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. Which of the following actions should the nurse take to thin the client's respiratory secretions?
Correct Answer: C
Rationale: The correct answer is C: Encourage the client to drink more fluids. Increased fluid intake helps to thin respiratory secretions, making it easier for the client to cough them up and clear the airways. This action promotes effective airway clearance and reduces the risk of complications such as pneumonia worsening. Encouraging ambulation (
A) is beneficial for overall lung health but does not directly address thinning of respiratory secretions. While coughing and deep breathing (
B) are important for clearing secretions, increasing fluids is more effective in thinning them. Using the incentive spirometer (
D) helps with lung expansion but does not directly thin secretions.
Question 2 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: The correct answer is A: Position the client supine. This position allows for easier access to the urinary catheter and minimizes the risk of spillage or contamination. Supine position also provides better comfort and stability for the client during the catheter removal process.
Summary of other choices:
B: Having the client bear down during removal can increase the risk of injury and discomfort.
C: Cleaning the perineal area with an antiseptic is important but should be done after removing the catheter.
D: Deflating the balloon halfway and pulling out the catheter can cause pain and discomfort for the client and may lead to trauma.
Question 3 of 5
A nurse is emptying a client's urinal when she notices the urine is dark amber, cloudy, and has an unpleasant odor. The nurse should identify that these findings are likely to be the result of which of the following?
Correct Answer: A
Rationale: The correct answer is A: Urinary tract infection. The dark amber color, cloudy appearance, and unpleasant odor of the urine indicate a possible infection. Dark amber color suggests concentrated urine due to dehydration, common in UTIs. Cloudiness indicates presence of bacteria or pus, typical in UTIs. Unpleasant odor is often caused by bacteria breaking down urine.
Choices B, C, and D are unlikely to cause these specific findings. Urinary incontinence refers to involuntary leakage of urine and does not directly affect urine appearance. Urinary frequency means urinating more often but doesn't typically change urine color or odor. Urinary retention is the inability to empty the bladder completely, which may lead to overflow incontinence, but doesn't directly cause dark amber, cloudy, and foul-smelling urine.
Question 4 of 5
A nurse is caring for an older adult client who reports occasional constipation. The nurse should inform the client that straining while defecating can cause which of the following?
Correct Answer: B
Rationale: The correct answer is B: Dysrhythmias. Straining while defecating can increase intra-abdominal pressure, leading to a vagal response that triggers dysrhythmias in susceptible individuals. This can be particularly dangerous for older adults with underlying heart conditions. Dilated pupils (choice
A) are not directly related to straining during defecation. Diarrhea (choice
C) is the opposite of constipation and is not a common consequence of straining. Gastric ulcers (choice
D) are typically caused by factors such as H. pylori infection or NSAID use, not straining during defecation.
Question 5 of 5
A nurse is caring for a client who is postoperative. When helping to manage the client's pain, which of the following principles should the nurse apply? (Select all that apply.)
Correct Answer: B,D,E
Rationale: The correct principles to apply in managing a postoperative client's pain are B, D, and E. B is correct because pain is subjective and varies among individuals, so considering the client's individual expression of pain is crucial. D is correct because using a pain scale helps to monitor and assess the severity of the client's pain objectively. E is correct because clients may express pain in different ways, both verbally and nonverbally. These principles help tailor pain management strategies to the client's needs.
Choices A and C are incorrect because opioids are necessary for acute pain management postoperatively and administering analgesics PO may not always provide fast-acting relief.
Choice F and G are not provided.