ATI Skills Modules 4.0 Assessment Test
Questions Merged With Correct Complete
Solutions || Already Graded A+ || 2026-
2027 Latest Update!!!
A nurse is caring for a client who is in early labor and has a fetus in the
posterior presentation. The client reports pain in her lower back with
contractions. Which of the following pain management techniques is
most likely to be effective in relieving lower back pain caused by this
type of fetal presentation? - ANSWER-Counterpressure is a steady
pressure applied by a support person to the sacral area of the client's
back during contractions. The client's support person, or the nurse,
uses the heel of the hand, a tennis ball, or a fist to apply firm pressure
to the sacral area during contractions. This pressure can lift the fetal
head off of the nerves in the sacral area, decreasing pain.
A nurse is performing a gestational age assessment using the New
Ballard Score. Which of the following findings should indicate to the
nurse that the newborn is preterm? - ANSWER-Flat areola - Preterm
newborns lack developed breast tissue, which causes the areola to
appear flat with minimal or no breast buds. Term newborns have a
raised to full areola with breast buds.
, A nurse is performing an abdominal assessment on a client. Over
which of the following areas of the client's abdomen should the nurse
attempt to auscultate active bowel sounds first? - ANSWER-Right
lower quadrant - Evidence-based practice indicates that the first area
the nurse should auscultate for active bowel sounds is over the right
lower quadrant of the client's abdomen. The right lower quadrant is
located to the right of the umbilicus and contains the ileocecal valve.
This is where the small intestine connects to the large intestine, and it
is normally very active with bowel sounds. In an average adult, the
nurse should expect to hear 5 to 30 bowel sounds per minute.
A nurse is performing a general client survey and finds that the client
has a BMI of 23. Which of the following should the nurse document? -
ANSWER-BMI alone does not provide enough information to conclude
that a client has no nutritional issues or deficits.
For each client finding, click to specify if the finding is an expected or
unexpected finding. There must be at least 1 selection in every row.
There does not need to be a selection in every column. - ANSWER-
When recognizing cues, the nurse should identify that the client's
oxygen saturation, posture, breath sounds, and heart sounds are all
unexpected findings. Oxygen saturation is less than the expected
range of 95% or greater. The client has jugular vein distention, which is
an indicator of fluid overload such as that seen in congestive heart
failure. The client is in an orthopneic position, which is a forward-
leaning posture that allows for thoracic expansion and improves the
ease of breathing. Crackles are breath sounds caused by air moving
through liquid in the small airways and are not an expected finding.
Crackles may be indicator of a pulmonary infection or heart failure.
Questions Merged With Correct Complete
Solutions || Already Graded A+ || 2026-
2027 Latest Update!!!
A nurse is caring for a client who is in early labor and has a fetus in the
posterior presentation. The client reports pain in her lower back with
contractions. Which of the following pain management techniques is
most likely to be effective in relieving lower back pain caused by this
type of fetal presentation? - ANSWER-Counterpressure is a steady
pressure applied by a support person to the sacral area of the client's
back during contractions. The client's support person, or the nurse,
uses the heel of the hand, a tennis ball, or a fist to apply firm pressure
to the sacral area during contractions. This pressure can lift the fetal
head off of the nerves in the sacral area, decreasing pain.
A nurse is performing a gestational age assessment using the New
Ballard Score. Which of the following findings should indicate to the
nurse that the newborn is preterm? - ANSWER-Flat areola - Preterm
newborns lack developed breast tissue, which causes the areola to
appear flat with minimal or no breast buds. Term newborns have a
raised to full areola with breast buds.
, A nurse is performing an abdominal assessment on a client. Over
which of the following areas of the client's abdomen should the nurse
attempt to auscultate active bowel sounds first? - ANSWER-Right
lower quadrant - Evidence-based practice indicates that the first area
the nurse should auscultate for active bowel sounds is over the right
lower quadrant of the client's abdomen. The right lower quadrant is
located to the right of the umbilicus and contains the ileocecal valve.
This is where the small intestine connects to the large intestine, and it
is normally very active with bowel sounds. In an average adult, the
nurse should expect to hear 5 to 30 bowel sounds per minute.
A nurse is performing a general client survey and finds that the client
has a BMI of 23. Which of the following should the nurse document? -
ANSWER-BMI alone does not provide enough information to conclude
that a client has no nutritional issues or deficits.
For each client finding, click to specify if the finding is an expected or
unexpected finding. There must be at least 1 selection in every row.
There does not need to be a selection in every column. - ANSWER-
When recognizing cues, the nurse should identify that the client's
oxygen saturation, posture, breath sounds, and heart sounds are all
unexpected findings. Oxygen saturation is less than the expected
range of 95% or greater. The client has jugular vein distention, which is
an indicator of fluid overload such as that seen in congestive heart
failure. The client is in an orthopneic position, which is a forward-
leaning posture that allows for thoracic expansion and improves the
ease of breathing. Crackles are breath sounds caused by air moving
through liquid in the small airways and are not an expected finding.
Crackles may be indicator of a pulmonary infection or heart failure.
