ATI RN COMPREHENSIVE ONLINE PRACTICE 2024 FORM B /
RN COMPREHENSIVE ATI ONLINE PRACTICE 2024 ACTUAL
180 EXAM QUESTIONS AND CORRECT DETAILED ANSWERS/
GRADED A+
A nurse is caring for a client on a medical-surgical unit
Vital Signs
0700
Temperature 37.6 C (99.7 F)
Heart rate 100/min
Respiratory rate 22/min
Blood pressure 115/70 mmHg
Oxygen saturation 98% on room air
Nurses' Notes
1100
Client alert and oriented to person, place, and time. Client had episode of diarrhea,
provided perineal care. Noted 2 cm x 2 cm (0.8 in x 0.8 in) painful edematous area on
sacrum. Client repositioned every 4 hr. - Correct Answer - Click to highlight the findings
that require follow up. To deselect a finding, click on the finding again. - Noted 2 cm x 2
cm (0.8 in x 0.8 in) painful edematous area on sacrum
- Client repositioned every 4 hr.
When recognizing cues, the nurse should determine that the client's painful edematous
area on their sacrum and that the client has only been repositioned every 4 hr. requires
follow up. The client has manifestations of a pressure injury that need to be addressed.
The client should be repositioned at least every 2 hr. to prevent worsening of the
pressure injury and to relieve pressure from the sacral area.
pg. 1
,A nurse in an outpatient mental health clinic is caring for a client
Vital Signs
3 months ago
Blood pressure 116/68 mmHg
Heart rate 82/min
Respiratory rate 16/min
Temperature 36.7 C (98.1 F)
SaO2 97% on room air
Today:
Blood pressure 128/76 mmHg
Heart rate 104/min
Respiratory rate 22/min
Temperature 37.4 (99.4 F)
SaO2 97% on room air
Nurses' Notes
3 months ago
Client recently admitted with new diagnosis of schizophrenia. Received inpatient
treatment for 10 days and was discharged 1 week ago. - Correct Answer - Select the 3
findings that require immediate follow up:
- Auditory hallucinations
- Speech
- Restlessness
pg. 2
,When recognizing cues, the nurse should identify that the findings of restlessness,
auditory hallucinations, and pressured speech require immediate follow up. These
findings are indications of psychosis. The nurse should notify the provider for additional
evaluation and treatment.
A nurse is caring for a client who is postoperative following coronary artery bypass
surgery (CABG)
Laboratory Results
0630
Sodium 145 me/L (136 to 145 me/L)
Potassium 3.2 me/L (3.5 to 5 me/L)
Chloride 116 me/L (98 to 106 me/L)
BUN 24 mg/dL (10 to 20 mg/dL)
Magnesium 1.5 me/L (1.3 to 2.1 me/L)
Total calcium 9 mg/dL (9 to 10.5 mg/dL)
Phosphate 4.6 mg/dL (3 to 4.5 mg/dL)
Glucose 95 mg/dL (74 to 106 mg/dL)
WBC count 9,500/mm3 (5,000 to 10,000/mm3)
I&O
0700
4 hr. input 400 mL
4 hr. output - Correct Answer - The client is at greatest risk for developing dysrhythmias,
as evidenced by electrolyte imbalance.
The nurse should analyze cues to determine the client is at greatest risk for developing
dysrhythmias related to hypokalemia, as evidenced by the laboratory report and the
client's report of muscle cramping. Potassium and magnesium depletion are common
pg. 3
, manifestations in clients who are postoperative following CABG. Due to medication or
hemodilution, it is important for the nurse to closely monitor electrolytes.
A nurse is caring for a client who is pregnant in the acute care setting
Nurses' Notes
1400
Client reports a constant low dull backache and painless abdominal tightening for the
past 3 hr. Denies any changes in vaginal discharge. External fetal monitor applied.
1430
Contraction pattern: contractions every 4 to 5 min, lasting 30 to 45 seconds, palpate
mild in intensity
Fetal heart rate: 150/min to 155/min, moderate variability, adequate accelerations
present, no decelerations noted. Provider in - Correct Answer - The nurse should first
address the client's respiratory rate, followed by the client's level of consciousness
When prioritizing hypotheses, the nurse should recognize that magnesium sulfate is a
central nervous system depressant that can affect respirations, consciousness, and
reflexes when toxic blood levels occur. Using the airway, breathing, circulation priority
framework, the nurse should plan to first take action to support respirations, followed by
action to increase the client's level of consciousness. The nurse should plan to
discontinue the magnesium sulfate infusion and administer calcium gluconate as an
antidote.
A nurse is caring for a client who is postoperative following an appendectomy.
