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 pneumonia. The nurse should place the client on his right side in Trendelenburg position to help mobilize secretions from which of the following lung segments?
Correct Answer: D
Rationale: The Trendelenburg position promotes drainage of secretions from specific lung segments, improving oxygenation.
Question 2 of 5
A nurse is caring for a client who has a hearing loss in her left ear. Which of the following nursing actions should the nurse take?
Correct Answer: C
Rationale: Minimizing background noise enhances communication for clients with hearing loss.
Question 3 of 5
When auscultating a client's lungs, the nurse identifies crackles in the left posterior base. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Repeat the auscultation after asking the client to breathe deeply and cough. Crackles indicate fluid in the lungs, which could be due to various reasons such as pneumonia or heart failure. Asking the client to breathe deeply and cough helps to clear secretions and may change the auscultation findings. This action helps the nurse gather more information to determine the cause of crackles. Option B is incorrect as limiting fluid intake may not address the underlying cause of crackles. Option C is incorrect as administering antibiotics without further assessment is premature. Option D is incorrect as bedrest in semi-Fowler's position does not directly address the presence of crackles.
Question 4 of 5
A nurse is collecting data from a client's skin. Which of the following actions should the nurse take to assess skin turgor?
Correct Answer: D
Rationale:
Rationale: Option D is correct because grasping a fold of skin on the client's forearm or near the sternum allows for assessment of skin turgor by observing how quickly the skin returns to its normal position when released. Skin turgor reflects the skin's elasticity and hydration status. Option A is incorrect as lightly palpating the skin does not provide an accurate assessment of turgor. Option B is incorrect as pressing the skin over the ankle bone does not evaluate skin turgor. Option C is incorrect as observing for nonblanching, pinpoint-size spots assesses for petechiae, not skin turgor.
Question 5 of 5
A nurse is assisting in interviewing a client who is being admitted from a long-term care facility. In which of the following situations should the nurse ask a closed-ended question?
Correct Answer: D
Rationale: Closed-ended questions are useful for obtaining specific, factual information, such as whether the client took their medications.