1
ATI NurseLogic Proctored Assessment
Advanced/Hard Difficulty | Comprehensive Exam Bank |question 1-200| 100%
Pass Guaranteed | Graded A+
Question 1
A nurse is caring for a client who is experiencing respiratory distress. Which of the
following actions should the nurse take first?
A. Administer oxygen via nasal cannula
B. Position the client in a high-Fowler's position
C. Assess the client's airway for patency
D. Notify the provider immediately
Valid answer: C
Explanation: According to the ABC (Airway, Breathing, Circulation) priority-
setting framework, airway is always the first priority. The nurse must first assess
and establish a patent airway before administering oxygen or notifying the
provider. Positioning is important but follows airway assessment and
management.
Question 2
A charge nurse is making assignments for a medical-surgical unit. Which of the
following clients should the charge nurse assign to a licensed practical nurse
(LPN)?
A. A client who is 1 day postoperative following a colectomy and has a new
colostomy
B. A client who has pneumonia and requires frequent assessment of respiratory
status
C. A client who has diabetes mellitus and requires routine insulin administration
D. A client who has a new diagnosis of heart failure and is receiving IV diuretics
Valid answer: C
Explanation: Routine insulin administration is within the scope of practice for an
, 2
LPN. The client with a new colostomy requires initial teaching and assessment by
an RN. The client with pneumonia requires frequent assessment and evaluation by
an RN. The client with new heart failure receiving IV diuretics requires complex
assessment and monitoring by an RN.
Question 3
A nurse is using the nursing process to plan care for a client. In which phase of the
nursing process does the nurse analyze the data collected to identify client
problems?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
Valid answer: B
Explanation: In the diagnosis phase, the nurse analyzes assessment data to
identify actual or potential client problems (nursing diagnoses). Assessment is the
collection of data. Planning involves developing goals and interventions.
Evaluation involves determining whether goals were met.
Question 4
A nurse is caring for four clients. Which of the following clients should the nurse
assess first?
A. A client who has a new diagnosis of type 1 diabetes mellitus and is requesting
education about insulin administration
B. A client who is 2 days postoperative following a hip replacement and reports
pain of 6 on a scale of 0 to 10
C. A client who has pneumonia and has an oxygen saturation of 89% on room air
D. A client who has a urinary tract infection and has a temperature of 38.3°C
(101°F)
Valid answer: C
, 3
Explanation: Using the ABC priority-setting framework, the client with an oxygen
saturation of 89% is the priority because oxygenation is compromised. The client
with diabetes requires education but is stable. The client with pain requires
intervention but is not the priority. The client with fever requires monitoring but is
stable.
Question 5
A nurse is delegating a task to an assistive personnel (AP). Which of the following
statements by the nurse is most appropriate?
A. "Please obtain a stool sample from the client in room 204."
B. "Keep an eye on the client in room 206 while I'm in another room."
C. "Let me know if the client in room 208 has any changes."
D. "Do you think you can handle the client in room 210?"
Valid answer: A
Explanation: Delegation requires clear, specific, and direct communication.
"Please obtain a stool sample from the client in room 204" is a specific,
measurable task. Vague instructions such as "keep an eye on" or "let me know if
anything changes" are inappropriate for delegation. Asking if the AP "can handle"
the client is not appropriate delegation.
Question 6
A nurse is caring for a client who has a new prescription for an antihypertensive
medication. Which of the following actions by the nurse demonstrates the
evaluation phase of the nursing process?
A. Obtaining the client's blood pressure
B. Determining whether the client's blood pressure has decreased after
medication administration
C. Administering the medication as prescribed
D. Identifying that the client has a knowledge deficit related to the new
medication
, 4
Valid answer: B
Explanation: Evaluation involves determining whether the interventions were
effective in achieving the desired outcomes. Determining whether the blood
pressure has decreased after medication administration is an evaluation activity.
Obtaining the blood pressure is assessment. Administering the medication is
implementation. Identifying a knowledge deficit is diagnosis.
Question 7
A charge nurse is orienting a new graduate nurse. Which of the following
statements by the new graduate indicates an understanding of the five rights of
delegation?
A. "I must ensure that the task is within the delegatee's scope of practice."
B. "I can delegate any task to any member of the healthcare team."
C. "I am not responsible for the outcomes of tasks I delegate."
D. "Delegation means I no longer have to supervise the delegatee."
Valid answer: A
Explanation: The five rights of delegation include right task, right circumstance,
right person, right direction/communication, and right supervision/evaluation.
Ensuring the task is within the delegatee's scope of practice is part of the right
person. Not all tasks can be delegated to any team member. The nurse remains
responsible and accountable for delegated tasks and must provide supervision.
Question 8
A nurse is assessing a client who has a new onset of chest pain. Which of the
following actions should the nurse take first?
