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 and has been receiving oxygen therapy for several days. When collecting data from the client, the nurse should identify which of the following findings as an indication of an adverse effect of oxygen therapy?
Correct Answer: C
Rationale: Tachycardia can indicate oxygen toxicity. Other symptoms include confusion and restlessness. Pulmonary secretions are expected in pneumonia, not a sign of toxicity.
Question 2 of 5
A nurse is caring for a client whose belongings were lost in a hurricane. The client says, 'What's the use in starting over? It will probably happen again.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Acknowledging feelings of hopelessness is therapeutic and encourages the client to express emotions.
Question 3 of 5
A nurse is caring for a client who expresses anxiety about his impending surgery. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Encouraging the client to express their feelings provides emotional support and helps alleviate anxiety.
Question 4 of 5
A nurse is caring for a client who is postoperative. The nurse should recognize that which of the following methods is the most reliable source when determining the intensity of the client's pain?
Correct Answer: B
Rationale: The correct answer is B: Client's self-report of pain. This is the most reliable source for determining pain intensity as pain is a subjective experience, varying greatly from person to person. The client is the best judge of their own pain levels. Vital sign measurement (
A) may provide some indication but cannot accurately reflect the intensity of pain. Visual observation (
C) can miss subtle signs or misinterpret them. The nature of the surgical procedure (
D) is not a direct indicator of pain intensity. It is crucial to prioritize the client's self-report for effective pain management.
Question 5 of 5
A nurse is collecting data about a client's skin turgor. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Grasp a fold of skin on the client's forearm or near the sternum. This is the correct action because assessing skin turgor involves gently lifting the skin to check for its elasticity and hydration status. Grasping a fold of skin on the forearm or near the sternum allows the nurse to evaluate how quickly the skin returns to its normal position after being pinched, indicating the level of hydration. Lightly palpating the skin (
A) does not provide an accurate assessment of skin turgor. Pressing the skin over the ankle bone (
B) or observing for red or purple spots on the abdomen (
C) are not relevant to assessing skin turgor.