ATI Fundamentals Practice 2023 B Study Guide Exam with Questions and
Answers – 100% Solved
A nurse in a medical-surgical unit is caring for six clients.Exhibit 1Nurses' Notes0800: Client 1:
Client is admitted with a new diagnosis of rheumatoid arthritis.Client 2: Client has a history of
hyperlipidemia. Atorvastatin 20 mg PO administered 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 prescribed.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.The first client the nurse should assess isclient _____
(choices: 1, 2, or 3)followed by then client ______(choices: 4,5,or 6 - ✔✔✔-Client 3 is correct.
When using the airway, breathing, circulation approach to client care, the nurse should
determine that this client is the priority client to assess. The client has an oxygen saturation that
is less than the expected reference range, which is an indication of hypoxia.
Client 4 is correct. 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.
A nurse in the emergency department (ED) is caring for a client who reports abdominal
pain.Exhibit 1:Nurses' Notes1200:Client arrives to ED and reports abdominal pain and no bowel
movement for the past 7 days. Client is undergoing chemotherapy for pancreatic cancer and has
been taking 40 mg oxycodone extended-release tablets daily for the past 3 months. Client states
they have attempted to relieve constipation for the last 7 days with bisacodyl suppositories and
magnesium citrate oral suspension. Client reports that neither therapy initiated
defecation.1230:Client transported for abdominal x-ray.1245:Client returned from x-ray.
Provider prescribes a hypertonic cleansing enema.1300:Procedure explained to client who
verbalized understanding.Exhibit 2:Diagnostic Results:1245:Abdominal x-ray indicates a large
amount of fecal material throughout the colon. No evidence of gastrointestinal obstruction
observed.Based on the - ✔✔✔-Assist the client to a left side-lying position with the right knee
flexed is correct.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
is correct. 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.Auscultate the client's
bowel sounds is correct. The nurse should auscultate the client's bowel sounds to determine the
, ATI Fundamentals Practice 2023 B Study Guide Exam with Questions and
Answers – 100% Solved
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 the client's gastrointestinal tract.Perform a
manual digital examination of the client's rectum is correct. 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.
A nurse is administering an otic medication to an older adult client. Which of the following
actions should the nurse take to ensure that the medication reaches the inner ear? - ✔✔✔-
Press gently on the tragus of the client's ear.
A nurse is calculating a client's fluid intake over the past 8 hr. Which of the following items
should the nurse plan to document on the client's intake and output record as 120 mL of fluid?
A. 2 cups of soup B. 1 quart of water C. 8 oz of ice chips D. 6 oz of tea - ✔✔✔-8 oz ice chips
A nurse is caring for a client in a medical-surgical unit. Nurses' Notes3 days ago, 1000:Client
admitted from home reports a pressure injury. Provider and wound care nurse at bedside.
Slough and eschar covering pressure injury on sacrum. Debridement performed. Malodorous.
Pressure injury stage 4 with two tunnels present. Pressure injury is 10 cm (4 in) in diameter and
3 cm (1.2 in) at the deepest point. Tunneling locations at one and eight o'clock and measure at 6
cm (2.4 in) and 4 cm. (1.6 in) respectively. Wound care nurse initiated negative pressure wound
therapy.
Today, 0800:
Client sitting in bed, alert, and oriented x4. Client states "I cant wait to get this thing off of me."
States pain is a 5 on a scale of 0 to 10. PRN analgesic prescribed.
0830:
At clients bedside for dressing change. S1 and S2 auscultated, rate 76/min, Respirations even
and regular at 16/min. Negative pressure wound therapy dressing remov - ✔✔✔-Findings of
granulation tissue covering the wound bed, no odor present, increased comfort level, and the
decrease in size of the wound bed and tunneling indicate an improvement of the client's
condition. Granulation tissue is comprised of new blood vessels, a lack of odor indicates
Answers – 100% Solved
A nurse in a medical-surgical unit is caring for six clients.Exhibit 1Nurses' Notes0800: Client 1:
Client is admitted with a new diagnosis of rheumatoid arthritis.Client 2: Client has a history of
hyperlipidemia. Atorvastatin 20 mg PO administered 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 prescribed.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.The first client the nurse should assess isclient _____
(choices: 1, 2, or 3)followed by then client ______(choices: 4,5,or 6 - ✔✔✔-Client 3 is correct.
When using the airway, breathing, circulation approach to client care, the nurse should
determine that this client is the priority client to assess. The client has an oxygen saturation that
is less than the expected reference range, which is an indication of hypoxia.
Client 4 is correct. 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.
A nurse in the emergency department (ED) is caring for a client who reports abdominal
pain.Exhibit 1:Nurses' Notes1200:Client arrives to ED and reports abdominal pain and no bowel
movement for the past 7 days. Client is undergoing chemotherapy for pancreatic cancer and has
been taking 40 mg oxycodone extended-release tablets daily for the past 3 months. Client states
they have attempted to relieve constipation for the last 7 days with bisacodyl suppositories and
magnesium citrate oral suspension. Client reports that neither therapy initiated
defecation.1230:Client transported for abdominal x-ray.1245:Client returned from x-ray.
Provider prescribes a hypertonic cleansing enema.1300:Procedure explained to client who
verbalized understanding.Exhibit 2:Diagnostic Results:1245:Abdominal x-ray indicates a large
amount of fecal material throughout the colon. No evidence of gastrointestinal obstruction
observed.Based on the - ✔✔✔-Assist the client to a left side-lying position with the right knee
flexed is correct.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
is correct. 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.Auscultate the client's
bowel sounds is correct. The nurse should auscultate the client's bowel sounds to determine the
, ATI Fundamentals Practice 2023 B Study Guide Exam with Questions and
Answers – 100% Solved
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 the client's gastrointestinal tract.Perform a
manual digital examination of the client's rectum is correct. 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.
A nurse is administering an otic medication to an older adult client. Which of the following
actions should the nurse take to ensure that the medication reaches the inner ear? - ✔✔✔-
Press gently on the tragus of the client's ear.
A nurse is calculating a client's fluid intake over the past 8 hr. Which of the following items
should the nurse plan to document on the client's intake and output record as 120 mL of fluid?
A. 2 cups of soup B. 1 quart of water C. 8 oz of ice chips D. 6 oz of tea - ✔✔✔-8 oz ice chips
A nurse is caring for a client in a medical-surgical unit. Nurses' Notes3 days ago, 1000:Client
admitted from home reports a pressure injury. Provider and wound care nurse at bedside.
Slough and eschar covering pressure injury on sacrum. Debridement performed. Malodorous.
Pressure injury stage 4 with two tunnels present. Pressure injury is 10 cm (4 in) in diameter and
3 cm (1.2 in) at the deepest point. Tunneling locations at one and eight o'clock and measure at 6
cm (2.4 in) and 4 cm. (1.6 in) respectively. Wound care nurse initiated negative pressure wound
therapy.
Today, 0800:
Client sitting in bed, alert, and oriented x4. Client states "I cant wait to get this thing off of me."
States pain is a 5 on a scale of 0 to 10. PRN analgesic prescribed.
0830:
At clients bedside for dressing change. S1 and S2 auscultated, rate 76/min, Respirations even
and regular at 16/min. Negative pressure wound therapy dressing remov - ✔✔✔-Findings of
granulation tissue covering the wound bed, no odor present, increased comfort level, and the
decrease in size of the wound bed and tunneling indicate an improvement of the client's
condition. Granulation tissue is comprised of new blood vessels, a lack of odor indicates