Nurses' Notes 1800:
Client alert and oriented to person, place, time, and situation. Skin warm and dry. Lungs
clear on auscultation Bowel sounds hypoactive in all four quadrants. Urine clear yellow
Incisional dressing clean and dry. Client reports pain as 6 on a scale of 0 to 10.1815:
Morphine administered as prescribed.2000:
pg. 4
RN COMPREHENSIVE ATI ONLINE PRACTICE 2024 ACTUAL
180 EXAM QUESTIONS AND CORRECT DETAILED ANSWERS/
GRADED A+
A nurse is caring for a client on a medical-surgical unit
Vital Signs
0700
Temperature 37.6 C (99.7 F)
Heart rate 100/min
Respiratory rate 22/min
Blood pressure 115/70 mmHg
Oxygen saturation 98% on room air
Nurses' Notes
1100
Client alert and oriented to person, place, and time. Client had episode of diarrhea,
provided perineal care. Noted 2 cm x 2 cm (0.8 in x 0.8 in) painful edematous area on
sacrum. Client repositioned every 4 hr. - Correct Answer - Click to highlight the findings
that require follow up. To deselect a finding, click on the finding again. - Noted 2 cm x 2
cm (0.8 in x 0.8 in) painful edematous area on sacrum
- Client repositioned every 4 hr.
When recognizing cues, the nurse should determine that the client's painful edematous
area on their sacrum and that the client has only been repositioned every 4 hr. requires
follow up. The client has manifestations of a pressure injury that need to be addressed.
The client should be repositioned at least every 2 hr. to prevent worsening of the
pressure injury and to relieve pressure from the sacral area.
pg. 1
,A nurse in an outpatient mental health clinic is caring for a client
Vital Signs
3 months ago
Blood pressure 116/68 mmHg
Heart rate 82/min
Respiratory rate 16/min
Temperature 36.7 C (98.1 F)
SaO2 97% on room air
Today:
Blood pressure 128/76 mmHg
Heart rate 104/min
Respiratory rate 22/min
Temperature 37.4 (99.4 F)
SaO2 97% on room air
Nurses' Notes
3 months ago
Client recently admitted with new diagnosis of schizophrenia. Received inpatient
treatment for 10 days and was discharged 1 week ago. - Correct Answer - Select the 3
findings that require immediate follow up:
- Auditory hallucinations
- Speech
- Restlessness
pg. 2
,When recognizing cues, the nurse should identify that the findings of restlessness,
auditory hallucinations, and pressured speech require immediate follow up. These
findings are indications of psychosis. The nurse should notify the provider for additional
evaluation and treatment.
A nurse is caring for a client who is postoperative following coronary artery bypass
surgery (CABG)
Laboratory Results
0630
Sodium 145 me/L (136 to 145 me/L)
Potassium 3.2 me/L (3.5 to 5 me/L)
Chloride 116 me/L (98 to 106 me/L)
BUN 24 mg/dL (10 to 20 mg/dL)
Magnesium 1.5 me/L (1.3 to 2.1 me/L)
Total calcium 9 mg/dL (9 to 10.5 mg/dL)
Phosphate 4.6 mg/dL (3 to 4.5 mg/dL)
Glucose 95 mg/dL (74 to 106 mg/dL)
WBC count 9,500/mm3 (5,000 to 10,000/mm3)
I&O
0700
4 hr. input 400 mL
4 hr. output - Correct Answer - The client is at greatest risk for developing dysrhythmias,
as evidenced by electrolyte imbalance.
The nurse should analyze cues to determine the client is at greatest risk for developing
dysrhythmias related to hypokalemia, as evidenced by the laboratory report and the
client's report of muscle cramping. Potassium and magnesium depletion are common
pg. 3
, manifestations in clients who are postoperative following CABG. Due to medication or
hemodilution, it is important for the nurse to closely monitor electrolytes.
A nurse is caring for a client who is pregnant in the acute care setting
Nurses' Notes
1400
Client reports a constant low dull backache and painless abdominal tightening for the
past 3 hr. Denies any changes in vaginal discharge. External fetal monitor applied.
1430
Contraction pattern: contractions every 4 to 5 min, lasting 30 to 45 seconds, palpate
mild in intensity
Fetal heart rate: 150/min to 155/min, moderate variability, adequate accelerations
present, no decelerations noted. Provider in - Correct Answer - The nurse should first
address the client's respiratory rate, followed by the client's level of consciousness
When prioritizing hypotheses, the nurse should recognize that magnesium sulfate is a
central nervous system depressant that can affect respirations, consciousness, and
reflexes when toxic blood levels occur. Using the airway, breathing, circulation priority
framework, the nurse should plan to first take action to support respirations, followed by
action to increase the client's level of consciousness. The nurse should plan to
discontinue the magnesium sulfate infusion and administer calcium gluconate as an
antidote.
A nurse is caring for a client who is postoperative following an appendectomy.
Nurses' Notes 1800:
Client alert and oriented to person, place, time, and situation. Skin warm and dry. Lungs
clear on auscultation Bowel sounds hypoactive in all four quadrants. Urine clear yellow
Incisional dressing clean and dry. Client reports pain as 6 on a scale of 0 to 10.1815:
Morphine administered as prescribed.2000:
pg. 4
