ATI Fundamentals Proctored Exam (Holistic)

A nurse observes a client with unexpected facial muscle twitching during a head-to-toe assessment. What is the most appropriate action the nurse should take?

A client is assessed with abdominal tenderness and bright red blood in their stool. Which action should the nurse take first?

What is an expected finding in breast tissue during palpation?

A client presents with increasing fatigue, shortness of breath with exertion, and a reported wheezing sound that a family member heard. What initial step should the nurse take to assess for respirator

A nurse assesses tracheal deviation during a physical assessment. What is the priority action?

What is the nurse's priority action when asymmetrical shoulder height is noted in a client during a head-to-toe assessment?

Which of the following organs is located in the pelvic cavity and primarily functions to house a developing fetus?

A nurse is assessing a client's abdomen and notices distended veins and yellow skin color. What condition might this indicate?

A nurse is performing an abdominal assessment on a client. Which finding requires immediate intervention?

A nurse is assessing a client's cranial nerve function. Which of the following findings indicates an intact cranial nerve XI (accessory nerve)?

Which statement indicates an expected finding in breastfeeding clients?

A nurse is caring for a client that is immobile. The nurse recognizes that the appearance of erythema on the skin is an indication of which of the following stages of pressure injuries?

A nurse is teaching a client about the musculoskeletal system. The nurse should include that which of the following is a fluid filled capsule that enables movement and flexibility?

A nurse is teaching a client about the epidermis. Which of the following information should the nurse include?

A nurse is assessing a client’s cranial nerves. Which cranial nerve is responsible for the sense of smell?

A client with diminished bowel sounds in one quadrant presents for assessment. What would be the most appropriate nursing action?

A nurse is providing teaching to the parent of a newborn. Which of the following statements made by the parent indicates an understanding of the teaching?

During the head-to-toe assessment, the client presents with an unexpected unilateral lower extremity swelling. What is the priority nursing action?

A community health nurse is providing teaching to the family of a client who has primary dementia. Which of the following manifestations should the nurse tell the family to expect?

A nurse is caring for an older adult client who has significant weight gain and ascites related to end-stage liver disease. Which of the following precautions is important for the nurse to include in

A nurse is caring for a client who has a fever. Which of the following is a systemic manifestation that the nurse should monitor for?

A nurse is caring for a 4-month-old infant who screams when the parent leaves the room. The parent begins to cry and says, "I don't understand why my child is so upset. I've never seen my child act th

A nurse is performing a Romberg test on a client. Which of the following findings should the nurse document as a negative test?

During palpation of a client’s abdomen, the nurse feels a pulsating mass in the midline near the umbilicus. What should the nurse do next?

When assessing the client, which finding indicates a focused respiratory examination?