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 preparation of a presentation at a community center about complementary and alternative therapies. Which of the following therapies should the nurse describe as the use of an electronic monitoring device to help clients learn to control physical responses?
Correct Answer: B
Rationale: Biofeedback uses electronic monitoring to help individuals gain control over physiological functions such as heart rate and muscle tension.
Question 2 of 5
A client receiving a cleansing enema reports mild cramping. After a few minutes, he asks the nurse to stop the enema and allow him to go to the bathroom. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Lower the height of the solution bag. Lowering the height of the solution bag will decrease the flow rate of the enema, which can help alleviate the mild cramping experienced by the client. This action allows the client to continue the enema at a more tolerable rate, reducing discomfort. Discontinuing the enema (
A) may not address the underlying issue of flow rate causing cramping. Continuing the enema and reassuring the client (
C) may exacerbate the discomfort. Pausing the enema and giving pain medication (
D) should be considered if the cramping persists or worsens, but adjusting the height of the solution bag is the initial appropriate intervention.
Question 3 of 5
A nurse is planning to reinforce teaching with a client who has a low health literacy level. Which of the following methods should the nurse use?
Correct Answer: A
Rationale: The correct answer is A. Providing four important points helps simplify information for a client with low health literacy. Breaking down complex information into key points can enhance understanding.
Choice B, using passive voice, can make information more confusing.
Choice C, using third person, may create distance and decrease engagement.
Choice D, having two sessions, may overwhelm the client and lead to information overload. It is essential to tailor teaching methods to the individual's needs for effective communication.
Question 4 of 5
A nurse is caring for a client who has dyspnea, crackles, and 3+ bilateral pitting pedal edema. Which of the following serum sodium levels should the nurse identify as an indication of fluid volume excess?
Correct Answer: A
Rationale: The correct answer is A: 116 mEq/L. A low serum sodium level (hyponatremia) often indicates fluid volume excess due to dilution of sodium in the bloodstream. In this scenario, the client's symptoms of dyspnea, crackles, and pitting pedal edema are classic signs of fluid overload. A serum sodium level of 116 mEq/L suggests that the excess fluid in the body is diluting the sodium concentration.
Choices B, C, and D have normal to high serum sodium levels, which would not support the diagnosis of fluid volume excess.
Therefore, option A is the most appropriate choice indicating fluid volume excess based on the client's presentation and the associated electrolyte imbalance.
Question 5 of 5
A nurse is caring for a client whose hysterectomy wound has eviscerated. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action for the nurse to take is to cover the wound with a moist sterile dressing (
Choice
D). This is important to prevent infection and maintain a moist environment for healing. Applying an abdominal binder (
Choice
B) can further damage the eviscerated wound. Turning the client onto her side (
Choice
C) does not address the wound care issue. Assuring the client that this is an expected occurrence (
Choice
A) is inaccurate and may cause unnecessary distress.