RN Comprehensive Online Practice 2023
ATI RN Comprehensive Online
Practice Test B (2023 | Latest
Edition)
A nurse is caring for a 5-year-old child Condition: Epiglottis
Actions: Initiate droplet precautions and request a prescription for IV antibiotics
Physical Examination: Monitors: Breath sounds and temperature
1510:
Upon visual inspection, throat is inflamed, tonsils appear The nurse should anticipate initiating droplet precautions and requesting a
pink, reddened and epiglottis is edematous and cherry prescription for IV antibiotics. The child is most likely experiencing epiglottis
red in appearance. Skin appears pale. Stridor noted upon because of the clinical manifestations of a high fever, inflammation and redness of
inspiration with diminished bilateral lung sounds. the throat, pale skin, stridor with inspiration, painful swallowing, no cough, is
sitting in tripod position, and drooling. The nurse should monitor the child's
Nurse's Notes: temperature and breath sounds.
1500
Child accompanied to emergency department by
caregiver. Caregiver states child has a sore throat and
reports the child has "pain on swallowing" and denies
cough. Child is agitated and lean
A nurse is caring for a client who is on the spinal cord The client is most likely experiencing manifestations of pneumonia and autonomic
injury (SCI) unit dysreflexia.
Nurses' Notes The nurse should analyze cues from the client's manifestations and determine that
Day 3, 1700 the client is most likely experiencing manifestations of pneumonia and autonomic
Client admitted to SCI unit 3 days ago following C7 injury. dysreflexia. A client who has a cervical SCI is at risk for respiratory complications
Skin is cool, pale, and dry to touch. Respirations easy and because spinal innervation to the respiratory muscles is disrupted. Adventitious
unlabored. Lung sounds diminished in lower lobes. breath sounds in the lower lobes bilaterally and a decrease in oxygen saturation
Abdomen soft and nondistended with active bowel to less than 92% can indicate pneumonia. The client's sudden increase in blood
sounds. Client passed a small amount of hard formed pressure, bradycardia, flushing of the skin above the area of the injury, headache,
stool this AM. Indwelling urinary catheter draining clear and blurred vision are manifestations of autonomic dysreflexia, which can be a
yellow urine. Deep tendon reflexes (DTR) are biceps 1+, life-threatening condition.
triceps 1+, pa
,A nurse is caring for a client who has abdominal pain Hepatitis A: Client's risk from fecal-oral transmission, laboratory results, and
physical examination findings
Nurses' Notes
0900 Hepatitis B: Antiviral treatment, laboratory results, client's risk from bloodborne
Client reports loss of appetite, weight loss, and fatigue transmission, physical examination findings
for 1 week. Reports abdominal pain, 6 on a scale from 0
to 10, for 2 days. Client is a perioperative nurse, returned 1 Hepatitis C: Antiviral treatment, laboratory results, client's risk from bloodborne
week ago from a 2-week mission trip to an transmission, and physical examination findings
underdeveloped country
When analyzing cues, the nurse should recognize that manifestations of hepatitis
1200 A, hepatitis B, and hepatitis C include jaundice, yellow sclerae, right upper
Results of antibody studies obtained. Provider quandrant pain upon palpation, dark yellow urine, and elevated AST and ALT
prescription for antiviral medication pending. levels. When analyzing cues, the nurse should also recognize the client's risk for
contracting hepatitis A through the fecal-oral route during recent travel to an
Physical Examination underdeveloped country and the client's occupational risk as a perioperative
0930 nurse for contracting hepatitis B and hepatitis C through bloodborne transmission.
Lung sounds clear bilaterally. Skin warm to touch and jau The nurse should recognize that the current standard of practice for
A nurse is caring for a client on a medical-surgical unit Click to highlight the findings that require follow up. To deselect a finding, click on
the finding again.
Vital Signs - Noted 2 cm x 2 cm (0.8 in x 0.8 in) painful edematous area on sacrum
0700 - Client repositioned every 4 hr
Temperature 37.6 C (99.7 F)
Heart rate 100/min When recognizing cues, the nurse should determine that the client's painful
Respiratory rate 22/min edematous area on their sacrum and that the client has only been repositioned
Blood pressure 115/70 mmHg every 4 hr requires follow up. The client has manifestations of a pressure injury that
Oxygen saturation 98% on room air need to be addressed. The client should be repositioned at least every 2 hr to
prevent worsening of the pressure injury and to relieve pressure from the sacral
Nurses' Notes area.
1100
Client alert and oriented to person, place, and time.
