ATI RN Fundamentals Online Practice 2023 B
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1. A nurse in a med- Correct Answer (1):
ical-surgical unit is Client 3
caring for six clients. When using the airway, breathing, circulation approach to client care, the
nurse should determine that this client is the priority client to assess. The
Complete the follow- client has an oxygen saturation that is less than the expected reference
ing sentence by using range, which is an indication of hypoxia.
the list of options.
Correct Answer (2):
The first client the Client 4
nurse should assess When using the airway, breathing, circulation approach to client care, the
is _____ followed by 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.
Client 1: Client is ad-
mitted with a new di- Incorrect Answers (1):
agnosis of rheuma- Client 1 is incorrect. The nurse should assess this client because the client's
toid arthritis.Client 2: C-reactive protein is greater than the expected reference range, which is an
Client has a history of indication of inflammation. However, there is another client the nurse should
hyperlipidemia. Ator- assess first.
vastatin 20 mg PO
administered as pre- Client 2 is incorrect. The nurse should assess this client because the client's
scribed.Client 3: Client cholesterol level is greater than the expected reference range, which places
is 1 day postoper- them at risk for coronary heart disease. However, there is another client the
ative. Reports pain nurse should assess first.
as 8 on a scale of
0 to 10. Morphine Incorrect Answers (2):
5 mg subcutaneous Client 5 is incorrect. The nurse should assess this client because their
administered as pre- prealbumin level is less than the expected reference range, which places
scribed.Client 4: Client them at risk for delayed wound healing. However, this client is not the next
is admitted with a new priority client to assess.
diagnosis of heart fail-
Client 6 is incorrect. The nurse should assess this client because their
ure.Client 5: Client has
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a stage 2 pressure glycosylated hemoglobin level is greater than the expected reference range,
injury on the left which indicates poor diabetic control. However, this client is not the next
heel.Client 6: Client is priority client to assess.
admitted with a new
diagnosis of diabetes
mellitus.
2. A nurse is caring for a Correct Answer:
client who has COPD. Breath Sounds
Crackles are caused by mucous in the airways and are a manifestation of
Select the 3 find- pneumonia. Decreased breath sounds indicate decreased ventilation and
ings that require fol- require follow-up by the nurse.
low-up.
Oxygen Saturation
Breath sounds The client's oxygen saturation is below the expected reference range of 95%
Blood pressure to 100%, indicating hypoxia, and requires follow-up by the nurse.
Oxygen saturation
Temperature Temperature
Heart rate The client's temperature is greater than the expected reference range,
indicating an infection, and requires follow-up by the nurse.
Incorrect Answer:
Blood pressure is incorrect. The client's blood pressure is within the expect-
ed 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 Correct Answer:
emergency depart- Assist the client to a left side-lying position with the right knee flexed
ment (ED) is caring for The nurse should place the client in a left side-lying position with the
a client who reports right knee flexed prior to administering an enema. Because the provider
abdominal pain. prescribed a cleansing enema for the client, the nurse should prepare the
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client for the procedure.
Based on the
client's clinical find- Administer a cleansing enema
ings, which of the fol- The nurse should administer a cleansing enema for the client as a result
lowing actions should of the provider's prescription. A cleansing enema is intended to assist with
the nurse take? Select bowel elimination and remove any impacted fecal matter indicated by the
all that apply. abdominal x-ray.
Assist the client to a Auscultate the client's bowel sounds
left side-lying position The nurse should auscultate the client's bowel sounds to determine the
with the right knee status of the client's peristalsis. This is a necessary part of determining the
flexed. presence of bowel sounds, which are an indication of the status of the
Prepare the client for client's gastrointestinal tract.
a chest x-ray.
Administer a cleans- Perform a manual digital examination of the client's rectum
ing enema. The nurse should perform a manual digital examination of the client's rec-
Auscultate the client's tum to determine if impacted stool is present. This is a part of the necessary
bowel sounds. evaluation of the status of the client's gastrointestinal tract.
Perform a manual
Incorrect Answer:
digital examination of
Prepare the client for a chest x-ray is incorrect. A chest x-ray is typically
the client's rectum.
performed for a client who has an impairment of the upper thorax or
Administer oxy-
lungs, not the abdomen. The client has already received an abdominal x-ray;
codone extended-re-
therefore, a chest x-ray is not necessary.
lease tablets.
