Ati Rn Fundamentals Practice
Exam Questions With 100%
Correct And Verified Answers
2025
Ainurseiiniaimedical-surgicaliunitiisicaringiforisixiclients.
Completeitheifollowingisentenceibyiusingitheilistiofioptions.
Theifirsticlientitheinurseishouldiassessiisi_____ifollowedibyi___
__.
Clienti1:iClientiisiadmittediwithiainewidiagnosisiofirheumato
idiarthritis.Clienti2:iClientihasiaihistoryiofihyperlipidemia.iA
torvastatini20imgiPOiadministerediasiprescribed.Clienti3:iCl
ientiisi1idayipostoperative.iReportsipainiasi8ioniaiscaleiofi0ito
i10.iMorphinei5imgisubcutaneousiadministerediasiprescribe
d.Clienti4:iClientiisiadmittediwithiainewidiagnosisiofiheartifa
ilure.Clienti5:iClientihasiaistagei2ipressureiinjuryionitheilefti
heel.Clienti6:iClientiisiadmittediwithiainewidiagnosisiofidiab
etesimellitus.i-iCORRECTiANSWERS-CorrectiAnsweri(1):
Clienti3
Wheniusingitheiairway,ibreathing,icirculationiapproachitoicl
ienticare,itheinurseishouldidetermineithatithisiclientiisitheip
riorityiclientitoiassess.iTheiclientihasianioxygenisaturationit
hatiisilessithanitheiexpectedireferenceirange,iwhichiisianiind
icationiofihypoxia.
CorrectiAnsweri(2):
Clienti4
Wheniusingitheiairway,ibreathing,icirculationiapproachitoicl
ienticare,itheinurseishouldidetermineithatithisiclientiisithein
extipriorityiclientitoiassess.iTheiclientihasiaipotassiumilevelit
hatiisilessithanitheiexpectedireferenceirange,iwhichiplacesit
heiclientiatiriskiforidysrhythmias.
vendarsol
,IncorrectiAnswersi(1):
Clienti1iisiincorrect.iTheinurseishouldiassessithisiclientibeca
useitheiclient'siC-
reactiveiproteiniisigreaterithanitheiexpectedireferenceirange
,iwhichiisianiindicationiofiinflammation.iHowever,ithereiisian
othericlientitheinurseishouldiassessifirst.
Clienti2iisiincorrect.iTheinurseishouldiassessithisiclientibeca
useitheiclient'sicholesterolileveliisigreaterithanitheiexpectedi
referenceirange,iwhichiplacesithemiatiriskiforicoronaryihear
tidisease.iHowever,ithereiisianothericlientitheinurseishouldia
ssessifirst.
IncorrectiAnswersi(2):
Clienti5iisiincorrect.iTheinurseishouldiassessithisiclientibeca
useitheiriprealbuminileveliisilessithanitheiexpectedireferenc
eirange,iwhichiplacesithemiatiriskiforidelayediwoundihealing
.iHowever,ithisiclientiisinotitheinextipriorityiclientitoiassess.
Clienti6iisiincorrect.iTheinurseishouldiassessithisiclientibeca
useitheiriglycosylatedihemoglobinileveliisigreaterithanitheie
xpectedireferenceirange,iwhichiindicatesipooridiabeticicontr
ol.iHowever,ithisiclientiisinotitheinextipriorityiclientitoiasses
s.
AinurseiisicaringiforiaiclientiwhoihasiCOPD.
Selectithei3ifindingsithatirequireifollow-up.
Breathisounds
Bloodipressure
Oxygenisaturation
Temperature
Heartiratei-iCORRECTiANSWERS-CorrectiAnswer:
BreathiSounds
Cracklesiareicausedibyimucousiinitheiairwaysiandiareiaimani
festationiofipneumonia.iDecreasedibreathisoundsiindicateid
ecreasediventilationiandirequireifollow-upibyitheinurse.
vendarsol
,OxygeniSaturation
Theiclient'sioxygenisaturationiisibelowitheiexpectedireferenc
eirangeiofi95%itoi100%,iindicatingihypoxia,iandirequiresifoll
ow-upibyitheinurse.