Client had episode of diarrhea, provided perineal care.
Noted 2 cm x 2 cm (0.8 in x 0.8 in) painful edematous area
on sacrum. Client repositioned every 4 hr.
,A nurse in an outpatient mental health clinic is caring for a Select the 3 findings that require immediate follow up:
client - Auditory hallucinations
- Speech
Vital Signs - Restlessness
3 months ago
Blood pressure 116/68 mmHg When recognizing cues, the nurse should identify that the findings of restlessness,
Heart rate 82/min auditory hallucinations, and pressured speech require immediate follow up. These
Respiratory rate 16/min findings are indications of psychosis. The nurse should notify the provider for
Temperature 36.7 C (98.1 F) additional evaluation and treatment.
SaO2 97% on room air
Today:
Blood pressure 128/76 mmHg
Heart rate 104/min
Respiratory rate 22/min
Temperature 37.4 (99.4 F)
SaO2 97% on room air
Nurses' Notes
3 months ago
Client recently admitted with new diagnosis of
schizophrenia. Received inpatient treatment for 10 days
and was discharged 1 week ago.
A nurse is caring for a client who is postoperative The client is at greatest risk for developing dysrhythmias, as evidenced by
following coronary artery bypass surgery (CABG) electrolyte imbalance.
Laboratory Results The nurse should analyze cues to determine the client is at greatest risk for
0630 developing dysrhythmias related to hypokalemia, as evidenced by the laboratory
Sodium 145 mEq/L (136 to 145 mEq/L) report and the client's report of muscle cramping. Potassium and magnesium
Potassium 3.2 mEq/L (3.5 to 5 mEq/L) depletion are common manifestations in clients who are postoperative following
Chloride 116 mEq/L (98 to 106 mEq/L) CABG. Due to medication or hemodilation, it is important for the nurse to closely
BUN 24 mg/dL (10 to 20 mg/dL) monitor electrolytes.
Magnesium 1.5 mEq/L (1.3 to 2.1 mEq/L)
Total calcium 9 mg/dL (9 to 10.5 mg/dL)
Phosphate 4.6 mg/dL (3 to 4.5 mg/dL)
Glucose 95 mg/dL (74 to 106 mg/dL)
WBC count 9,500/mm3 (5,000 to 10,000/mm3)
I&O
0700
4 hr input 400 mL
4 hr output
, A nurse is caring for a client who is pregnant in the acute The nurse should first address the client's respiratory rate, followed by the client's
care setting level of consciousness
Nurses' Notes When prioritizing hypotheses, the nurse should recognize that magnesium sulfate
1400 is a central nervous system depressant that can affect respirations, consciousness,
Client reports a constant low dull backache and painless and reflexes when toxic blood levels occur. Using the airway, breathing,
abdominal tightening for the past 3 hr. Denies any circulation priority framework, the nurse should plan to first take action to support
changes in vaginal discharge. External fetal monitor respirations, followed by action to increase the client's level of consciousness. The
applied. nurse should plan to discontinue the magnesium sulfate infusion and administer
calcium gluconate as an antidote.
1430
Contraction pattern: contractions every 4 to 5 min, lasting
30 to 45 seconds, palpate mild in intensity
Fetal heart rate: 150/min to 155/min, moderate variability,
adequate accelerations present, no decelerations noted.
Provider in
A nurse is caring for an adolescent in the emergency Which of the following findings requires immediate follow up by the nurse?
department (ED) - Skin assessment
- Temperature
Nurses' Notes - WBC
0700 - Casual blood glucose
Adolescent admitted to ED. Adolescent's parents are - Potassium
concerned about left leg injury that appears to be
getting worse. Parents report adolescent has had fever, After reviewing the information in the adolescent's EMR and recognizing cues, the
decreased appetite, and decreased energy within the nurse should identify that the adolescent has a potential skin infection, such as
past 2 days. Adolescent reports leg injury occurred while cellulitis. The skin assessment reveals that the medial lateral aspect of the left leg
playing soccer. has a 3 x 3 cm2 area of redness with small pustules, tenderness, and warmth,
which can indicate infection. The adolescent's temperature and WBC count are
0715 above the expected reference range, which can also indicate infection. The
Adolescent is alert and oriented to person, place, time, adolescent's casual blood glucose and potassium are above the expected
and situation. Adolescent reports left lower leg pain as 4 reference range, which can indicate infection or a complication of type 1 diabetes
on mellitus. The nurse should immediately follow up on these findings because they
can indicate infection or other complications.