A. Administer sublingual nitroglycerin
B. Obtain a 12-lead electrocardiogram
C. Assess the client's pain level
D. Check the client's oxygen saturation
Valid answer: D
ATI NurseLogic Proctored Assessment
Advanced/Hard Difficulty | Comprehensive Exam Bank |question 1-200| 100%
Pass Guaranteed | Graded A+
Question 1
A nurse is caring for a client who is experiencing respiratory distress. Which of the
following actions should the nurse take first?
A. Administer oxygen via nasal cannula
B. Position the client in a high-Fowler's position
C. Assess the client's airway for patency
D. Notify the provider immediately
Valid answer: C
Explanation: According to the ABC (Airway, Breathing, Circulation) priority-
setting framework, airway is always the first priority. The nurse must first assess
and establish a patent airway before administering oxygen or notifying the
provider. Positioning is important but follows airway assessment and
management.
Question 2
A charge nurse is making assignments for a medical-surgical unit. Which of the
following clients should the charge nurse assign to a licensed practical nurse
(LPN)?
A. A client who is 1 day postoperative following a colectomy and has a new
colostomy
B. A client who has pneumonia and requires frequent assessment of respiratory
status
C. A client who has diabetes mellitus and requires routine insulin administration
D. A client who has a new diagnosis of heart failure and is receiving IV diuretics
Valid answer: C
Explanation: Routine insulin administration is within the scope of practice for an
, 2
LPN. The client with a new colostomy requires initial teaching and assessment by
an RN. The client with pneumonia requires frequent assessment and evaluation by
an RN. The client with new heart failure receiving IV diuretics requires complex
assessment and monitoring by an RN.
Question 3
A nurse is using the nursing process to plan care for a client. In which phase of the
nursing process does the nurse analyze the data collected to identify client
problems?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
Valid answer: B
Explanation: In the diagnosis phase, the nurse analyzes assessment data to
identify actual or potential client problems (nursing diagnoses). Assessment is the
collection of data. Planning involves developing goals and interventions.
Evaluation involves determining whether goals were met.
Question 4
A nurse is caring for four clients. Which of the following clients should the nurse
assess first?
A. A client who has a new diagnosis of type 1 diabetes mellitus and is requesting
education about insulin administration
B. A client who is 2 days postoperative following a hip replacement and reports
pain of 6 on a scale of 0 to 10
C. A client who has pneumonia and has an oxygen saturation of 89% on room air
D. A client who has a urinary tract infection and has a temperature of 38.3°C
(101°F)
Valid answer: C
, 3
Explanation: Using the ABC priority-setting framework, the client with an oxygen
saturation of 89% is the priority because oxygenation is compromised. The client
with diabetes requires education but is stable. The client with pain requires
intervention but is not the priority. The client with fever requires monitoring but is
stable.
Question 5
A nurse is delegating a task to an assistive personnel (AP). Which of the following
statements by the nurse is most appropriate?
A. "Please obtain a stool sample from the client in room 204."
B. "Keep an eye on the client in room 206 while I'm in another room."
C. "Let me know if the client in room 208 has any changes."
D. "Do you think you can handle the client in room 210?"
Valid answer: A
Explanation: Delegation requires clear, specific, and direct communication.
"Please obtain a stool sample from the client in room 204" is a specific,
measurable task. Vague instructions such as "keep an eye on" or "let me know if
anything changes" are inappropriate for delegation. Asking if the AP "can handle"
the client is not appropriate delegation.
Question 6
A nurse is caring for a client who has a new prescription for an antihypertensive
medication. Which of the following actions by the nurse demonstrates the
evaluation phase of the nursing process?
A. Obtaining the client's blood pressure
B. Determining whether the client's blood pressure has decreased after
medication administration
C. Administering the medication as prescribed
D. Identifying that the client has a knowledge deficit related to the new
medication
, 4
Valid answer: B
Explanation: Evaluation involves determining whether the interventions were
effective in achieving the desired outcomes. Determining whether the blood
pressure has decreased after medication administration is an evaluation activity.
Obtaining the blood pressure is assessment. Administering the medication is
implementation. Identifying a knowledge deficit is diagnosis.
Question 7
A charge nurse is orienting a new graduate nurse. Which of the following
statements by the new graduate indicates an understanding of the five rights of
delegation?
A. "I must ensure that the task is within the delegatee's scope of practice."
B. "I can delegate any task to any member of the healthcare team."
C. "I am not responsible for the outcomes of tasks I delegate."
D. "Delegation means I no longer have to supervise the delegatee."
Valid answer: A
Explanation: The five rights of delegation include right task, right circumstance,
right person, right direction/communication, and right supervision/evaluation.
Ensuring the task is within the delegatee's scope of practice is part of the right
person. Not all tasks can be delegated to any team member. The nurse remains
responsible and accountable for delegated tasks and must provide supervision.
Question 8
A nurse is assessing a client who has a new onset of chest pain. Which of the
following actions should the nurse take first?
A. Administer sublingual nitroglycerin
B. Obtain a 12-lead electrocardiogram
C. Assess the client's pain level
D. Check the client's oxygen saturation
Valid answer: D
