ATI RN Fundamentals Online Practice
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2025 exam with correct answers
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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 |the |abdomen. |The |client |has |
already |received |an |abdominal |x-ray; |therefore, |a |chest |x-ray |is |not |necessary.
Prepare |the |client |for |NG |tube |placement |is |incorrect. |The |nurse |should |not |prepare |the |client
|for |placement |of |an |NG |tube |because |there |is |no |indication |or |prescription |to |do |so. |
Placement |of |an |NG |tube |is |required |when |there |is |an |obstruction |of |the |gastrointestinal |tract
|and |peristalsis |is |absent.
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2025 exam with 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 |the |abdomen. |The |client |has |
already |received |an |abdominal |x-ray; |therefore, |a |chest |x-ray |is |not |necessary.
Prepare |the |client |for |NG |tube |placement |is |incorrect. |The |nurse |should |not |prepare |the |client
|for |placement |of |an |NG |tube |because |there |is |no |indication |or |prescription |to |do |so. |
Placement |of |an |NG |tube |is |required |when |there |is |an |obstruction |of |the |gastrointestinal |tract
|and |peristalsis |is |absent.
