ATI RN ASSESSMENT AND CLINICAL
REASONING PROCTORED EXAM 2 WITH NGN
(2026) QUESTIONS AND REVISED CORRECT
ANSWERS WITH RATIONALES
|GUARANTEED PASS
1. A nurse is assessing a client’s respiratory status. Which finding requires
immediate intervention?
a) Respiratory rate of 18 breaths/min
b) Oxygen saturation of 95%
c) Use of accessory muscles while breathing
d) Clear breath sounds bilaterally
Use of accessory muscles indicates respiratory distress and requires immediate
intervention.
2. When performing a neurological assessment, the nurse asks the client to
smile and show teeth. What cranial nerve is being tested?
,a) CN I
b) CN III
c) CN VII
d) CN IX
CN VII (Facial nerve) controls facial expressions.
3. A nurse is assessing a client’s abdomen. Which finding is abnormal?
a) Bowel sounds present every 5–15 seconds
b) A firm, tender mass in the right lower quadrant
c) Soft, non-tender abdomen
d) Abdomen moves symmetrically with respiration
A firm, tender mass suggests possible pathology such as appendicitis or tumor.
4. Which of the following pulses should the nurse assess for during a cardiac
examination?
a) Popliteal
b) Brachial
c) Dorsalis pedis
d) All of the above
All these pulses can be assessed depending on the clinical scenario.
5. A client with suspected heart failure has an elevated jugular venous pressure.
What does this indicate?
, a) Hypovolemia
b) Right-sided heart failure
c) Increased central venous pressure
d) Dehydration
Elevated jugular venous pressure reflects increased central venous pressure,
common in right-sided heart failure.
6. What is the normal range for adult blood pressure?
a) 90/60 to 120/80 mmHg
b) 90/60 to 120/80 mmHg
c) 140/90 to 160/100 mmHg
d) 130/85 to 150/95 mmHg
90/60 to 120/80 mmHg is considered the normal adult blood pressure range.
7. When assessing pain, which scale is most appropriate for a nonverbal older
adult?
a) Numeric Rating Scale
b) Faces Pain Scale-Revised
c) Visual Analog Scale
d) Wong-Baker FACES Scale
Faces Pain Scale-Revised is validated for nonverbal older adults to assess pain.
8. What is the primary purpose of percussion during a respiratory assessment?
REASONING PROCTORED EXAM 2 WITH NGN
(2026) QUESTIONS AND REVISED CORRECT
ANSWERS WITH RATIONALES
|GUARANTEED PASS
1. A nurse is assessing a client’s respiratory status. Which finding requires
immediate intervention?
a) Respiratory rate of 18 breaths/min
b) Oxygen saturation of 95%
c) Use of accessory muscles while breathing
d) Clear breath sounds bilaterally
Use of accessory muscles indicates respiratory distress and requires immediate
intervention.
2. When performing a neurological assessment, the nurse asks the client to
smile and show teeth. What cranial nerve is being tested?
,a) CN I
b) CN III
c) CN VII
d) CN IX
CN VII (Facial nerve) controls facial expressions.
3. A nurse is assessing a client’s abdomen. Which finding is abnormal?
a) Bowel sounds present every 5–15 seconds
b) A firm, tender mass in the right lower quadrant
c) Soft, non-tender abdomen
d) Abdomen moves symmetrically with respiration
A firm, tender mass suggests possible pathology such as appendicitis or tumor.
4. Which of the following pulses should the nurse assess for during a cardiac
examination?
a) Popliteal
b) Brachial
c) Dorsalis pedis
d) All of the above
All these pulses can be assessed depending on the clinical scenario.
5. A client with suspected heart failure has an elevated jugular venous pressure.
What does this indicate?
, a) Hypovolemia
b) Right-sided heart failure
c) Increased central venous pressure
d) Dehydration
Elevated jugular venous pressure reflects increased central venous pressure,
common in right-sided heart failure.
6. What is the normal range for adult blood pressure?
a) 90/60 to 120/80 mmHg
b) 90/60 to 120/80 mmHg
c) 140/90 to 160/100 mmHg
d) 130/85 to 150/95 mmHg
90/60 to 120/80 mmHg is considered the normal adult blood pressure range.
7. When assessing pain, which scale is most appropriate for a nonverbal older
adult?
a) Numeric Rating Scale
b) Faces Pain Scale-Revised
c) Visual Analog Scale
d) Wong-Baker FACES Scale
Faces Pain Scale-Revised is validated for nonverbal older adults to assess pain.
8. What is the primary purpose of percussion during a respiratory assessment?