Temperature
Theiclient'sitemperatureiisigreaterithanitheiexpectedirefere
nceirange,iindicatingianiinfection,iandirequiresifollow-
upibyitheinurse.
IncorrectiAnswer:
Bloodipressureiisiincorrect.iTheiclient'sibloodipressureiisiwit
hinitheiexpectedireferenceirangeiandidoesinotirequireifollow
-upibyitheinurse.
Heartirateiisiincorrect.iTheiclient'siheartirateiisiwithinitheiex
pectedireferenceirangeiofi60itoi100/
miniandidoesinotirequireifollow-upibyitheinurse.
Ainurseiinitheiemergencyidepartmenti(ED)iisicaringiforiaiclie
ntiwhoireportsiabdominalipain.i
Basedionitheiclient'siclinicalifindings,iwhichiofitheifollowingi
actionsishoulditheinurseitake?iSelectiallithatiapply.
Assistitheiclientitoiaileftiside-
lyingipositioniwithitheirightikneeiflexed.
Prepareitheiclientiforiaichestix-ray.
Administeriaicleansingienema.
Auscultateitheiclient'sibowelisounds.
Performiaimanualidigitaliexaminationiofitheiclient'sirectum.
Administerioxycodoneiextended-releaseitablets.
PrepareitheiclientiforiNGitubeiplacement.i-
iCORRECTiANSWERS-CorrectiAnswer:
Assistitheiclientitoiaileftiside-
lyingipositioniwithitheirightikneeiflexedi
Theinurseishouldiplaceitheiclientiiniaileftiside-
lyingipositioniwithitheirightikneeiflexediprioritoiadministeri
ngianienema.iBecauseitheiprovideriprescribediaicleansingien
vendarsol
, emaiforitheiclient,itheinurseishouldiprepareitheiclientiforithe
iprocedure.
Administeriaicleansingienemai
Theinurseishouldiadministeriaicleansingienemaiforitheiclien
tiasiairesultiofitheiprovider'siprescription.iAicleansingienema
iisiintendeditoiassistiwithibowelieliminationiandiremoveianyii
mpactedifecalimatteriindicatedibyitheiabdominalix-ray.
Auscultateitheiclient'sibowelisoundsi
Theinurseishouldiauscultateitheiclient'sibowelisoundsitoidet
ermineitheistatusiofitheiclient'siperistalsis.iThisiisiainecessa
ryipartiofideterminingitheipresenceiofibowelisounds,iwhichia
reianiindicationiofitheistatusiofitheiclient'sigastrointestinalit
ract.
Performiaimanualidigitaliexaminationiofitheiclient'sirectum
Theinurseishouldiperformiaimanualidigitaliexaminationiofith
eiclient'sirectumitoidetermineiifiimpactedistooliisipresent.iT
hisiisiaipartiofitheinecessaryievaluationiofitheistatusiofitheicli
ent'sigastrointestinalitract.
IncorrectiAnswer:
Prepareitheiclientiforiaichestix-rayiisiincorrect.iAichestix-
rayiisitypicallyiperformediforiaiclientiwhoihasianiimpairmenti
ofitheiupperithoraxiorilungs,inotitheiabdomen.iTheiclientihas
ialreadyireceivedianiabdominalix-ray;itherefore,iaichestix-
rayiisinotinecessary.
PrepareitheiclientiforiNGitubeiplacementiisiincorrect.iTheinu
rseishouldinotiprepareitheiclientiforiplacementiofianiNGitube
ibecauseithereiisinoiindicationioriprescriptionitoidoiso.iPlace
mentiofianiNGitubeiisirequirediwhenithereiisianiobstructioni
ofitheigastrointestinalitractiandiperistalsisiisiabsent.
Ainurseiisicaringiforiaiclientiwhoiasksiaboutitheipurposeiofia
dvanceidirectives.iWhichiofitheifollowingistatementsishouldi
theinurseimake?
vendarsol
Exam Questions With 100%
Correct And Verified Answers
2025
Ainurseiiniaimedical-surgicaliunitiisicaringiforisixiclients.
