegibottlegiofgiregulargiinsulin
WithdrawgithegicorrectgidosegiofgiNPHgiinsulingifromgithegibottle
Injectgi10giunitsgiofgiairgiintogithegibottlegiofgiNPHgiinsulin
Withdrawgithegicorrectgidosegiofgiregulargiinsulingifromgithegibottlegi-gianswer--
CorrectgiAnswer:
Injectgi10giunitsgiofgiairgiintogithegibottlegiofgiNPHgiinsulin
Injectgi5giunitsgiofgiairgiintogithegibottlegiofgiregulargiinsulin
Withdrawgithegicorrectgidosegiofgiregulargiinsulingifromgithegibottle
WithdrawgithegicorrectgidosegiofgiNPHgiinsulingifromgithegibottle

TheginursegishouldgifirstgiinjectgiairgiintogithegivialgiofgiNPHgiinsulingiwithoutgitouchinggithegin
eedlegitogithegisolution.giNext,githeginursegishouldgiinjectgiairgiintogithegivialgiofgiregulargiinsuli
ngiandgiwithdrawgithegicorrectgiamountgiofgithegiregulargiinsulin.giFinally,githeginursegishould
giinsertgithegineedlegiintogithegiNPHgiinsulingivialgiandgiwithdrawgithegicorrectgiamountgiofgiN

PHgiinsulin.giTheginursegishouldgifollowgithesegistepsgitogipreventgicontaminatinggithegiregu
largiinsulingiwithgiNPHgiinsulin.

AginursegiisgiperforminggiagiRomberggitestgiduringgithegiphysicalgiassessmentgiofgiagiclient.gi
Whichgiofgithegifollowinggitechniquesgishouldgitheginursegiuse?

Touchgithegifacegiwithgiagicottongiball.
Applygiagivibratinggituninggiforkgitogithegiclient'sgiforehead.
Havegithegiclientgistandgiwithgitheirgiarmsgiatgitheirgisidesgiandgitheirgifeetgitogether.
Performgidirectgipercussiongiovergithegiareagiofgithegikidneys.gi-gianswer--CorrectgiAnswer:
Havegithegiclientgistandgiwithgitheirgiarmsgiatgitheirgisidesgiandgitheirgifeetgitogether.
AgiRomberggitestgihelpsgiidentifygialterationsgiingibalance.giTheginursegishouldgihavegithegic
lientgistandgiwithgitheirgiarmsgiatgitheirgisidesgiandgitheirgifeetgitogethergitogiobservegiforgiswa
yinggiandgiagilossgiofgibalance.

IncorrectgiAnswer:
Touchgithegifacegiwithgiagicottongiball.

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