ATI RN Fundamentals Online Practice
Exam Question And 2024
A nurse in a medical-surgical unit is caring for six clients.
Complete the following sentence by using the list of
options.
The first client the nurse should assess is _____ followed
by _____.
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. - correct answers✅Correct Answer (1):
Client 3
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.
Correct Answer (2):
,ATI RN Fundamentals Online Practice
Exam Question And 2024
Client 4
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.
Incorrect answers (1):
Client 1 is incorrect. The nurse should assess this client
because the client's C-reactive protein is greater than the
expected reference range, which is an indication of
inflammation. However, there is another client the nurse
should assess first.
Client 2 is incorrect. The nurse should assess this client
because the client's cholesterol level is greater than the
expected reference range, which places them at risk for
coronary heart disease. However, there is another client
the nurse should assess first.
Incorrect answers (2):
Client 5 is incorrect. The nurse should assess this client
because their prealbumin level is less than the expected
reference range, which places them at risk for delayed
wound healing. However, this client is not the next
priority client to assess.
,ATI RN Fundamentals Online Practice
Exam Question And 2024
Client 6 is incorrect. The nurse should assess this client
because their glycosylated hemoglobin level is greater
than the expected reference range, which indicates poor
diabetic control. However, this client is not the next
priority client to assess.
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
, ATI RN Fundamentals Online Practice
Exam Question And 2024
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.
Exam Question And 2024
A nurse in a medical-surgical unit is caring for six clients.
Complete the following sentence by using the list of
options.
The first client the nurse should assess is _____ followed
by _____.
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. - correct answers✅Correct Answer (1):
Client 3
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.
Correct Answer (2):
,ATI RN Fundamentals Online Practice
Exam Question And 2024
Client 4
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.
Incorrect answers (1):
Client 1 is incorrect. The nurse should assess this client
because the client's C-reactive protein is greater than the
expected reference range, which is an indication of
inflammation. However, there is another client the nurse
should assess first.
Client 2 is incorrect. The nurse should assess this client
because the client's cholesterol level is greater than the
expected reference range, which places them at risk for
coronary heart disease. However, there is another client
the nurse should assess first.
Incorrect answers (2):
Client 5 is incorrect. The nurse should assess this client
because their prealbumin level is less than the expected
reference range, which places them at risk for delayed
wound healing. However, this client is not the next
priority client to assess.
,ATI RN Fundamentals Online Practice
Exam Question And 2024
Client 6 is incorrect. The nurse should assess this client
because their glycosylated hemoglobin level is greater
than the expected reference range, which indicates poor
diabetic control. However, this client is not the next
priority client to assess.
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
, ATI RN Fundamentals Online Practice
Exam Question And 2024
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.
