ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A charge nurse is assisting a newly-licensed nurse to insert an indwelling urinary catheter for a male client. Which of the following actions requires the charge nurse to intervene?
Correct Answer: A
Rationale:
Correct Answer: A. Lubricates the first 2.5 to 5 cm (1 to 2 in) of the catheter tubing.
Rationale: The correct insertion of an indwelling urinary catheter for a male client involves lubricating the first 5-7.5 cm to ease insertion and minimize discomfort or trauma. Lubricating only the first 2.5-5 cm is insufficient and may cause friction, leading to potential injury or discomfort for the client.
Summary of Other
Choices:
B: Lubricating the first 15-17.5 cm is excessive and not necessary, potentially leading to difficulty in insertion.
C: Securing the tubing to the client's upper thigh is appropriate for stability.
D: Securing the tubing to the client's lower abdomen is also acceptable for securing the catheter.
Question 2 of 5
A nurse is reviewing blood pressure classifications with a client who has been newly diagnosed with hypertension. Which of the following should the nurse include as an example of stage 1 hypertension?
Correct Answer: C
Rationale: The correct answer is C (154/96 mm Hg) for stage 1 hypertension. Stage 1 hypertension is defined as systolic blood pressure between 130-139 mm Hg or diastolic blood pressure between 80-89 mm Hg. In this case, the client's blood pressure of 154/96 mm Hg falls within the range for stage 1 hypertension.
Choices A (108/60 mm Hg), B (128/88 mm Hg), and D (164/104 mm Hg) do not fall within the criteria for stage 1 hypertension.
Choice A is actually considered hypotensive, while choices B and D are not within the defined range for stage 1 hypertension.
Question 3 of 5
A nurse is reinforcing teaching with the spouse of a client about how to take a blood pressure. Which of the following actions by the spouse indicates a need for further instruction?
Correct Answer: B
Rationale: The correct answer is B: Place the client's arm above the level of the heart. This indicates a need for further instruction because positioning the arm above the heart can falsely decrease the blood pressure reading. Blood pressure should be measured at heart level to ensure accuracy.
Choice A is correct as the cuff should be wrapped snugly.
Choice C is correct as the gauge should start at zero.
Choice D is correct as the cuff bladder should be centered over the brachial artery.
Question 4 of 5
A nurse is reinforcing teaching with a client about relationship development. The nurse should explain that, according to Erikson, establishing relationships with commitment is a primary task of which of the following stages of psychosocial development?
Correct Answer: C
Rationale: The correct answer is C: Intimacy versus isolation. According to Erikson, this stage occurs during young adulthood and focuses on developing intimate relationships. This stage involves forming close, meaningful bonds with others and establishing commitments. This is crucial for emotional well-being and personal growth.
A: Generativity versus stagnation is about contributing to society and future generations, not specifically about forming relationships with commitment.
B: Identity versus role diffusion is focused on developing a sense of self and identity, not on establishing committed relationships.
D: Trust versus mistrust is about developing trust in infancy, not about forming intimate relationships in young adulthood.
Question 5 of 5
A nurse in a dialysis center is caring for a client who has a new diagnosis of end-stage renal disease. At the first dialysis treatment, the client tells the nurse, 'I decided to come today, but I am not sure if I will need to come back again this week. I am feeling much better since my discharge from the hospital and I think my kidneys are working again.' The nurse should recognize the client is demonstrating which stage of Kübler-Ross's stages of grieving?
Correct Answer: B
Rationale: Denial is the first stage of grief where the client refuses to accept the reality of their condition.