ATI RN
ATI RN Fundamentals 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is assessing a client's abdomen. In what order should the nurse complete the steps of the assessment? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Correct Answer: D,E,C,B,A
Rationale: Abdominal assessment follows: inspection (
D) first to observe contours, auscultation (E) second for bowel sounds before palpation affects them, percussion (
C) third to assess sound quality, light palpation (
B) fourth for tenderness, and deep palpation (
A) last to avoid discomfort interference.
Question 2 of 5
A nurse is planning to use nonpharmacological pain relief methods for a client who reports continued mild back pain after receiving analgesia 1 hr ago. Which of the following actions should the nurse include in the plan?
Correct Answer: A
Rationale: Deep, rhythmic breaths (
A) relax muscles and reduce pain perception. Prolonged heat (
B) risks burns, distraction removal (
C) is secondary, and long ice (
D) is for acute pain, not mild chronic.
Question 3 of 5
A nurse is assessing a client whose therapy has included bed rest for several weeks. Which of the following findings should the nurse identify as the priority?
Correct Answer: B
Rationale: Left lower extremity tenderness (
B) may indicate DVT, a life-threatening risk of immobility, making it the priority. Appetite (
A), heart rate (
C), and weakness (
D) are less urgent.
Question 4 of 5
The nurse is preparing the client for surgery. Select the 3 findings that require follow-up prior to surgery.
Correct Answer: A,C,E,F
Rationale: Dietary intake (
A) ensures fasting compliance, pain level (
C) needs management (increased to 8/10), allergies (E) prevent reactions (shellfish, latex, penicillin), and informed consent (F) confirms understanding—critical pre-surgery. Oxygen saturation (
B) at 96% and blood pressure (
D) are stable.
Question 5 of 5
A nurse is assessing a client who received morphine for severe pain 30 min ago. Which of the following findings is the nurse's priority?
Correct Answer: A
Rationale: Respiratory rate 7/min (
A) indicates opioid-induced respiratory depression, a life-threatening priority per ABCs. Bladder (
B), constipation (
C), and pain (
D) are less urgent.