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: Patients in comatose states may still hear and process auditory stimuli, so speaking to them is beneficial.
Question 2 of 5
A nurse is reinforcing teaching with a client who reports constipation. Which of the following should the nurse discuss as causes of constipation? (Select all that apply.)
Correct Answer: A,B,C
Rationale: The correct answers are A, B, and C.
A: Excessive laxative use can lead to dependence and decreased bowel motility.
B: Ignoring the urge to defecate can disrupt the natural bowel rhythm and lead to constipation.
C: Inadequate fluid intake can result in hard stools and difficulty passing stool.
D: Increased fiber in the diet typically helps prevent constipation by promoting regular bowel movements.
E: Increased activity can actually help prevent constipation by stimulating bowel function.
Therefore, choices D and E are incorrect as they are more likely to help alleviate constipation rather than cause it.
Question 3 of 5
A nurse is measuring an adult client's tympanic temperature. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Aim the probe posteriorly in the direction of the eardrum. This is the correct action when measuring tympanic temperature as it ensures accurate reading by aligning the probe with the eardrum. Removing cerumen with a cotton-tipped applicator (
A) is not necessary for temperature measurement. Pulling the pinna downward and backward (
B) is incorrect as it can obstruct the ear canal. Inserting the probe with a circular motion (
D) can cause discomfort and inaccurate readings.
Question 4 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 5 of 5
A nurse is preparing to remove a client's urinary catheter. After performing hand hygiene, which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: Positioning the client supine helps maintain comfort, prevent injury, and facilitate catheter removal. Supine position allows for proper access to the catheter insertion site and minimizes the risk of catheter dragging against the urethra. This position also ensures a smooth and gentle removal process, reducing discomfort for the client.
Summary of Incorrect
Choices:
B: Having the client bear down during removal can cause urethral trauma and discomfort as it increases pressure on the urinary tract.
C: Cleansing the perineal area with an antiseptic is not necessary before catheter removal and may cause unnecessary irritation to the skin.
D: Deflating the balloon halfway and then pulling out the catheter can lead to balloon rupture or catheter breakage, potentially causing harm to the client.