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, stopping the infusion prevents further harm.
Then, attaching a syringe helps to aspirate the vesicant solution. Aspirating the solution reduces tissue damage. Disconnecting the tubing prevents further exposure. Lastly, removing the IV catheter minimizes harm and promotes healing. Incorrect choices: A is incorrect as the solution should be aspirated after stopping the infusion. C is incorrect as disconnecting the tubing should come after aspirating the solution. D is incorrect as removing the IV catheter is the final step after all the previous actions have been completed.
Question 2 of 5
A client is receiving oxygen therapy via a nasal cannula. When the client asks the nurse why he needs to have oxygen tubing in his nose, which of the following explanations about the cannula should the nurse give him?
Correct Answer: C
Rationale: The correct answer is C: It delivers the low concentration of oxygen you need. Nasal cannulas deliver a low flow rate of oxygen, typically between 1-6 liters per minute, providing a lower concentration of oxygen compared to other oxygen delivery devices. This is suitable for clients who require only a slight increase in their oxygen levels.
Choice A is incorrect as nasal cannulas do not deliver a specific concentration of oxygen constantly.
Choice B is incorrect as nasal cannulas do not deliver the highest concentration of oxygen possible.
Choice D is incorrect because nasal cannulas should not be removed when uncomfortable as it disrupts the oxygen therapy.
Question 3 of 5
A provider is discharging a client with a prescription for home oxygen therapy. The nurse should reinforce which of the following instructions with the client and his family? (Select all that apply.)
Correct Answer: B,C,D
Rationale:
Correct
Answer: B, C, D
Rationale:
B: Making sure the straps on the mask are secure but not too tight is essential to ensure proper oxygen delivery without discomfort or skin irritation.
C: Checking the tops of the ears regularly for skin breakdown is important as the oxygen tubing can cause pressure and skin breakdown in this area.
D: Posting 'no smoking' warning signs at home in a prominent location is crucial as oxygen is highly flammable and can lead to a fire hazard if exposed to smoking or open flames.
Summary:
A: Cleansing the mask or collar with soapy water every other day is not necessary for home oxygen therapy as frequent cleaning can damage the equipment.
E: Applying petroleum jelly around and inside the nares is not recommended as it can interfere with oxygen delivery and cause respiratory issues.
Question 4 of 5
A nurse is preparing to administer a soapsuds enema to an adult client. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Assist the client to the left Sims' position. This position helps to facilitate the flow of the enema solution into the colon by allowing gravity to assist in the process. Placing the client in the left Sims' position helps to ensure proper administration and effectiveness of the enema.
A: Putting on sterile gloves is not necessary for administering a soapsuds enema.
C: Hanging the enema container 61 cm above the anus is not a standard practice for administering a soapsuds enema.
D: Inserting the tubing about 15 cm into the anus is too shallow and may not reach the desired area for the enema to be effective.
Question 5 of 5
A nurse is reinforcing preoperative teaching with a client who will undergo abdominal surgery. The nurse explains that the client will wear antiembolism stockings after the procedure. When the client asks what the stockings do, which of the following responses should the nurse make?
Correct Answer: C
Rationale:
Correct
Answer: C. They'll improve your circulation to keep blood from pooling in your legs.
Rationale:
1. Antiembolism stockings apply gentle pressure to the legs, promoting blood flow.
2. Improved circulation helps prevent blood clots by reducing the risk of venous stasis.
3. By preventing blood pooling, the stockings decrease the chances of deep vein thrombosis.
Incorrect
Choices:
A. Skin breakdown prevention is not the primary purpose of antiembolism stockings.
B. Keeping warm is not the main function of these stockings.
D. While leg exercises are important post-surgery, it is not the main reason for using antiembolism stockings.