ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A nurse is assisting with an education program about breast self-examinations. Which of the following information should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Perform breast self-examinations 1 week following menses. This timing is important as breasts are less tender and lumpy post-menses, making it easier to detect abnormalities. Palpating in circular motion is more effective.
Choice B is incorrect as it suggests a specific direction instead of circular motion.
Choice C is incorrect as nipple discharge is not a normal finding that should be encouraged monthly.
Choice D is incorrect as performing breast self-exams in the shower can help detect abnormalities more easily.
Question 2 of 5
A nurse is collecting data from a client following surgery for a brain tumor near the hypothalamus. For which of the following findings should the nurse monitor the client because of the risks of surgery on this area of the brain?
Correct Answer: A
Rationale: The correct answer is A: Inability to regulate body temperature. The hypothalamus plays a crucial role in regulating body temperature. Damage to this area during surgery can disrupt the body's ability to maintain a stable temperature, leading to hyperthermia or hypothermia. Monitoring for temperature dysregulation is essential postoperatively to prevent complications. Bradycardia (
B), visual disturbances (
C), and inability to perceive sound (
D) are not directly associated with the hypothalamus. Monitoring these may be important for different reasons but are not the primary concerns following surgery near the hypothalamus.
Question 3 of 5
A nurse is caring for a client who has type I diabetes mellitus and is not adhering to guidelines for therapy. Which of the following factors should the nurse consider as contributing to the nonadherence?
Correct Answer: B,D,E
Rationale: Cultural beliefs, dexterity limitations, and motivation significantly impact adherence to diabetes management.
Question 4 of 5
A nurse is collecting data from a client who has ataxia. Which of the following is appropriate to evaluate the client's ability to safely ambulate?
Correct Answer: B
Rationale: The correct answer is B: Perform a Romberg test. Ataxia affects coordination and balance, making it crucial to assess the client's ability to ambulate safely. The Romberg test evaluates proprioception and balance by asking the client to stand with feet together, eyes closed. If the client sways significantly, it indicates a positive Romberg sign, suggesting impaired balance and proprioception. Auscultating for Korotkoff's sounds (choice
A) is used to measure blood pressure, not related to ataxia. Checking cranial nerve V function (choice
C) assesses facial sensation, not relevant to ambulation. Inspecting for clubbing (choice
D) is used to assess the respiratory system, not relevant to ataxia.
Question 5 of 5
A nurse is collecting data about a client's circulatory system. Which of the following pulse sites should the nurse avoid checking bilaterally at the same time?
Correct Answer: B
Rationale: The correct answer is B: Carotid. Checking the carotid pulse bilaterally simultaneously can potentially cause a vagal response leading to decreased heart rate and blood pressure. This could be dangerous, especially in clients with cardiovascular issues. Checking other pulse sites bilaterally at the same time is generally safe. Brachial, femoral, and popliteal pulse sites can be checked bilaterally without significant risk of vagal response.