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 client's oxygen saturation is 85%. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Raise the head of the bed. This action is crucial to improve oxygenation in a client with pneumonia as it helps optimize lung expansion and ventilation. Elevating the head of the bed promotes better lung mechanics and enhances oxygenation by reducing pressure on the diaphragm and maximizing lung capacity. Increasing oral fluid intake (
A) may be beneficial for overall hydration but does not directly address the immediate oxygen saturation concern. Initiating humidification therapy (
B) may be helpful in some cases but is not the priority in this scenario. Encouraging coughing and deep breathing (
C) is important for airway clearance but should come after optimizing oxygenation.
Question 2 of 5
A nurse is caring for a client who is in the early stages of hypoxia and is receiving oxygen therapy. When collecting data from this client, the nurse should expect to find which of the following early indications of hypoxia?
Correct Answer: D
Rationale: Early signs of hypoxia include tachypnea, restlessness, and hypertension due to sympathetic nervous system activation.
Question 3 of 5
A nurse is discussing pressure ulcer staging with a newly licensed nurse. Which of the following statements should the nurse use to describe a stage 3 pressure ulcer?
Correct Answer: D
Rationale: Stage 3 ulcers involve full-thickness skin loss with damage to subcutaneous tissue but without exposed bone or muscle.
Question 4 of 5
A nurse is caring for an older adult client who has constipation. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Add fluid and fiber to the diet. This is the most appropriate action to address constipation in an older adult. Adequate fluid intake helps soften stools, while fiber promotes bowel motility. Requesting a stool softener (
A) is a secondary intervention and should be considered if dietary changes are ineffective. Promoting active range-of-motion activities (
B) may help prevent constipation but is not as effective as dietary modifications. Avoiding gas-producing foods (
D) is not directly related to constipation relief and may not address the underlying issue.
Question 5 of 5
A nurse is completing a client's history and physical examination. Which information should the nurse consider subjective data?
Correct Answer: C
Rationale: Subjective data refers to information given by the client based on their feelings or experiences, such as nausea. This data cannot be measured or observed directly by the nurse. Blood pressure (
A) is an objective measurement that can be assessed through a physical examination. Cyanosis (
B) and petechiae (
D) are physical signs that can be observed.
Therefore, they are objective data. In summary, the nurse should consider nausea (
C) as subjective data because it is based on the client's personal experience and cannot be directly measured or observed by the nurse.