Prepare the client for
Prepare the client for NG tube placement is incorrect. The nurse should
NG tube placement.
not prepare the client for placement of an NG tube because there is no
indication or prescription to do so. Placement of an NG tube is required
when there is an obstruction of the gastrointestinal tract and peristalsis is
absent.
4. A nurse is caring Correct Answer:
for a client who "They indicate the form of treatment a client is willing to accept in the event
, ATI RN Fundamentals Online Practice 2023 B
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asks about the pur- of a serious illness."
pose of advance di- Advance directives include a living will, which permits clients to direct the
rectives. Which of treatment they will receive in the event of a medical emergency or serious
the following state- illness.
ments should the
nurse make? Incorrect Answer:
"They allow the court to overrule an adult client's refusal of medical treat-
"They allow the court ment."
to overrule an adult A court can only overrule an adult client's refusal of medical treatment if the
client's refusal of client is legally incompetent.
medical treatment."
"They indicate the "They permit a client to withhold medical information from health care
form of treatment a personnel."
client is willing to ac- The Americans with Disabilities Act, not advance directives, protects the
cept in the event of a privacy of a client who chooses not to disclose a medical disability.
serious illness."
"They allow health care personnel in the emergency department to stabilize
"They permit a client
a client's condition."
to withhold med-
The Emergency Medical Treatment and Active Labor Act, not advance direc-
ical information from
tives, directs emergency personnel to provide screening and stabilizing care
health care person-
before discharging or transferring clients to another facility.
nel."
"They allow health
care personnel in
the emergency de-
partment to stabilize
a client's condition."
5. A nurse is caring Correct Answer:
for a client who has Inject 10 units of air into the bottle of NPH insulin
a prescription for 5 Inject 5 units of air into the bottle of regular insulin
units of regular in- Withdraw the correct dose of regular insulin from the bottle
sulin and 10 units of Withdraw the correct dose of NPH insulin from the bottle
Study online at https://quizlet.com/_h177wa
1. A nurse in a med- Correct Answer (1):
ical-surgical unit is Client 3
caring for six clients. When using the airway, breathing, circulation approach to client care, the
nurse should determine that this client is the priority client to assess. The
Complete the follow- client has an oxygen saturation that is less than the expected reference
ing sentence by using range, which is an indication of hypoxia.
the list of options.
Correct Answer (2):
The first client the Client 4
nurse should assess When using the airway, breathing, circulation approach to client care, the
is _____ followed by 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.
Client 1: Client is ad-
mitted with a new di- Incorrect Answers (1):
agnosis of rheuma- Client 1 is incorrect. The nurse should assess this client because the client's
toid arthritis.Client 2: C-reactive protein is greater than the expected reference range, which is an
Client has a history of indication of inflammation. However, there is another client the nurse should
hyperlipidemia. Ator- assess first.
vastatin 20 mg PO
administered as pre- Client 2 is incorrect. The nurse should assess this client because the client's
scribed.Client 3: Client cholesterol level is greater than the expected reference range, which places
is 1 day postoper- them at risk for coronary heart disease. However, there is another client the
ative. Reports pain nurse should assess first.
as 8 on a scale of
0 to 10. Morphine Incorrect Answers (2):
5 mg subcutaneous Client 5 is incorrect. The nurse should assess this client because their
administered as pre- prealbumin level is less than the expected reference range, which places
scribed.Client 4: Client them at risk for delayed wound healing. However, this client is not the next
is admitted with a new priority client to assess.
diagnosis of heart fail-
Client 6 is incorrect. The nurse should assess this client because their
ure.Client 5: Client has
, ATI RN Fundamentals Online Practice 2023 B
Study online at https://quizlet.com/_h177wa
a stage 2 pressure glycosylated hemoglobin level is greater than the expected reference range,
injury on the left which indicates poor diabetic control. However, this client is not the next
heel.Client 6: Client is priority client to assess.
admitted with a new
diagnosis of diabetes
mellitus.
2. A nurse is caring for a Correct Answer:
client who has COPD. Breath Sounds
Crackles are caused by mucous in the airways and are a manifestation of
Select the 3 find- pneumonia. Decreased breath sounds indicate decreased ventilation and
ings that require fol- require follow-up by the nurse.
low-up.
