RN ATI COMPREHENSIVE EXAM TEST
BANK WITH NGN QUESTIONS FORMART
NEWEST 2025/2026 WITH 200 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A nurse is assessing the skin turgor of an older adult client. In
which of the following areas should the nurse lift the skin?
A. Sternum
B. Abdomen
C. Shoulder
D. Neck .....answer.....The correct answer is A. Sternum.
Explanation:
In older adults, the skin loses elasticity and becomes thinner,
making it more difficult to assess skin turgor using areas that
are commonly used in younger individuals. The sternum
(breastbone) is the most reliable location for assessing skin
turgor in older adults because the skin here is thicker and
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less prone to losing elasticity compared to areas like the
hands, abdomen, or neck.
Why the other options are not appropriate:
B. Abdomen: In older adults, the abdominal skin is often
thinner and more prone to sagging, making it a less reliable
site for assessing skin turgor.
C. Shoulder: The skin over the shoulder may not be as
reliable as the sternum for assessing turgor, especially in
older adults who may have lost subcutaneous fat in that area.
D. Neck: The skin on the neck can lose elasticity with aging,
which may make it difficult to accurately assess skin turgor.
Key Points:
Skin turgor is an important indicator of hydration status.
For older adults, the sternum is the preferred area for
checking skin turgor because it is less affected by the age-
related loss of elasticity.
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A nurse is providing Information for a client who has a new
prescription for simvastatin.For which of the following should the
nurse Instruct the client to monitor and report to the provider?
A. Edema
B. Weight loss
C. Muscle weakness
D. Fever .....answer.....The correct answer is C. Muscle weakness.
Explanation:
Simvastatin is a medication used to lower cholesterol levels,
and like other statins, it can cause muscle-related side
effects, such as myopathy (muscle weakness or pain) or
rhabdomyolysis (a severe breakdown of muscle tissue). These
conditions can lead to kidney damage, so it's important for
the client to monitor for muscle weakness, pain, or
tenderness and report these symptoms to the provider.
Why C is correct:
C. Muscle weakness: Muscle weakness is a common side
effect of statins, including simvastatin. If a client experiences
unexplained muscle weakness, pain, or tenderness, it could
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indicate a serious condition such as rhabdomyolysis, which
requires immediate medical attention.
Why the other options are incorrect:
A. Edema: While edema (swelling) is a possible side effect of
many medications, it's not a typical or common side effect of
simvastatin. Therefore, it is not as urgent to monitor
compared to muscle weakness.
B. Weight loss: Weight loss is not typically associated with
simvastatin. If the client is experiencing unintended weight
loss, other causes should be investigated, but it is not directly
related to the use of simvastatin.
D. Fever: Fever is also not a common side effect of
simvastatin. A fever could be a sign of infection or another
condition unrelated to the medication, but it is not
something specifically to monitor for with simvastatin use.
Best Practice:
The most important side effect of simvastatin to monitor for is
muscle weakness, and clients should immediately report this to
their provider for further evaluation and potential adjustment of
treatment.