ATI RN FUNDAMENTALS ONLINE PRACTICE 2023 B
\\\ATI RN FUNDAMENTALS PROCTORED WITH RN
ALREADY GRADED A+ REAL EXAM !!! REAL EXAM !!!
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.
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.
Assist the client to a left side-lying position with the right knee flexed.
Prepare the client for a chest x-ray.
Administer a cleansing enema.
Auscultate the client's bowel sounds.
,Perform a manual digital examination of the client's rectum.
Administer oxycodone extended-release tablets.
Prepare the client for NG tube placement. -----ANSWER----Correct Answer:
Assist the client to a left side-lying position with the right knee flexed
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
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
The nurse should auscultate the client's bowel sounds to determine the 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
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.
Incorrect Answer:
Prepare the client for a chest x-ray is incorrect. A chest x-ray is typically performed for a client who has
an impairment of the upper thorax or lungs, not the abdomen. The client has already received an
abdominal x-ray; therefore, a chest x-ray is not necessary.
Prepare the client for NG tube placement is incorrect. The nurse should not prepare the client for
placement of an NG tube because there is no indication or prescription to do so. Placement of an NG
tube is required when there is an obstruction of the gastrointestinal tract and peristalsis is absent.
,A nurse is caring for a client who asks about the purpose of advance directives. Which of the following
statements should the nurse make?
"They allow the court to overrule an adult client's refusal of medical treatment."
"They indicate the form of treatment a client is willing to accept in the event of a serious illness."
"They permit a client to withhold medical information from health care personnel."
"They allow health care personnel in the emergency department to stabilize a client's condition." -----
ANSWER----Correct Answer:
"They indicate the form of treatment a client is willing to accept in the event of a serious illness."
Advance directives include a living will, which permits clients to direct the treatment they will receive in
the event of a medical emergency or serious illness.
Incorrect Answer:
"They allow the court to overrule an adult client's refusal of medical treatment."
A court can only overrule an adult client's refusal of medical treatment if the client is legally
incompetent.
"They permit a client to withhold medical information from health care personnel."
The Americans with Disabilities Act, not advance directives, protects the privacy of a client who chooses
not to disclose a medical disability.
"They allow health care personnel in the emergency department to stabilize a client's condition."
The Emergency Medical Treatment and Active Labor Act, not advance directives, directs emergency
personnel to provide screening and stabilizing care before discharging or transferring clients to another
facility.
A nurse is caring for a client who has a prescription for 5 units of regular insulin and 10 units of NPH
insulin to mix together and administer subcutaneously. Determine the correct order of steps for this
procedure.
Inject 5 units of air into the bottle of regular insulin
Withdraw the correct dose of NPH insulin from the bottle
, Inject 10 units of air into the bottle of NPH insulin
Withdraw the correct dose of regular insulin from the bottle -----ANSWER----Correct Answer:
Inject 10 units of air into the bottle of NPH insulin
Inject 5 units of air into the bottle of regular insulin
Withdraw the correct dose of regular insulin from the bottle
Withdraw the correct dose of NPH insulin from the bottle
The nurse should first inject air into the vial of NPH insulin without touching the needle to the solution.
Next, the nurse should inject air into the vial of regular insulin and withdraw the correct amount of the
regular insulin. Finally, the nurse should insert the needle into the NPH insulin vial and withdraw the
correct amount of NPH insulin. The nurse should follow these steps to prevent contaminating the
regular insulin with NPH insulin.
A nurse is performing a Romberg test during the physical assessment of a client. Which of the following
techniques should the nurse use?
Touch the face with a cotton ball.
Apply a vibrating tuning fork to the client's forehead.
Have the client stand with their arms at their sides and their feet together.
Perform direct percussion over the area of the kidneys. -----ANSWER----Correct Answer:
Have the client stand with their arms at their sides and their feet together.
A Romberg test helps identify alterations in balance. The nurse should have the client stand with their
arms at their sides and their feet together to observe for swaying and a loss of balance.
Incorrect Answer:
Touch the face with a cotton ball.
The nurse should touch the client's corneas with a wisp of cotton and measure light touch and pain
across the client's face to test cranial nerve V, the trigeminal nerve.
Apply a vibrating tuning fork to the client's forehead.
The nurse should apply a vibrating tuning fork to the client's head to perform the Weber test to identify
sound lateralization when assessing hearing.
