ATI RN
ATI Fundamental Proctored Exam Simulated Exam Questions With Detailed Verified Answer Questions
Question 1 of 5
A nurse on a medical-surgical unit is receiving a change-of-shift report for four clients. Which of the following clients should the nurse see first?
Correct Answer: D
Rationale: The nurse should see the client with new onset dyspnea 24 hours after a total hip arthroplasty first. Dyspnea following surgery can indicate a potentially life-threatening complication like pulmonary embolism. Prompt assessment and intervention are crucial to prevent further complications. Acute abdominal pain (choice
A) can be urgent but is less likely to be immediately life-threatening compared to dyspnea post-surgery. Pneumonia with oxygen saturation of 96% (choice
B) and a urinary tract infection with low-grade fever (choice
C) may require attention, but they are less urgent compared to potential respiratory distress post-surgery.
Question 2 of 5
A nurse is providing discharge teaching to the partner of a client who has a linear incision site following an open cholecystectomy. Which of the following wound care instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Use sterile gloves when removing the old dressing. This is important to prevent introducing infection to the wound. Sterile gloves help maintain aseptic technique and reduce the risk of contamination. Changing the dressing four times per day (choice
A) can lead to excessive handling and potential contamination. Applying tincture of benzoin prior to removing the dressing (choice
B) is unnecessary and may irritate the skin. Cleaning from the incision to the surrounding skin (choice
D) risks introducing pathogens into the incision site.
Question 3 of 5
A home health nurse is providing teaching about home safety to an older adult client. Which of the following examples of home safety should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Obtain a raised toilet seat for the bathroom. This is important for older adults to prevent falls and promote independence. Raised toilet seats reduce the risk of strain and provide stability when sitting and standing.
Choice B is incorrect because securing loose wires under carpeting can lead to tripping hazards.
Choice C is incorrect as using extension cords can increase the risk of electrical fires.
Choice D is incorrect as covering slippery stairs with an area rug can cause further slipping hazards.
Question 4 of 5
A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Prepare the client for a central venous line. Parenteral nutrition (PN) with high dextrose concentrations and fat emulsions can be hypertonic and irritating to peripheral veins, leading to phlebitis and tissue damage.
Therefore, a central venous line is more appropriate for PN administration to prevent vein damage and complications. Changing the PN bag every 48 hours (
A) is not directly related to the administration of PN through a central line. Obtaining a random blood glucose daily (
B) is important but not specific to the administration of PN through a central line. Administering the PN and fat emulsion separately (
D) is not recommended as they are often combined in one solution for administration.
Question 5 of 5
A nurse is caring for a client who has dysphagia. When assisting the client during breakfast, which of the following actions by the client indicates the nurse should intervene?
Correct Answer: A
Rationale: The correct answer is A because drinking thickened liquids with a straw can increase the risk of aspiration for a client with dysphagia. Thickened liquids are already challenging to swallow, and using a straw can lead to improper control of liquid flow, potentially causing the liquid to enter the airway.
Choice B is correct as it promotes proper positioning for swallowing.
Choice C is correct as tucking the chin helps close off the airway during swallowing.
Choice D is incorrect because taking breaks while eating can actually be beneficial for a client with dysphagia to prevent fatigue and ensure safe swallowing.