ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A nurse in a community clinic is collecting data from a client who reports frequent vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: A,C,E
Rationale: Poor skin turgor, hypotension, and flat neck veins indicate dehydration due to fluid loss. Bradycardia is incorrect; tachycardia is expected. Pale yellow urine suggests adequate hydration.
Question 2 of 5
A nurse is collecting data from a client who is 2 days postoperative. The nurse auscultates bilateral breath sounds but absent breath sounds in the bases. The nurse should suspect which of the following postoperative complications?
Correct Answer: A
Rationale: Atelectasis causes absent breath sounds in lung bases due to alveolar collapse.
Question 3 of 5
A nurse is measuring the vital signs of a client he suspects has hypovolemic shock. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Hypovolemic shock leads to decreased blood pressure due to fluid loss and compensatory tachycardia.
Question 4 of 5
A nurse is collecting data about a client's cranial nerves. Which of the following methods should the nurse use to identify a problem with cranial nerve II?
Correct Answer: A
Rationale: The correct answer is A: Use a Snellen chart. Cranial nerve II is the optic nerve responsible for vision. By using a Snellen chart, the nurse can assess the client's visual acuity, which is directly related to cranial nerve II function. If there is a problem with cranial nerve II, the client may have difficulty reading the chart. This method directly tests the nerve's function, making it the most appropriate choice.
Other choices are incorrect because:
B: Speech is related to cranial nerve X (vagus nerve), not cranial nerve II.
C: Smell is associated with cranial nerve I (olfactory nerve), not cranial nerve II.
D: Clenching teeth is related to cranial nerve V (trigeminal nerve), not cranial nerve II.
Question 5 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, low-pitched gurgling sounds heard over the trachea and bronchi. They are often associated with the presence of mucus or fluid in the airways. Crackles (
B) are discontinuous, high-pitched sounds typically heard during inspiration and associated with fluid in the alveoli. Wheezing (
C) is a high-pitched, musical sound heard during expiration and often indicates narrowed airways. Friction rub (
D) is a grating, rubbing sound heard during inspiration and expiration, typically caused by inflammation of the pleura.
Therefore, in this scenario, the nurse should document the finding as rhonchi due to the description of continuous gurgling, low-pitched sounds over the trachea and bronchi.