ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A client who has a femur fracture states, 'I can't stay in this bed any longer. I need to get home so I can take care of my family.' The nurse responds by saying, 'You have talked about your family. Can you tell me more about your specific concerns?' Which of the following therapeutic communication techniques is the nurse using?
Correct Answer: C
Rationale: Focusing helps the client explore concerns in more detail, allowing for appropriate support and planning.
Question 2 of 5
A young adult tells the nurse in the provider's office that he is concerned about the amount of sleep he is getting. The nurse should explain that which of the following durations is the average recommendation for sleep for a young adult?
Correct Answer: A
Rationale:
Correct Answer: A: 8 hr
Rationale: The recommended amount of sleep for a young adult is around 7-9 hours per night for optimal health and functioning. Option A of 8 hours falls within this range, providing adequate rest for physical and mental well-being.
Summary of other choices:
B: 11 hr - Excessive sleep duration can lead to grogginess and may not be necessary for young adults.
C: 12 hr - This amount of sleep is excessive and could indicate potential underlying health issues.
D: 14 hr - This amount of sleep is far beyond the recommended range and could be indicative of a sleep disorder or other health concerns.
Question 3 of 5
A nurse is interviewing a female client who does not speak the same language as the nurse. The client's partner is translating what the nurse is saying to the client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A professional translator ensures accuracy, maintains confidentiality, and reduces potential biases from family members.
Question 4 of 5
A nurse is planning to monitor a client for dehydration following several episodes of vomiting and an increase in the client's temperature. Which of the following findings should the nurse identify as an indication that the client is dehydrated?
Correct Answer: A
Rationale: The correct answer is A: Urine specific gravity 1.034. A high urine specific gravity indicates concentrated urine, a sign of dehydration due to fluid loss. When the body is dehydrated, the kidneys conserve water, leading to concentrated urine. Bounding pulse (
B) is a sign of fluid overload, not dehydration. High blood pressure (
C) and distended neck veins (
D) are signs of fluid overload and not dehydration. Other choices are not relevant to dehydration monitoring.
Question 5 of 5
A nurse is caring for a client whose arterial blood gases include a pH of 7.30, an HCO3- of 18 mEq/L and a PaCO2 of 28 mm Hg. The nurse should suspect that the client has developed which of the following acid-base imbalances?
Correct Answer: A
Rationale: The correct answer is A: Metabolic acidosis. The pH is below the normal range (7.35-7.45), indicating acidosis. The HCO3- level is below the normal range (22-26 mEq/L), suggesting metabolic acidosis. The PaCO2 is decreased, which would be a compensatory response in respiratory alkalosis, but since the pH and HCO3- are abnormal, the primary imbalance is metabolic acidosis. Other choices are incorrect because they do not align with the given ABG values.