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 the admission of a client who is hyperventilating, reports lightheadedness and paresthesias, and has blurred vision and a new onset of confusion. The nurse should suspect that the client has developed which of the following imbalances?
Correct Answer: D
Rationale: The correct answer is D: Respiratory alkalosis. Hyperventilation leads to excessive elimination of carbon dioxide, causing a decrease in carbonic acid concentration in the blood, resulting in alkalosis. This explains the client's symptoms such as lightheadedness, paresthesias, blurred vision, and confusion. Metabolic acidosis (
A) is characterized by low pH and bicarbonate levels, not seen in this scenario. Metabolic alkalosis (
B) is characterized by high pH and bicarbonate levels, which is not consistent with the client's presentation. Respiratory acidosis (
C) is caused by retention of carbon dioxide, leading to acidosis, which is opposite of the client's condition.
Question 2 of 5
A nurse is caring for a client whose belongings were lost in a hurricane. The client says, 'What's the use in starting over? It will probably happen again.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Acknowledging feelings of hopelessness is therapeutic and encourages the client to express emotions.
Question 3 of 5
A nurse is collecting data from a client who has depression to identify his ability to perform activities of daily living (ADLs) prior to discharge. Which of the following data should the nurse collect?
Correct Answer: A,B,E
Rationale: Assessing ADLs includes evaluating self-care abilities like hygiene, bathing, and dressing.
Question 4 of 5
A nurse is caring for a client who has a wound infection. Which of the following actions should the nurse take when obtaining a wound drainage specimen for culture?
Correct Answer: A
Rationale: The correct answer is A: Cleanse the wound with 0.9% sodium chloride irrigation before obtaining the specimen. This step is crucial to ensure that the specimen collected is not contaminated with external microorganisms. Cleansing the wound with a sterile solution like 0.9% sodium chloride helps remove debris and surface contaminants, providing a more accurate culture result.
Option B is incorrect because using antiseptics can interfere with the accuracy of the culture results by inhibiting or killing certain bacteria that need to be identified. Option C is incorrect as intact skin at the wound edges may not provide an accurate representation of the infection. Option D is incorrect as swabbing normal skin can introduce normal flora into the culture specimen, leading to inaccurate results.
Question 5 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.