\\\ATI RN FUNDAMENTALS PROCTORED WITH RN
ALREADY GRADED A+ REAL EXAM !!! REAL EXAM !!!
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.
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.
Assist the client to a left side-lying position with the right knee flexed.
Prepare the client for a chest x-ray.
Administer a cleansing enema.
Auscultate the client's bowel sounds.
,Perform a manual digital examination of the client's rectum.
Administer oxycodone extended-release tablets.
Prepare the client for NG tube placement. -----ANSWER----Correct Answer:
Assist the client to a left side-lying position with the right knee flexed
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
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
The nurse should auscultate the client's bowel sounds to determine the 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
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.
Incorrect Answer:
Prepare the client for a chest x-ray is incorrect. A chest x-ray is typically performed for a client who has
an impairment of the upper thorax or lungs, not the abdomen. The client has already received an
abdominal x-ray; therefore, a chest x-ray is not necessary.
Prepare the client for NG tube placement is incorrect. The nurse should not prepare the client for
placement of an NG tube because there is no indication or prescription to do so. Placement of an NG
tube is required when there is an obstruction of the gastrointestinal tract and peristalsis is absent.
,A nurse is caring for a client who asks about the purpose of advance directives. Which of the following
statements should the nurse make?
"They allow the court to overrule an adult client's refusal of medical treatment."
"They indicate the form of treatment a client is willing to accept in the event of a serious illness."
"They permit a client to withhold medical information from health care personnel."
"They allow health care personnel in the emergency department to stabilize a client's condition." -----
ANSWER----Correct Answer:
"They indicate the form of treatment a client is willing to accept in the event of a serious illness."
Advance directives include a living will, which permits clients to direct the treatment they will receive in
the event of a medical emergency or serious illness.
Incorrect Answer:
"They allow the court to overrule an adult client's refusal of medical treatment."
A court can only overrule an adult client's refusal of medical treatment if the client is legally
incompetent.
"They permit a client to withhold medical information from health care personnel."
The Americans with Disabilities Act, not advance directives, protects the privacy of a client who chooses
not to disclose a medical disability.
"They allow health care personnel in the emergency department to stabilize a client's condition."
The Emergency Medical Treatment and Active Labor Act, not advance directives, directs emergency
personnel to provide screening and stabilizing care before discharging or transferring clients to another
facility.
A nurse is caring for a client who has a prescription for 5 units of regular insulin and 10 units of NPH
insulin to mix together and administer subcutaneously. Determine the correct order of steps for this
procedure.
Inject 5 units of air into the bottle of regular insulin
Withdraw the correct dose of NPH insulin from the bottle
, Inject 10 units of air into the bottle of NPH insulin
Withdraw the correct dose of regular insulin from the bottle -----ANSWER----Correct Answer:
Inject 10 units of air into the bottle of NPH insulin
Inject 5 units of air into the bottle of regular insulin
Withdraw the correct dose of regular insulin from the bottle
Withdraw the correct dose of NPH insulin from the bottle
The nurse should first inject air into the vial of NPH insulin without touching the needle to the solution.
Next, the nurse should inject air into the vial of regular insulin and withdraw the correct amount of the
regular insulin. Finally, the nurse should insert the needle into the NPH insulin vial and withdraw the
correct amount of NPH insulin. The nurse should follow these steps to prevent contaminating the
regular insulin with NPH insulin.
A nurse is performing a Romberg test during the physical assessment of a client. Which of the following
techniques should the nurse use?
Touch the face with a cotton ball.
Apply a vibrating tuning fork to the client's forehead.
Have the client stand with their arms at their sides and their feet together.
Perform direct percussion over the area of the kidneys. -----ANSWER----Correct Answer:
Have the client stand with their arms at their sides and their feet together.
A Romberg test helps identify alterations in balance. The nurse should have the client stand with their
arms at their sides and their feet together to observe for swaying and a loss of balance.
Incorrect Answer:
Touch the face with a cotton ball.
The nurse should touch the client's corneas with a wisp of cotton and measure light touch and pain
across the client's face to test cranial nerve V, the trigeminal nerve.
Apply a vibrating tuning fork to the client's forehead.
The nurse should apply a vibrating tuning fork to the client's head to perform the Weber test to identify
sound lateralization when assessing hearing.
