ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A nurse is caring for a client whose hysterectomy wound has eviscerated. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action is to cover the wound with a moist sterile dressing (choice
D). This helps to maintain a moist environment for wound healing and prevents infection. Assuring the client that evisceration is expected (choice
A) is incorrect and can cause distress. Applying an abdominal binder (choice
B) can increase pressure on the wound and worsen the evisceration. Turning the client onto her side (choice
C) is not recommended as the eviscerated wound needs immediate attention. Overall, choice D is the most appropriate immediate action to protect the wound and promote healing.
Question 2 of 5
A nurse is reinforcing teaching with a client who is obese and has obstructive sleep apnea about how to decrease the number of apneic episodes he has each night. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
Correct Answer: C
Rationale: The correct answer is C: "I am going to try to lose about 50 pounds." This statement indicates the client's understanding of how weight loss can help reduce obstructive sleep apnea episodes in obese individuals. Excess weight can contribute to airway obstruction during sleep, leading to apneic episodes. Losing weight can alleviate this pressure on the airway, improving breathing during sleep.
A: Using a humidifier may help with dry air but does not directly address the underlying cause of obstructive sleep apnea.
B: Taking a sleeping pill can mask symptoms but does not address the root cause of the issue.
D: Consuming alcohol before bedtime can worsen sleep apnea symptoms as it relaxes the throat muscles, potentially increasing the risk of apneic episodes.
Question 3 of 5
A nurse notes that the left eyelid of a client who is unconscious remains partially open. To protect the eye, which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Instill ophthalmic ointment into the lower lid. This action helps prevent corneal abrasions by keeping the eye moist and lubricated. Irrigating the eye with saline solution (choice
A) may not provide adequate protection. Dimming the lights (choice
B) doesn't directly address eye protection. Keeping the client off her left side (choice
D) is unrelated to eye care.
Question 4 of 5
A nurse is caring for an older adult client who has constipation. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Add fluid and fiber to the diet. Increasing fluid intake helps soften the stool, making it easier to pass. Fiber adds bulk to the stool, promoting regular bowel movements. This is a non-invasive and effective intervention for constipation in older adults. Requesting a stool softener (
A) may be considered if dietary interventions are ineffective. Promoting active range-of-motion activities (
B) may help prevent constipation but is not the first-line intervention. Avoiding gas-producing foods (
D) is not directly related to treating constipation.
Question 5 of 5
A nurse is caring for a client who is postoperative. Which of the following actions should the nurse take to help prevent an incisional infection?
Correct Answer: D
Rationale: The correct answer is D: Perform hand hygiene prior to dressing changes. This is important to prevent introducing harmful bacteria to the surgical wound, reducing the risk of infection. Hand hygiene is a crucial infection control measure as it helps to minimize the transfer of microorganisms. Initiating protective isolation (
A) is not necessary for preventing incisional infections. Allowing the wound to air periodically (
B) can actually increase the risk of contamination. Cleaning the incision with soap and water (
C) may not be appropriate as it can irritate the wound and disrupt the healing process.