ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A nurse is assisting in interviewing a client who is being admitted from a long-term care facility. In which of the following situations should the nurse ask a closed-ended question?
Correct Answer: D
Rationale: Closed-ended questions are useful for obtaining specific, factual information, such as whether the client took their medications.
Question 2 of 5
A nurse is preparing to measure a client's oral temperature. The client states that he has just had some ice chips in his mouth. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Wait 30 min and return to measure the client's oral temperature. Ice chips can significantly lower oral temperature readings, leading to inaccurate results. Waiting for 30 minutes allows the ice chips to melt and the oral temperature to normalize. Providing warm water (choice
B) may also affect the temperature reading. Documenting inability to obtain an accurate reading (choice
C) is not proactive. Proceeding to measure the temperature (choice
D) without waiting may yield incorrect results.
Question 3 of 5
A nurse is preparing to remove a client's urinary catheter. After performing hand hygiene, which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: Positioning the client supine helps maintain comfort, prevent injury, and facilitate catheter removal. Supine position allows for proper access to the catheter insertion site and minimizes the risk of catheter dragging against the urethra. This position also ensures a smooth and gentle removal process, reducing discomfort for the client.
Summary of Incorrect
Choices:
B: Having the client bear down during removal can cause urethral trauma and discomfort as it increases pressure on the urinary tract.
C: Cleansing the perineal area with an antiseptic is not necessary before catheter removal and may cause unnecessary irritation to the skin.
D: Deflating the balloon halfway and then pulling out the catheter can lead to balloon rupture or catheter breakage, potentially causing harm to the client.
Question 4 of 5
A nurse is caring for a client who has right-sided paralysis from a cerebral vascular accident (CVA). Which of the following interventions should the nurse implement?
Correct Answer: C
Rationale:
Correct Answer: C - Use a footboard to maintain dorsiflexion of the feet.
Rationale: Using a footboard helps prevent foot drop by maintaining dorsiflexion, which can occur due to right-sided paralysis. This intervention promotes proper alignment and prevents contractures in the feet. It also supports circulation and prevents pressure ulcers.
Incorrect
Choices:
A: Obtain a soft mattress - This is not directly related to addressing right-sided paralysis or foot drop.
B: Position soft pillows against the bottom of the feet - While providing comfort, it does not address the specific issue of maintaining dorsiflexion.
D: Cross the client's legs at the ankles - Crossing legs can lead to pressure ulcers and does not address the need for proper foot positioning.
Question 5 of 5
A nurse is reinforcing dietary teaching with a client who is Asian-American and looks at the floor during the instruction. Which of the following actions should the nurse take to demonstrate cultural sensitivity?
Correct Answer: D
Rationale: Avoiding direct eye contact is a cultural sign of respect in some Asian cultures, so the nurse should not force eye contact.