ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 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 2 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 3 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.
Question 4 of 5
A nurse is caring for a client who requires contact precautions. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Dedicate equipment and supplies for use with the client. This is essential for preventing the spread of infection. By dedicating equipment to the client, the nurse reduces the risk of contaminating other clients.
Choice A is incorrect because wearing a mask is not necessary for contact precautions unless respiratory droplets are a concern.
Choice B is irrelevant to contact precautions.
Choice C is incorrect as allowing the client to leave the room frequently can increase the risk of spreading infection.
Question 5 of 5
A nurse is caring for a client who is unconscious. With the help of an assistive personnel, the nurse has repositioned the client from a left lateral to a right lateral position. The client's daughter asks why the nurse keeps her father lying on his side. Which of the following rationales should the nurse give the family member?
Correct Answer: B
Rationale: The correct answer is B:
To prevent aspiration problems. When a client is lying on their side, it helps prevent the pooling of secretions in the back of the throat, reducing the risk of aspiration. This is crucial for unconscious clients who may have difficulty protecting their airway.
Choice A is incorrect because lying on the side does not specifically relate to the extension of hip and knee joints.
Choice C is incorrect as lying on the side does not directly promote lung expansion.
Choice D is incorrect as lying on the side does not prevent abdominal distention.