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 has a stage-3 pressure ulcer that now has some granulating tissue. Which of the following interventions should the nurse recommend for inclusion in the plan of care?
Correct Answer: B
Rationale: 0.9% sodium chloride irrigation is recommended for granulating tissue. Povidone-iodine is cytotoxic and should not be used. Heat lamps and massage can cause further tissue damage.
Question 2 of 5
A nurse is reinforcing teaching with a client on how to use meditation and progressive relaxation techniques to manage stress. Which of the following physiologic outcomes should the nurse instruct the client to expect?
Correct Answer: A,B,C
Rationale: Meditation and relaxation techniques reduce physiological stress responses, leading to lower blood pressure, heart rate, and arousal.
Question 3 of 5
A nurse is collecting data from an older adult client who comes to the clinic with dry, flaky skin on her upper back. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Note dry, flaky skin as an expected finding. In older adults, changes in the skin such as dryness and flakiness are common due to decreased skin elasticity and moisture. This can be a normal part of the aging process.
Therefore, the nurse should recognize this as an expected finding in an older adult client.
Choice B is incorrect because examining the back before the general inspection of the skin is not necessary in this scenario.
Choice C is incorrect because checking skin turgor is more relevant for assessing hydration status, not dry, flaky skin.
Choice D is incorrect as using a penlight to examine the back in greater detail may not provide additional relevant information about the dry, flaky skin.
Question 4 of 5
A nurse is caring for a school-age child who has metastatic osteosarcoma. While the parents are away, the child is crying and asks the nurse if she is going to die. Which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: Encouraging the child to express feelings allows the nurse to provide emotional support.
Question 5 of 5
A nurse is collecting data from a client who has ataxia. Which of the following is appropriate to evaluate the client's ability to safely ambulate?
Correct Answer: B
Rationale: The correct answer is B: Perform a Romberg test. Ataxia affects coordination and balance, making it crucial to assess the client's ability to ambulate safely. The Romberg test evaluates proprioception and balance by asking the client to stand with feet together, eyes closed. If the client sways significantly, it indicates a positive Romberg sign, suggesting impaired balance and proprioception. Auscultating for Korotkoff's sounds (choice
A) is used to measure blood pressure, not related to ataxia. Checking cranial nerve V function (choice
C) assesses facial sensation, not relevant to ambulation. Inspecting for clubbing (choice
D) is used to assess the respiratory system, not relevant to ataxia.