ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A client receiving a cleansing enema reports mild cramping. After a few minutes, he asks the nurse to stop the enema and allow him to go to the bathroom. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Lower the height of the solution bag. Lowering the height of the solution bag will decrease the flow rate of the enema, which can help alleviate the mild cramping experienced by the client. This action allows the client to continue the enema at a more tolerable rate, reducing discomfort. Discontinuing the enema (
A) may not address the underlying issue of flow rate causing cramping. Continuing the enema and reassuring the client (
C) may exacerbate the discomfort. Pausing the enema and giving pain medication (
D) should be considered if the cramping persists or worsens, but adjusting the height of the solution bag is the initial appropriate intervention.
Question 2 of 5
A nurse is reinforcing teaching about health promotion with a group of older adults. Which of the following health promotion measures should the nurse recommend? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: The correct answers are A, B, C, and D. Yearly blood pressure screening is essential for early detection of hypertension in older adults. Using lotions with SPF 15 or higher helps prevent skin damage and reduce the risk of skin cancer. Immunization for influenza is crucial to prevent serious complications in older adults. Annual visual acuity screening is important for early identification of vision problems like cataracts or age-related macular degeneration.
Choices E is incorrect because reducing calcium intake can lead to osteoporosis and other bone-related issues in older adults.
Question 3 of 5
A nurse is caring for a client whose parent has died. The client asks the nurse, 'Why do I feel relief now that my dad is gone?' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Encouraging the client to express their feelings fosters therapeutic communication and helps with grief processing.
Question 4 of 5
A nurse is caring for an older adult client who has confusion and weakness. The client has a Hct of 53%, a BUN of 25 mg/dL, and a urine specific gravity of 1.232. Which of the following actions should the nurse contribute to the client's plan of care?
Correct Answer: B,C,E
Rationale: The lab values suggest dehydration, so monitoring fluid balance and orientation is essential.
Question 5 of 5
A nurse is caring for a client who has a wound infection. Which of the following actions should the nurse take when obtaining a wound drainage specimen for culture?
Correct Answer: A
Rationale: The correct answer is A: Cleanse the wound with 0.9% sodium chloride irrigation before obtaining the specimen. This step is crucial to ensure that the specimen collected is not contaminated with external microorganisms. Cleansing the wound with a sterile solution like 0.9% sodium chloride helps remove debris and surface contaminants, providing a more accurate culture result.
Option B is incorrect because using antiseptics can interfere with the accuracy of the culture results by inhibiting or killing certain bacteria that need to be identified. Option C is incorrect as intact skin at the wound edges may not provide an accurate representation of the infection. Option D is incorrect as swabbing normal skin can introduce normal flora into the culture specimen, leading to inaccurate results.