ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 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 2 of 5
A nurse is collecting data for a client who has malnutrition resulting from a chronic illness. Which of the following manifestations should the nurse expect to find?
Correct Answer: D
Rationale: Depigmented hair is a sign of protein deficiency, often seen in malnutrition.
Question 3 of 5
A nurse is performing pulmonary hygiene for a client. The nurse should place the client on his right side with pillows elevating the left side of his chest to help mobilize secretions from which of the following lung segments?
Correct Answer: C
Rationale: Elevation of specific lung areas helps drain mucus and prevent complications such as pneumonia or atelectasis.
Question 4 of 5
A nurse is caring for a client who is to undergo surgery the next day. The client tells the nurse, 'I'm afraid of what's going to happen.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Encouraging the client to talk about their fears provides emotional support and can reduce anxiety.
Question 5 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.