Completeitheifollowingisentenceibyiusingitheilistiofioptions.
Theifirsticlientitheinurseishouldiassessiisi_____ifollowedibyi___
__.
Clienti1:iClientiisiadmittediwithiainewidiagnosisiofirheumato
idiarthritis.Clienti2:iClientihasiaihistoryiofihyperlipidemia.iA
torvastatini20imgiPOiadministerediasiprescribed.Clienti3:iCl
ientiisi1idayipostoperative.iReportsipainiasi8ioniaiscaleiofi0ito
i10.iMorphinei5imgisubcutaneousiadministerediasiprescribe
d.Clienti4:iClientiisiadmittediwithiainewidiagnosisiofiheartifa
ilure.Clienti5:iClientihasiaistagei2ipressureiinjuryionitheilefti
heel.Clienti6:iClientiisiadmittediwithiainewidiagnosisiofidiab
etesimellitus.i-iCORRECTiANSWERS-CorrectiAnsweri(1):
Clienti3
Wheniusingitheiairway,ibreathing,icirculationiapproachitoicl
ienticare,itheinurseishouldidetermineithatithisiclientiisitheip
riorityiclientitoiassess.iTheiclientihasianioxygenisaturationit
hatiisilessithanitheiexpectedireferenceirange,iwhichiisianiind
icationiofihypoxia.
CorrectiAnsweri(2):
Clienti4
Wheniusingitheiairway,ibreathing,icirculationiapproachitoicl
ienticare,itheinurseishouldidetermineithatithisiclientiisithein
extipriorityiclientitoiassess.iTheiclientihasiaipotassiumilevelit
hatiisilessithanitheiexpectedireferenceirange,iwhichiplacesit
heiclientiatiriskiforidysrhythmias.
vendarsol
,IncorrectiAnswersi(1):
Clienti1iisiincorrect.iTheinurseishouldiassessithisiclientibeca
useitheiclient'siC-
reactiveiproteiniisigreaterithanitheiexpectedireferenceirange
,iwhichiisianiindicationiofiinflammation.iHowever,ithereiisian
othericlientitheinurseishouldiassessifirst.
Clienti2iisiincorrect.iTheinurseishouldiassessithisiclientibeca
useitheiclient'sicholesterolileveliisigreaterithanitheiexpectedi
referenceirange,iwhichiplacesithemiatiriskiforicoronaryihear
tidisease.iHowever,ithereiisianothericlientitheinurseishouldia
ssessifirst.
IncorrectiAnswersi(2):
Clienti5iisiincorrect.iTheinurseishouldiassessithisiclientibeca
useitheiriprealbuminileveliisilessithanitheiexpectedireferenc
eirange,iwhichiplacesithemiatiriskiforidelayediwoundihealing
.iHowever,ithisiclientiisinotitheinextipriorityiclientitoiassess.
Clienti6iisiincorrect.iTheinurseishouldiassessithisiclientibeca
useitheiriglycosylatedihemoglobinileveliisigreaterithanitheie
xpectedireferenceirange,iwhichiindicatesipooridiabeticicontr
ol.iHowever,ithisiclientiisinotitheinextipriorityiclientitoiasses
s.
AinurseiisicaringiforiaiclientiwhoihasiCOPD.
Selectithei3ifindingsithatirequireifollow-up.
Breathisounds
Bloodipressure
Oxygenisaturation
Temperature
Heartiratei-iCORRECTiANSWERS-CorrectiAnswer:
BreathiSounds
Cracklesiareicausedibyimucousiinitheiairwaysiandiareiaimani
festationiofipneumonia.iDecreasedibreathisoundsiindicateid
ecreasediventilationiandirequireifollow-upibyitheinurse.
vendarsol
,OxygeniSaturation
Theiclient'sioxygenisaturationiisibelowitheiexpectedireferenc
eirangeiofi95%itoi100%,iindicatingihypoxia,iandirequiresifoll
ow-upibyitheinurse.
