ATI RN FUNDAMENTAL ONLINE PRACTICE A AND B EXAM LATEST UPDATED
2024 WITH COMPLETE SOLUTIONS
A nurse is caring for a client who asks about the purpose of advance
directives. Which of the following statements should the nurse make?
"They allow the court to overrule an adult client's refusal of medical
treatment."
"They indicate the form of treatment a client is willing to accept in the event
of a serious illness."
"They permit a client to withhold medical information from health care
personnel."
"They allow health care personnel in the emergency department to stabilize
a client's condition."
Correct Answer:
"They indicate the form of treatment a client is willing to accept in the event of a
serious illness."
Advance directives include a living will, which permits clients to direct the
treatment they will receive in the event of a medical emergency or serious illness.
Incorrect Answer:
"They allow the court to overrule an adult client's refusal of medical treatment."
A court can only overrule an adult client's refusal of medical treatment if the
client is legally incompetent.
"They permit a client to withhold medical information from health care personnel."
The Americans with Disabilities Act, not advance directives, protects the privacy
of a client who chooses not to disclose a medical disability.
,"They allow health care personnel in the emergency department to stabilize a
client's condition."
The Emergency Medical Treatment and Active Labor Act, not advance directives,
directs emergency personnel to provide screening and stabilizing care before
discharging or transferring clients to another facility.
A nurse is caring for a client who has a prescription for 5 units of regular
insulin and 10 units of NPH insulin to mix together and administer
subcutaneously. Determine the correct order of steps for this procedure.
Inject 5 units of air into the bottle of regular insulin
Withdraw the correct dose of NPH insulin from the bottle
Inject 10 units of air into the bottle of NPH insulin
Withdraw the correct dose of regular insulin from the bottle
Correct Answer:
Inject 10 units of air into the bottle of NPH insulin
Inject 5 units of air into the bottle of regular insulin
Withdraw the correct dose of regular insulin from the bottle
Withdraw the correct dose of NPH insulin from the bottle
The nurse should first inject air into the vial of NPH insulin without touching the
needle to the solution. Next, the nurse should inject air into the vial of regular
insulin and withdraw the correct amount of the regular insulin. Finally, the nurse
should insert the needle into the NPH insulin vial and withdraw the correct amount
of NPH insulin. The nurse should follow these steps to prevent contaminating the
regular insulin with NPH insulin.
A nurse is performing a Romberg test during the physical assessment of a
client. Which of the following techniques should the nurse use?
,Touch the face with a cotton ball.
Apply a vibrating tuning fork to the client's forehead.
Have the client stand with their arms at their sides and their feet together.
Perform direct percussion over the area of the kidneys.
Correct Answer:
Have the client stand with their arms at their sides and their feet together.
A Romberg test helps identify alterations in balance. The nurse should have the
client stand with their arms at their sides and their feet together to observe for
swaying and a loss of balance.
Incorrect Answer:
Touch the face with a cotton ball.
The nurse should touch the client's corneas with a wisp of cotton and measure
light touch and pain across the client's face to test cranial nerve V, the trigeminal
nerve.
Apply a vibrating tuning fork to the client's forehead.
The nurse should apply a vibrating tuning fork to the client's head to perform the
Weber test to identify sound lateralization when assessing hearing.
Perform direct percussion over the area of the kidneys.
The nurse should perform direct percussion over the area of the kidneys to
evaluate them for inflammation.
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 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
2024 WITH COMPLETE SOLUTIONS
A nurse is caring for a client who asks about the purpose of advance
directives. Which of the following statements should the nurse make?
"They allow the court to overrule an adult client's refusal of medical
treatment."
"They indicate the form of treatment a client is willing to accept in the event
of a serious illness."
"They permit a client to withhold medical information from health care
personnel."
"They allow health care personnel in the emergency department to stabilize
a client's condition."
Correct Answer:
"They indicate the form of treatment a client is willing to accept in the event of a
serious illness."
Advance directives include a living will, which permits clients to direct the
treatment they will receive in the event of a medical emergency or serious illness.
Incorrect Answer:
"They allow the court to overrule an adult client's refusal of medical treatment."
A court can only overrule an adult client's refusal of medical treatment if the
client is legally incompetent.
"They permit a client to withhold medical information from health care personnel."
The Americans with Disabilities Act, not advance directives, protects the privacy
of a client who chooses not to disclose a medical disability.
,"They allow health care personnel in the emergency department to stabilize a
client's condition."
The Emergency Medical Treatment and Active Labor Act, not advance directives,
directs emergency personnel to provide screening and stabilizing care before
discharging or transferring clients to another facility.
A nurse is caring for a client who has a prescription for 5 units of regular
insulin and 10 units of NPH insulin to mix together and administer
subcutaneously. Determine the correct order of steps for this procedure.
Inject 5 units of air into the bottle of regular insulin
Withdraw the correct dose of NPH insulin from the bottle
Inject 10 units of air into the bottle of NPH insulin
Withdraw the correct dose of regular insulin from the bottle
Correct Answer:
Inject 10 units of air into the bottle of NPH insulin
Inject 5 units of air into the bottle of regular insulin
Withdraw the correct dose of regular insulin from the bottle
Withdraw the correct dose of NPH insulin from the bottle
The nurse should first inject air into the vial of NPH insulin without touching the
needle to the solution. Next, the nurse should inject air into the vial of regular
insulin and withdraw the correct amount of the regular insulin. Finally, the nurse
should insert the needle into the NPH insulin vial and withdraw the correct amount
of NPH insulin. The nurse should follow these steps to prevent contaminating the
regular insulin with NPH insulin.
A nurse is performing a Romberg test during the physical assessment of a
client. Which of the following techniques should the nurse use?
,Touch the face with a cotton ball.
Apply a vibrating tuning fork to the client's forehead.
Have the client stand with their arms at their sides and their feet together.
Perform direct percussion over the area of the kidneys.
Correct Answer:
Have the client stand with their arms at their sides and their feet together.
A Romberg test helps identify alterations in balance. The nurse should have the
client stand with their arms at their sides and their feet together to observe for
swaying and a loss of balance.
Incorrect Answer:
Touch the face with a cotton ball.
The nurse should touch the client's corneas with a wisp of cotton and measure
light touch and pain across the client's face to test cranial nerve V, the trigeminal
nerve.
Apply a vibrating tuning fork to the client's forehead.
The nurse should apply a vibrating tuning fork to the client's head to perform the
Weber test to identify sound lateralization when assessing hearing.
Perform direct percussion over the area of the kidneys.
The nurse should perform direct percussion over the area of the kidneys to
evaluate them for inflammation.
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 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