ATI RN Comprehensive Online
Practice Test B (2023 | Latest
Edition)
A nurse is caring for a 5-year-old child Condition: Epiglottis
Actions: Initiate droplet precautions and request a prescription for IV antibiotics
Physical Examination: Monitors: Breath sounds and temperature
1510:
Upon visual inspection, throat is inflamed, tonsils appear The nurse should anticipate initiating droplet precautions and requesting a
pink, reddened and epiglottis is edematous and cherry prescription for IV antibiotics. The child is most likely experiencing epiglottis
red in appearance. Skin appears pale. Stridor noted upon because of the clinical manifestations of a high fever, inflammation and redness of
inspiration with diminished bilateral lung sounds. the throat, pale skin, stridor with inspiration, painful swallowing, no cough, is
sitting in tripod position, and drooling. The nurse should monitor the child's
Nurse's Notes: temperature and breath sounds.
1500
Child accompanied to emergency department by
caregiver. Caregiver states child has a sore throat and
reports the child has "pain on swallowing" and denies
cough. Child is agitated and lean
A nurse is caring for a client who is on the spinal cord The client is most likely experiencing manifestations of pneumonia and autonomic
injury (SCI) unit dysreflexia.
Nurses' Notes The nurse should analyze cues from the client's manifestations and determine that
Day 3, 1700 the client is most likely experiencing manifestations of pneumonia and autonomic
Client admitted to SCI unit 3 days ago following C7 injury. dysreflexia. A client who has a cervical SCI is at risk for respiratory complications
Skin is cool, pale, and dry to touch. Respirations easy and because spinal innervation to the respiratory muscles is disrupted. Adventitious
unlabored. Lung sounds diminished in lower lobes. breath sounds in the lower lobes bilaterally and a decrease in oxygen saturation
Abdomen soft and nondistended with active bowel to less than 92% can indicate pneumonia. The client's sudden increase in blood
sounds. Client passed a small amount of hard formed pressure, bradycardia, flushing of the skin above the area of the injury, headache,
stool this AM. Indwelling urinary catheter draining clear and blurred vision are manifestations of autonomic dysreflexia, which can be a
yellow urine. Deep tendon reflexes (DTR) are biceps 1+, life-threatening condition.
triceps 1+, pa
,A nurse is caring for a client who has abdominal pain Hepatitis A: Client's risk from fecal-oral transmission, laboratory results, and
physical examination findings
Nurses' Notes
0900 Hepatitis B: Antiviral treatment, laboratory results, client's risk from bloodborne
Client reports loss of appetite, weight loss, and fatigue transmission, physical examination findings
for 1 week. Reports abdominal pain, 6 on a scale from 0
to 10, for 2 days. Client is a perioperative nurse, returned 1 Hepatitis C: Antiviral treatment, laboratory results, client's risk from bloodborne
week ago from a 2-week mission trip to an transmission, and physical examination findings
underdeveloped country
When analyzing cues, the nurse should recognize that manifestations of hepatitis
1200 A, hepatitis B, and hepatitis C include jaundice, yellow sclerae, right upper
Results of antibody studies obtained. Provider quandrant pain upon palpation, dark yellow urine, and elevated AST and ALT
prescription for antiviral medication pending. levels. When analyzing cues, the nurse should also recognize the client's risk for
contracting hepatitis A through the fecal-oral route during recent travel to an
Physical Examination underdeveloped country and the client's occupational risk as a perioperative
0930 nurse for contracting hepatitis B and hepatitis C through bloodborne transmission.
Lung sounds clear bilaterally. Skin warm to touch and jau The nurse should recognize that the current standard of practice for
A nurse is caring for a client on a medical-surgical unit Click to highlight the findings that require follow up. To deselect a finding, click on
the finding again.
Vital Signs - Noted 2 cm x 2 cm (0.8 in x 0.8 in) painful edematous area on sacrum
0700 - Client repositioned every 4 hr
Temperature 37.6 C (99.7 F)
Heart rate 100/min When recognizing cues, the nurse should determine that the client's painful
Respiratory rate 22/min edematous area on their sacrum and that the client has only been repositioned
Blood pressure 115/70 mmHg every 4 hr requires follow up. The client has manifestations of a pressure injury that
Oxygen saturation 98% on room air need to be addressed. The client should be repositioned at least every 2 hr to
prevent worsening of the pressure injury and to relieve pressure from the sacral
Nurses' Notes area.
1100
Client alert and oriented to person, place, and time.
