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 who had a severe traumatic brain injury 3 weeks ago, remains unconscious, and is unlikely to recover. While bathing the client, the assistive personnel (AP) talks to him about current events. The client's partner asks the nurse why the AP talks to the client. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B. Despite being unconscious, individuals with traumatic brain injuries may still have some level of awareness. Talking to the client can provide a sense of comfort and familiarity, potentially aiding in their recovery. This response shows understanding of the potential for the client to hear despite the lack of response.
Choice A is incorrect as it deflects responsibility and does not provide helpful information.
Choice C is incorrect as it dismisses the partner's concerns.
Choice D is incorrect as it praises the AP but does not address the partner's query.
Question 2 of 5
A nurse is completing a client's history and physical examination. Which information should the nurse consider subjective data?
Correct Answer: C
Rationale: Subjective data refers to information given by the client based on their feelings or experiences, such as nausea. This data cannot be measured or observed directly by the nurse. Blood pressure (
A) is an objective measurement that can be assessed through a physical examination. Cyanosis (
B) and petechiae (
D) are physical signs that can be observed.
Therefore, they are objective data. In summary, the nurse should consider nausea (
C) as subjective data because it is based on the client's personal experience and cannot be directly measured or observed by the nurse.
Question 3 of 5
A nurse is caring for a client who had a severe traumatic brain injury 3 weeks ago, remains unconscious, and is unlikely to recover. While bathing the client, the assistive personnel (AP) talks to him about current events. The client's partner asks the nurse why the AP talks to the client. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Patients in comatose states may still hear and process auditory stimuli, so speaking to them is beneficial.
Question 4 of 5
A nurse is reinforcing teaching about health promotion with a group of older adults. Which of the following health promotion measures should the nurse recommend? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: The correct answers are A, B, C, and D. Yearly blood pressure screening is essential for early detection of hypertension in older adults. Using lotions with SPF 15 or higher helps prevent skin damage and reduce the risk of skin cancer. Immunization for influenza is crucial to prevent serious complications in older adults. Annual visual acuity screening is important for early identification of vision problems like cataracts or age-related macular degeneration.
Choices E is incorrect because reducing calcium intake can lead to osteoporosis and other bone-related issues in older adults.
Question 5 of 5
A nurse is planning to collect data about the abdomen of a client who reports 'stomach pain.' Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Inspection is always the first step in an abdominal assessment to observe for any abnormalities before auscultation and palpation.