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 wound infection. Which of the following actions should the nurse take when obtaining a wound drainage specimen for culture?
Correct Answer: A
Rationale: The correct answer is A: Cleanse the wound with 0.9% sodium chloride irrigation before obtaining the specimen. This step is crucial to ensure that the specimen collected is not contaminated with external microorganisms. Cleansing the wound with a sterile solution like 0.9% sodium chloride helps remove debris and surface contaminants, providing a more accurate culture result.
Option B is incorrect because using antiseptics can interfere with the accuracy of the culture results by inhibiting or killing certain bacteria that need to be identified. Option C is incorrect as intact skin at the wound edges may not provide an accurate representation of the infection. Option D is incorrect as swabbing normal skin can introduce normal flora into the culture specimen, leading to inaccurate results.
Question 2 of 5
A 46-year-old African-American man is in an outpatient clinic for a physical examination. His BP is 126/84 mm Hg, his BMI is 24, and he reports no previous medical problems. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: African Americans are at a higher risk for hypertension. Providing information on reducing risk factors can help prevent hypertension development.
Question 3 of 5
A nurse is checking the apical pulse of a client who is taking several cardiovascular medications. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Count the apical pulsations for a full minute. This is the correct action because counting the apical pulse for a full minute provides a more accurate assessment of the client's heart rate, especially in clients taking cardiovascular medications. It allows for a thorough evaluation of the pulse rhythm and any irregularities.
Choice B is incorrect as using a Doppler device is not necessary for routine assessment of the apical pulse.
Choice C is incorrect as the bell of the stethoscope, not the diaphragm, is typically used to listen to the apical pulsations.
Choice D is incorrect as pressing the stethoscope firmly against the skin can distort the sound of the heartbeat. The key is to listen carefully without applying excessive pressure.
Question 4 of 5
A client is receiving oxygen therapy via a nasal cannula. When the client asks the nurse why he needs to have oxygen tubing in his nose, which of the following explanations about the cannula should the nurse give him?
Correct Answer: C
Rationale: Explanation:
Choice C is correct because a nasal cannula delivers a low concentration of oxygen, which is suitable for clients needing a lower oxygen flow rate. This explanation is accurate as higher concentrations may be harmful.
Summary:
A: Incorrect. Nasal cannula does not deliver a specific concentration constantly.
B: Incorrect. Nasal cannula does not deliver the highest concentration of oxygen.
D: Incorrect. Nasal cannula should not be removed without medical advice.
Question 5 of 5
A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus. To focus on affective learning with this client, which of the following interventions should the nurse use?
Correct Answer: C
Rationale: The correct answer is C: Explore the client's feelings about dietary modifications. This intervention focuses on the client's emotional response to the new diagnosis, promoting affective learning by addressing the client's concerns and emotions related to dietary changes. By exploring the client's feelings, the nurse can help the client process and cope with the emotional aspect of managing diabetes, which is essential for long-term adherence to dietary modifications.
Incorrect answers:
A: Asking the client to perform a return demonstration of insulin injection focuses on psychomotor learning, not affective learning.
B: Reviewing the action of insulin therapy is important for cognitive learning but does not directly address emotional responses.
D: Having a family member practice blood glucose monitoring is not directly related to affective learning and does not address the client's emotional needs.