Client had episode of diarrhea, provided perineal care.
Noted 2 cm x 2 cm (0.8 in x 0.8 in) painful edematous area
on sacrum. Client repositioned every 4 hr.
,A nurse in an outpatient mental health clinic is caring for a Select the 3 findings that require immediate follow up:
client - Auditory hallucinations
- Speech
Vital Signs - Restlessness
3 months ago
Blood pressure 116/68 mmHg When recognizing cues, the nurse should identify that the findings of restlessness,
Heart rate 82/min auditory hallucinations, and pressured speech require immediate follow up. These
Respiratory rate 16/min findings are indications of psychosis. The nurse should notify the provider for
Temperature 36.7 C (98.1 F) additional evaluation and treatment.
SaO2 97% on room air
Today:
Blood pressure 128/76 mmHg
Heart rate 104/min
Respiratory rate 22/min
Temperature 37.4 (99.4 F)
SaO2 97% on room air
Nurses' Notes
3 months ago
Client recently admitted with new diagnosis of
schizophrenia. Received inpatient treatment for 10 days
and was discharged 1 week ago.
A nurse is caring for a client who is postoperative The client is at greatest risk for developing dysrhythmias, as evidenced by
following coronary artery bypass surgery (CABG) electrolyte imbalance.
Laboratory Results The nurse should analyze cues to determine the client is at greatest risk for
0630 developing dysrhythmias related to hypokalemia, as evidenced by the laboratory
Sodium 145 mEq/L (136 to 145 mEq/L) report and the client's report of muscle cramping. Potassium and magnesium
Potassium 3.2 mEq/L (3.5 to 5 mEq/L) depletion are common manifestations in clients who are postoperative following
Chloride 116 mEq/L (98 to 106 mEq/L) CABG. Due to medication or hemodilation, it is important for the nurse to closely
BUN 24 mg/dL (10 to 20 mg/dL) monitor electrolytes.
Magnesium 1.5 mEq/L (1.3 to 2.1 mEq/L)
Total calcium 9 mg/dL (9 to 10.5 mg/dL)
Phosphate 4.6 mg/dL (3 to 4.5 mg/dL)
Glucose 95 mg/dL (74 to 106 mg/dL)
WBC count 9,500/mm3 (5,000 to 10,000/mm3)
I&O
0700
4 hr input 400 mL
4 hr output
, A nurse is caring for a client who is pregnant in the acute The nurse should first address the client's respiratory rate, followed by the client's
care setting level of consciousness
Nurses' Notes When prioritizing hypotheses, the nurse should recognize that magnesium sulfate
1400 is a central nervous system depressant that can affect respirations, consciousness,
Client reports a constant low dull backache and painless and reflexes when toxic blood levels occur. Using the airway, breathing,
abdominal tightening for the past 3 hr. Denies any circulation priority framework, the nurse should plan to first take action to support
changes in vaginal discharge. External fetal monitor respirations, followed by action to increase the client's level of consciousness. The
applied. nurse should plan to discontinue the magnesium sulfate infusion and administer
calcium gluconate as an antidote.
1430
Contraction pattern: contractions every 4 to 5 min, lasting
30 to 45 seconds, palpate mild in intensity
Fetal heart rate: 150/min to 155/min, moderate variability,
adequate accelerations present, no decelerations noted.
Provider in
A nurse is caring for an adolescent in the emergency Which of the following findings requires immediate follow up by the nurse?
department (ED) - Skin assessment
- Temperature
Nurses' Notes - WBC
0700 - Casual blood glucose
Adolescent admitted to ED. Adolescent's parents are - Potassium
concerned about left leg injury that appears to be
getting worse. Parents report adolescent has had fever, After reviewing the information in the adolescent's EMR and recognizing cues, the
decreased appetite, and decreased energy within the nurse should identify that the adolescent has a potential skin infection, such as
past 2 days. Adolescent reports leg injury occurred while cellulitis. The skin assessment reveals that the medial lateral aspect of the left leg
playing soccer. has a 3 x 3 cm2 area of redness with small pustules, tenderness, and warmth,
which can indicate infection. The adolescent's temperature and WBC count are
0715 above the expected reference range, which can also indicate infection. The
Adolescent is alert and oriented to person, place, time, adolescent's casual blood glucose and potassium are above the expected
and situation. Adolescent reports left lower leg pain as 4 reference range, which can indicate infection or a complication of type 1 diabetes
on mellitus. The nurse should immediately follow up on these findings because they
can indicate infection or other complications.
