ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A nurse identifies an extravasation of a vesicant solution at a client's peripheral IV catheter's insertion site. Identify the sequence in which the nurse should perform the following actions.
Correct Answer: B,E,A,C,D
Rationale: The correct sequence is B, E, A, C, D. First, stop the infusion (
B) to prevent further harm.
Then, attach a syringe to aspirate the solution (E) to minimize tissue damage. Aspirating the solution (
A) from the catheter is crucial for removing the vesicant. Next, disconnect the tubing (
C) to prevent further administration of the solution. Lastly, remove the IV catheter (
D) to stop the source of extravasation. This sequence prioritizes stopping harm, aspirating the vesicant, preventing further administration, and removing the source of extravasation. Other choices are incorrect because they do not address the immediate need to stop harm and remove the source of the issue.
Question 2 of 5
A nurse is reinforcing teaching with a client who is to collect stool at home for a fecal occult blood test (FOBT). Which of the following should the nurse instruct the client to avoid for at least 3 days before the test?
Correct Answer: B
Rationale: The correct answer is B: Magnesium hydroxide. The rationale is that magnesium hydroxide can interfere with the accuracy of the FOBT by causing false positive results due to its chemical reaction with the test reagents. It is important to avoid magnesium-containing substances, such as antacids, for at least 3 days before the test to ensure reliable results.
Other choices are incorrect because:
A: Whole grain cereal does not interfere with the FOBT.
C: Orange juice does not interfere with the FOBT.
D: Acetaminophen does not interfere with the FOBT.
Therefore, B is the correct answer to ensure the accuracy of the test results.
Question 3 of 5
A nurse is collecting data about a client's pulmonary system. While auscultating the client's lungs, the nurse hears continuous gurgling, low-pitched sounds over the trachea and bronchi. Which of the following terms should the nurse use to document this finding?
Correct Answer: A
Rationale: The correct answer is A: Rhonchi. Rhonchi are continuous gurgling, low-pitched sounds heard over the trachea and bronchi. This indicates the presence of secretions or mucus in the airways. Crackles (
B) are discontinuous, high-pitched sounds heard during inspiration and indicate fluid in the alveoli. Wheezing (
C) is a high-pitched musical sound heard during expiration, indicating narrowed airways. Friction rub (
D) is a harsh, grating sound heard during inspiration and expiration, indicating inflammation of the pleural surfaces. The other choices do not match the description provided in the question, making them incorrect.
Question 4 of 5
A nurse is reinforcing teaching with an older adult client. Which of the following strategies should the nurse use?
Correct Answer: B
Rationale: Older adults benefit from visual and auditory aids to enhance learning and retention.
Question 5 of 5
A nurse is caring for a client who is receiving oxygen at 2 L/min via a nasal cannula. From this information, the nurse should identify that the client is receiving which of the following oxygen concentrations?
Correct Answer: A
Rationale: A nasal cannula at 2 L/min delivers approximately 28% oxygen concentration. Higher values correspond to mask or higher flow rates.