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 not voided for 8 hr following surgery. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Perform a bladder scan. This is the first step because it allows the nurse to assess the client's bladder volume without invasive measures. If the bladder is found to be distended, further interventions such as offering fluids or inserting a catheter can be determined. Offering fluids (
A) is important but not the first step. Inserting a catheter (
C) should only be done if necessary after assessment. Providing assistance to the bathroom (
D) is not appropriate if the client cannot void.
Question 2 of 5
A charge nurse is assisting a newly-licensed nurse to insert an indwelling urinary catheter for a male client. Which of the following actions requires the charge nurse to intervene?
Correct Answer: A
Rationale:
Correct Answer: A. Lubricates the first 2.5 to 5 cm (1 to 2 in) of the catheter tubing.
Rationale: The correct insertion of an indwelling urinary catheter for a male client involves lubricating the first 5-7.5 cm to ease insertion and minimize discomfort or trauma. Lubricating only the first 2.5-5 cm is insufficient and may cause friction, leading to potential injury or discomfort for the client.
Summary of Other
Choices:
B: Lubricating the first 15-17.5 cm is excessive and not necessary, potentially leading to difficulty in insertion.
C: Securing the tubing to the client's upper thigh is appropriate for stability.
D: Securing the tubing to the client's lower abdomen is also acceptable for securing the catheter.
Question 3 of 5
A nurse is performing chest physiotherapy for a client with a respiratory infection. Which of the following techniques should the nurse use to increase the velocity and turbulence of the air the client exhales?
Correct Answer: D
Rationale: Vibration increases air turbulence and helps loosen secretions, facilitating expectoration.
Question 4 of 5
A nurse is collecting data from a client. Which of the following findings should the nurse report to the charge nurse as an indicator of dehydration?
Correct Answer: C
Rationale: Skin tenting is a hallmark sign of dehydration due to decreased skin elasticity. Jugular vein distention and high BP indicate fluid overload.
Question 5 of 5
A nurse on a medical unit is caring for a client who requires seizure precautions. Which of the following interventions should the nurse contribute to the client's plan of care?
Correct Answer: C
Rationale:
Correct Answer: C - Keep the client's bed in the lowest position.
Rationale: Keeping the client's bed in the lowest position is important for safety during a seizure. Lowering the bed reduces the risk of injury if the client were to fall during a seizure episode. It also helps facilitate easier access for healthcare providers to assist the client during and after a seizure.
Summary of Incorrect
Choices:
A: Restrain the client as soon as seizure activity begins - Restraint can increase the risk of injury and is not recommended during a seizure.
B: Keep the lights on when the client is sleeping - Bright lights can trigger seizures in some individuals and may disrupt the client's sleep.
D: Have a padded tongue depressor available at the bedside - A padded tongue depressor is not a standard intervention for seizure precautions and does not directly contribute to client safety during a seizure.