Temperature
Theiclient'sitemperatureiisigreaterithanitheiexpectedirefere
nceirange,iindicatingianiinfection,iandirequiresifollow-
upibyitheinurse.
IncorrectiAnswer:
Bloodipressureiisiincorrect.iTheiclient'sibloodipressureiisiwit
hinitheiexpectedireferenceirangeiandidoesinotirequireifollow
-upibyitheinurse.
Heartirateiisiincorrect.iTheiclient'siheartirateiisiwithinitheiex
pectedireferenceirangeiofi60itoi100/
miniandidoesinotirequireifollow-upibyitheinurse.
Ainurseiinitheiemergencyidepartmenti(ED)iisicaringiforiaiclie
ntiwhoireportsiabdominalipain.i
Basedionitheiclient'siclinicalifindings,iwhichiofitheifollowingi
actionsishoulditheinurseitake?iSelectiallithatiapply.
Assistitheiclientitoiaileftiside-
lyingipositioniwithitheirightikneeiflexed.
Prepareitheiclientiforiaichestix-ray.
Administeriaicleansingienema.
Auscultateitheiclient'sibowelisounds.
Performiaimanualidigitaliexaminationiofitheiclient'sirectum.
Administerioxycodoneiextended-releaseitablets.
PrepareitheiclientiforiNGitubeiplacement.i-
iCORRECTiANSWERS-CorrectiAnswer:
Assistitheiclientitoiaileftiside-
lyingipositioniwithitheirightikneeiflexedi
Theinurseishouldiplaceitheiclientiiniaileftiside-
lyingipositioniwithitheirightikneeiflexediprioritoiadministeri
ngianienema.iBecauseitheiprovideriprescribediaicleansingien
vendarsol
, emaiforitheiclient,itheinurseishouldiprepareitheiclientiforithe
iprocedure.
Administeriaicleansingienemai
Theinurseishouldiadministeriaicleansingienemaiforitheiclien
tiasiairesultiofitheiprovider'siprescription.iAicleansingienema
iisiintendeditoiassistiwithibowelieliminationiandiremoveianyii
mpactedifecalimatteriindicatedibyitheiabdominalix-ray.
Auscultateitheiclient'sibowelisoundsi
Theinurseishouldiauscultateitheiclient'sibowelisoundsitoidet
ermineitheistatusiofitheiclient'siperistalsis.iThisiisiainecessa
ryipartiofideterminingitheipresenceiofibowelisounds,iwhichia
reianiindicationiofitheistatusiofitheiclient'sigastrointestinalit
ract.
Performiaimanualidigitaliexaminationiofitheiclient'sirectum
Theinurseishouldiperformiaimanualidigitaliexaminationiofith
eiclient'sirectumitoidetermineiifiimpactedistooliisipresent.iT
hisiisiaipartiofitheinecessaryievaluationiofitheistatusiofitheicli
ent'sigastrointestinalitract.
IncorrectiAnswer:
Prepareitheiclientiforiaichestix-rayiisiincorrect.iAichestix-
rayiisitypicallyiperformediforiaiclientiwhoihasianiimpairmenti
ofitheiupperithoraxiorilungs,inotitheiabdomen.iTheiclientihas
ialreadyireceivedianiabdominalix-ray;itherefore,iaichestix-
rayiisinotinecessary.
PrepareitheiclientiforiNGitubeiplacementiisiincorrect.iTheinu
rseishouldinotiprepareitheiclientiforiplacementiofianiNGitube
ibecauseithereiisinoiindicationioriprescriptionitoidoiso.iPlace
mentiofianiNGitubeiisirequirediwhenithereiisianiobstructioni
ofitheigastrointestinalitractiandiperistalsisiisiabsent.
Ainurseiisicaringiforiaiclientiwhoiasksiaboutitheipurposeiofia
dvanceidirectives.iWhichiofitheifollowingistatementsishouldi
theinurseimake?
vendarsol
