ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A nurse in an urgent care center is caring for a client who fell and injured her ankle. The ankle appears swollen and ecchymotic. While the client waits for the x-ray technician, which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,D,E
Rationale:
Correct Answer: A, D, E
Rationale:
A: Applying ice to the ankle helps reduce swelling and inflammation, providing pain relief.
D: Applying a compression bandage helps support the injured ankle, reducing swelling and providing stability.
E: Elevating the foot above heart level helps reduce swelling by promoting venous return and decreasing edema formation.
Summary:
B: Encouraging range-of-motion exercises can exacerbate the injury and cause further damage.
C: Providing a light snack is not a priority in managing an acute ankle injury.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new diagnosis of heart failure. Which of the following tools should the nurse use when speaking with client?
Correct Answer: A,B,C,D
Rationale: Health education materials should be culturally appropriate, up to date, understandable, and in the client's language for better comprehension.
Question 3 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 4 of 5
A nurse is caring for a client receiving IV therapy in the left forearm and notices that the site is red, swollen, and warm. Which of the following actions should the nurse perform first?
Correct Answer: B
Rationale: The correct answer is B: Discontinue the existing IV infusion. The symptoms of redness, swelling, and warmth at the IV site indicate phlebitis, an inflammation of the vein. The first step is to stop the infusion to prevent further irritation and potential complications. Discontinuing the IV therapy allows the vein to rest and heal. Applying warm, moist compresses (choice
C) can be helpful for comfort but should not be the first action. Inserting an IV catheter in the opposite extremity (choice
A) may worsen the condition in the affected arm. Elevating the extremity (choice
D) can help with swelling, but addressing the source of inflammation is the priority.
Question 5 of 5
A nurse is reviewing the laboratory results of a client and notes a calcium level of 7.2 mg/dL. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Numbness of extremities. A calcium level of 7.2 mg/dL indicates hypocalcemia, which can lead to nerve excitability and manifest as numbness or tingling in the extremities. Hypoactive deep-tendon reflexes (
Choice
A) are typically associated with hypercalcemia. Dry, sticky mucous membranes (
Choice
C) are more indicative of dehydration. Decreased bowel sounds (
Choice
D) may be seen in gastrointestinal issues but are not directly related to calcium levels.