RN ATI Proctored Exam 1 Physical Assessment

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Sample questions from RN ATI Proctored Exam 1 Physical Assessment

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.Which statement best describes the place of health assessment in the nursing process?

   • A.It is limited to collecting objective data during a physical examination.
   • B.It occurs only when a client reports a new symptom.
   • C.It follows planning and confirms that interventions were completed.
   • D.It is the first step and provides data for identifying client needs.

   Rationale: Assessment is the first nursing-process step and supplies the subjective and objective data used in subsequent clinical judgment. Planning and evaluation occur later, and assessment is not limited to physical findings or new complaints. The exam takeaway is to collect and validate data before drawing conclusions or planning care.

2. 2.Which finding is subjective data?

   • A.The client states, "My head has been aching since breakfast."
   • B.The client's radial pulse is 104/min and irregular.
   • C.The nurse observes a 2-cm bruise on the client's forearm.
   • D.The client's oral temperature is 38.1 C (100.6 F).

   Rationale: A symptom reported by the client is subjective data, even when it can be explored in detail. A visible bruise, measured temperature, and palpated pulse are objective findings. Distinguish what the client experiences and reports from what the examiner observes or measures.

3. 3.Refer to the client's chart. Which findings are objective assessment data? Select all that apply.

   • A.Respiratory rate is 28/min at 0900.
   • B.The client reports chest tightness rated 6 on a 0-to-10 scale.
   • C.The client says, "I feel short of breath when I walk."
   • D.At 1100, oxygen saturation is 91% on room air.
   • E.At 0900, the nurse observes use of accessory muscles.

   Rationale: The 0900 observation of accessory-muscle use, the measured respiratory rate of 28/min, and the 1100 oxygen saturation of 91% are objective findings. The client's descriptions of breathlessness and chest tightness are subjective reports, even though the pain rating is numerical. Classify data by its source, not by how specific or measurable the client's words sound.

4. 4.During a routine clinic visit, a client reports new severe difficulty breathing. Which assessment approach is most appropriate?

   • A.Schedule an ongoing assessment for the next routine visit.
   • B.Begin an emergency assessment focused on airway, breathing, and circulation.
   • C.Continue the comprehensive history in the order of the clinic form.
   • D.Complete the planned focused skin examination before addressing breathing.

   Answer and rationale are in the full material.

5. 5.At a home visit, a client is alert and provides a detailed medication history. The client's daughter adds that the client sometimes forgets evening doses. How should the nurse classify the daughter's information?

   • A.Objective data because it concerns medication-taking behavior.
   • B.Invalid data that should be excluded from the health history.
   • C.Secondary-source information that should be identified as coming from the daughter.
   • D.Primary-source information because the daughter lives with the client.

   Answer and rationale are in the full material.