ATI FUNDAMENTALS PROCTORED EXAM
WITH 70 NGN QUESTIONS AND ANSWERS & RATIONALES
(VERIFIED FULL EXAM) / A+ GRADE
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 adminis- tered 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 pre- scribed.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 Answer: (1):
Client 3
When using the air way, breathing, circulation approach to client car e, 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 air way, breathing, circulation approach to client car e, 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.
In
Correct Answer: s (1):
Client 1 is incorrect. The nurse should assess this client because the client's C-re- active
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.
In
Correct Answer: s (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 Answer:: Breath Sounds
Crackles are caused by mucous in the airways and are a manifestation of pneumo- nia.
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
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