Oxygen Saturation
Breath sounds The client's oxygen saturation is below the expected reference range of 95%
Blood pressure to 100%, indicating hypoxia, and requires follow-up by the nurse.
Oxygen saturation
Temperature Temperature
Heart rate The client's temperature is greater than the expected reference range,
indicating an infection, and requires follow-up by the nurse.
Incorrect Answer:
Blood pressure is incorrect. The client's blood pressure is within the expect-
ed 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 Correct Answer:
emergency depart- Assist the client to a left side-lying position with the right knee flexed
ment (ED) is caring for The nurse should place the client in a left side-lying position with the
a client who reports right knee flexed prior to administering an enema. Because the provider
abdominal pain. prescribed a cleansing enema for the client, the nurse should prepare the
, ATI RN Fundamentals Online Practice 2023 B
Study online at https://quizlet.com/_h177wa
client for the procedure.
Based on the
client's clinical find- Administer a cleansing enema
ings, which of the fol- The nurse should administer a cleansing enema for the client as a result
lowing actions should of the provider's prescription. A cleansing enema is intended to assist with
the nurse take? Select bowel elimination and remove any impacted fecal matter indicated by the
all that apply. abdominal x-ray.
Assist the client to a Auscultate the client's bowel sounds
left side-lying position The nurse should auscultate the client's bowel sounds to determine the
with the right knee status of the client's peristalsis. This is a necessary part of determining the
flexed. presence of bowel sounds, which are an indication of the status of the
Prepare the client for client's gastrointestinal tract.
a chest x-ray.
Administer a cleans- Perform a manual digital examination of the client's rectum
ing enema. The nurse should perform a manual digital examination of the client's rec-
Auscultate the client's tum to determine if impacted stool is present. This is a part of the necessary
bowel sounds. evaluation of the status of the client's gastrointestinal tract.
Perform a manual
Incorrect Answer:
digital examination of
Prepare the client for a chest x-ray is incorrect. A chest x-ray is typically
the client's rectum.
performed for a client who has an impairment of the upper thorax or
Administer oxy-
lungs, not the abdomen. The client has already received an abdominal x-ray;
codone extended-re-
therefore, a chest x-ray is not necessary.
lease tablets.
Prepare the client for
Prepare the client for NG tube placement is incorrect. The nurse should
NG tube placement.
not prepare the client for placement of an NG tube because there is no
indication or prescription to do so. Placement of an NG tube is required
when there is an obstruction of the gastrointestinal tract and peristalsis is
absent.
4. A nurse is caring Correct Answer:
for a client who "They indicate the form of treatment a client is willing to accept in the event
, ATI RN Fundamentals Online Practice 2023 B
Study online at https://quizlet.com/_h177wa
asks about the pur- of a serious illness."
pose of advance di- Advance directives include a living will, which permits clients to direct the
rectives. Which of treatment they will receive in the event of a medical emergency or serious
the following state- illness.
ments should the
nurse make? Incorrect Answer:
"They allow the court to overrule an adult client's refusal of medical treat-
"They allow the court ment."
to overrule an adult A court can only overrule an adult client's refusal of medical treatment if the
client's refusal of client is legally incompetent.
medical treatment."
"They indicate the "They permit a client to withhold medical information from health care
form of treatment a personnel."
client is willing to ac- The Americans with Disabilities Act, not advance directives, protects the
cept in the event of a privacy of a client who chooses not to disclose a medical disability.
serious illness."
"They allow health care personnel in the emergency department to stabilize
"They permit a client
a client's condition."
to withhold med-
The Emergency Medical Treatment and Active Labor Act, not advance direc-
ical information from
tives, directs emergency personnel to provide screening and stabilizing care
health care person-
before discharging or transferring clients to another facility.
nel."
"They allow health
care personnel in
the emergency de-
partment to stabilize
a client's condition."
5. A nurse is caring Correct Answer:
for a client who has Inject 10 units of air into the bottle of NPH insulin
a prescription for 5 Inject 5 units of air into the bottle of regular insulin
units of regular in- Withdraw the correct dose of regular insulin from the bottle
sulin and 10 units of Withdraw the correct dose of NPH insulin from the bottle
