ATI RN Fundamentals Online Practice
2023 B UPDATED Study Guide
QUESTIONS AND CORRECT ANSWERS
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 ANSWERS Correct Answer:
Breath Sounds
Crackles are caused by mucous in the airways and are a manifestation of
pneumonia. 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.
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.
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.
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 ANSWERS
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 right knee
flexed prior to administering an enema. Because the provider prescribed a
cleansing enema for the client, the nurse should prepare the 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
elimination and remove any impacted fecal matter indicated by the abdominal
x-ray.
2023 B UPDATED Study Guide
QUESTIONS AND CORRECT ANSWERS
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 ANSWERS Correct Answer:
Breath Sounds
Crackles are caused by mucous in the airways and are a manifestation of
pneumonia. 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.
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.
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.
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 ANSWERS
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 right knee
flexed prior to administering an enema. Because the provider prescribed a
cleansing enema for the client, the nurse should prepare the 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
elimination and remove any impacted fecal matter indicated by the abdominal
x-ray.
