HEALT H ASSESSMENT ATI EXAM 1 LATEST
NEWEST 2026/2027 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS
A nurse is instructing an assistive personnel (aP) about caring for a
client who has a low platelet count as a result of chemotherapy.
Which of the following instructions is the priority for measuring vital
signs for this client?
A."Do not measure the client's temperature rectally."
B."Count the client's radial pulse for 30 seconds and multiply it by 2."
C."Do not let the client know you are counting her respirations."
D."let the client rest for 5 minutes before you measure her blood
pressure."
SELECTED ANSWER 👀 A
Rationale:
A. The greatest risk to a client who has a low platelet count is an
injury that results in bleeding. Using a thermometer rectally poses a
risk of injury to the rectal mucosa. the low platelet count
contraindicates the use of the rectal route for this client.
A nurse is instructing a group of nursing students in measuring a
client's respiratory rate. Which of the following guidelines should the
nurse include? (Select all that apply.)
A.Place the client in semi-Fowler's position.
,B.Have the client rest an arm across the abdomen.
C.Observe one full respiratory cycle before counting the rate.
D.Count the rate for 30 sec if it is irregular.
E.Count and report any sighs the client demonstrates. SELECTED
ANSWER 👀 A, B, C
Rationale:
A. Having the client sit upright facilitates full ventilation and gives the
students a clear view of chest and abdominal movements.
B. With the client's arm across the abdomen or lower chest, it is easier
for the students to see respiratory movements.
C. Observing for one full respiratory cycle before starting to count
assists the students in obtaining an accurate count.
D. the students should count the rate for 1 min if it is irregular
A nurse who is admitting a client who has a fractured femur obtains a
blood pressure reading of 140/94 mm Hg. the client denies any history
of hypertension. Which of the following actions should the nurse take
first?
A.Request a prescription for an antihypertensive medication.
B. ask the client if she is having pain.
C.Request a prescription for an anti-anxiety medication.
D.Return in 30 min to recheck the client's blood pressure SELECTED
ANSWER 👀 B
Rationale:
, B. The first action the nurse should take using the nursing process is
to assess the client for pain which can cause multiple complications,
including elevated blood pressure. therefore, the nurse's priority is to
perform a pain assessment. if the client's blood pressure is still
elevated after pain interventions, the nurse should report this finding
to the provider.
A nurse is performing an admission assessment on a client. the nurse
determines the client's radial pulse rate is 68/min and the
simultaneous apical pulse rate is 84/min. What is the client's pulse
deficit? SELECTED ANSWER 👀 16/min
the pulse deficit is the difference between the apical and radial pulse
rates. it reflects the number of ineffective or non perfusing heartbeats
that do not transmit pulsations to peripheral pulse points. 84-68 = 16
A nurse at a clinic is collecting data about pain from of a client who
reports severe abdominal pain. the nurse asks the client whether he
has nausea and has been vomiting. Which of the following pain
characteristics is the nurse attempting to determine?
A.Presence of associated manifestations
B.Location of the pain
C.Pain quality
D. aggravating and relieving factors SELECTED ANSWER 👀 A
Rationale:
NEWEST 2026/2027 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS
A nurse is instructing an assistive personnel (aP) about caring for a
client who has a low platelet count as a result of chemotherapy.
Which of the following instructions is the priority for measuring vital
signs for this client?
A."Do not measure the client's temperature rectally."
B."Count the client's radial pulse for 30 seconds and multiply it by 2."
C."Do not let the client know you are counting her respirations."
D."let the client rest for 5 minutes before you measure her blood
pressure."
SELECTED ANSWER 👀 A
Rationale:
A. The greatest risk to a client who has a low platelet count is an
injury that results in bleeding. Using a thermometer rectally poses a
risk of injury to the rectal mucosa. the low platelet count
contraindicates the use of the rectal route for this client.
A nurse is instructing a group of nursing students in measuring a
client's respiratory rate. Which of the following guidelines should the
nurse include? (Select all that apply.)
A.Place the client in semi-Fowler's position.
,B.Have the client rest an arm across the abdomen.
C.Observe one full respiratory cycle before counting the rate.
D.Count the rate for 30 sec if it is irregular.
E.Count and report any sighs the client demonstrates. SELECTED
ANSWER 👀 A, B, C
Rationale:
A. Having the client sit upright facilitates full ventilation and gives the
students a clear view of chest and abdominal movements.
B. With the client's arm across the abdomen or lower chest, it is easier
for the students to see respiratory movements.
C. Observing for one full respiratory cycle before starting to count
assists the students in obtaining an accurate count.
D. the students should count the rate for 1 min if it is irregular
A nurse who is admitting a client who has a fractured femur obtains a
blood pressure reading of 140/94 mm Hg. the client denies any history
of hypertension. Which of the following actions should the nurse take
first?
A.Request a prescription for an antihypertensive medication.
B. ask the client if she is having pain.
C.Request a prescription for an anti-anxiety medication.
D.Return in 30 min to recheck the client's blood pressure SELECTED
ANSWER 👀 B
Rationale:
, B. The first action the nurse should take using the nursing process is
to assess the client for pain which can cause multiple complications,
including elevated blood pressure. therefore, the nurse's priority is to
perform a pain assessment. if the client's blood pressure is still
elevated after pain interventions, the nurse should report this finding
to the provider.
A nurse is performing an admission assessment on a client. the nurse
determines the client's radial pulse rate is 68/min and the
simultaneous apical pulse rate is 84/min. What is the client's pulse
deficit? SELECTED ANSWER 👀 16/min
the pulse deficit is the difference between the apical and radial pulse
rates. it reflects the number of ineffective or non perfusing heartbeats
that do not transmit pulsations to peripheral pulse points. 84-68 = 16
A nurse at a clinic is collecting data about pain from of a client who
reports severe abdominal pain. the nurse asks the client whether he
has nausea and has been vomiting. Which of the following pain
characteristics is the nurse attempting to determine?
A.Presence of associated manifestations
B.Location of the pain
C.Pain quality
D. aggravating and relieving factors SELECTED ANSWER 👀 A
Rationale:
