ATI RN Fundamentals Online
Practice Proctored Exam B Q & A
2025-2026
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 precise answer ---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):
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.
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 precise answer ---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.
Practice Proctored Exam B Q & A
2025-2026
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 precise answer ---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):
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.
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 precise answer ---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.
