ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A charge nurse in a long-term care facility will be implementing a new protocol to meet the Joint Commission's National Safety Goal of preventing health care-associated pressure ulcers. When informing the staff nurses about the new standard, the nurse should emphasize that which of the following actions is the priority?
Correct Answer: B
Rationale: The correct answer is B: Identify the clients at greatest risk for development of pressure ulcers. This is the priority because it allows for targeted intervention to be implemented for those at highest risk. By identifying high-risk clients, preventive measures can be tailored to their specific needs, reducing the likelihood of pressure ulcer development.
A: Turning and positioning clients every 2 hours is important but may not address the individualized needs of high-risk clients.
C: Using a barrier cream during perineal care is a preventive measure but may not be the priority compared to identifying high-risk clients.
D: Ensuring adequate nutritional intake is crucial for wound healing, but it may not directly address the prevention of pressure ulcers in high-risk clients.
Question 2 of 5
When auscultating a client's lungs, the nurse identifies crackles in the left posterior base. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Repeat the auscultation after asking the client to breathe deeply and cough. Crackles indicate fluid in the lungs, which could be due to various reasons such as pneumonia or heart failure. Asking the client to breathe deeply and cough helps to clear secretions and may change the auscultation findings. This action helps the nurse gather more information to determine the cause of crackles. Option B is incorrect as limiting fluid intake may not address the underlying cause of crackles. Option C is incorrect as administering antibiotics without further assessment is premature. Option D is incorrect as bedrest in semi-Fowler's position does not directly address the presence of crackles.
Question 3 of 5
A nurse is collecting data from a client who has respiratory insufficiency. Which of the following findings should the nurse identify as an early sign of inadequate oxygenation?
Correct Answer: D
Rationale: Restlessness is an early sign of inadequate oxygenation, indicating the body's attempt to compensate for low oxygen levels.
Question 4 of 5
A nurse is auscultating the breath sounds of a client who has asthma. When the client exhales, the nurse hears continuous high-pitched squeaking sounds. The nurse should document this as which of the following adventitious lung sounds?
Correct Answer: D
Rationale: Wheezes are high-pitched musical sounds heard on expiration and indicate narrowed airways, commonly found in asthma patients.
Question 5 of 5
A nurse is reinforcing teaching with a newly licensed nurse about using the therapeutic technique of confrontation when caring for a client. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: Confrontation should be used in a therapeutic manner, requiring trust and sensitivity to help the client recognize inconsistencies in thoughts or behaviors.