ATI RN FUNDAMENTALS online practice 2023 B EXAM 202
ACTUAL EXAM COMPLETE QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY
GRADED A+
1.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 adminis- tered 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 pre-
scribed.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, th
nurse should determine that this client is the priority client to assess. Th
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-re- active protein is greater than the expected reference
range, which is an indication of inflammation. However, there is
To get this or any other Exam contact ()
, 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
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.
2.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 Answer:
Breath Sounds
Crackles are caused by mucous in the airways and are a manifestation
of pneumo- nia. 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.
To get this or any other Exam contact ()
, 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.
3.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.
To get this or any other Exam contact ()
, 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 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 righ
knee flexed prior to administering an enema. Because the provider
prescribed a cleansing enema for the client, the nurse should prepare th
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 elimina- tion 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 th
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
To get this or any other Exam contact ()
ACTUAL EXAM COMPLETE QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY
GRADED A+
1.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 adminis- tered 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 pre-
scribed.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, th
nurse should determine that this client is the priority client to assess. Th
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-re- active protein is greater than the expected reference
range, which is an indication of inflammation. However, there is
To get this or any other Exam contact ()
, 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
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.
2.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 Answer:
Breath Sounds
Crackles are caused by mucous in the airways and are a manifestation
of pneumo- nia. 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.
To get this or any other Exam contact ()
, 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.
3.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.
To get this or any other Exam contact ()
, 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 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 righ
knee flexed prior to administering an enema. Because the provider
prescribed a cleansing enema for the client, the nurse should prepare th
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 elimina- tion 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 th
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
To get this or any other Exam contact ()
