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 right-sided paralysis from a cerebral vascular accident (CVA). Which of the following interventions should the nurse implement?
Correct Answer: C
Rationale:
Correct Answer: C - Use a footboard to maintain dorsiflexion of the feet.
Rationale: Using a footboard helps prevent foot drop by maintaining dorsiflexion, which can occur due to right-sided paralysis. This intervention promotes proper alignment and prevents contractures in the feet. It also supports circulation and prevents pressure ulcers.
Incorrect
Choices:
A: Obtain a soft mattress - This is not directly related to addressing right-sided paralysis or foot drop.
B: Position soft pillows against the bottom of the feet - While providing comfort, it does not address the specific issue of maintaining dorsiflexion.
D: Cross the client's legs at the ankles - Crossing legs can lead to pressure ulcers and does not address the need for proper foot positioning.
Question 2 of 5
A nurse notes that the left eyelid of a client who is unconscious remains partially open. To protect the eye, which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Instill ophthalmic ointment into the lower lid. This is the correct action to prevent corneal abrasions and dryness in an unconscious client whose eyelid remains partially open. Ophthalmic ointment will provide lubrication and protection for the eye.
Choice A is incorrect because irrigation solution is not appropriate for this situation.
Choice B may help reduce light sensitivity but does not protect the eye.
Choice D is irrelevant to the issue of protecting the eye.
Question 3 of 5
A nurse is planning home care for a school-age child who is awaiting discharge to home following an acute asthma attack. Which of the following growth and development stages according to Erikson should the nurse consider in the planning?
Correct Answer: C
Rationale:
Correct Answer: C - Industry vs. inferiority
Rationale:
1. School-age children (6-12 years) are in the stage of Industry vs. Inferiority according to Erikson.
2. This stage focuses on developing a sense of competence through mastering skills and tasks.
3. Planning home care for a child in this stage should support their sense of industry and competence.
4.
Choices A, B, and D are stages that precede or follow the school-age period and are not relevant to the current developmental stage.
Question 4 of 5
A nurse at a community-based health fair is promoting having a routine Papanicolaou test (Pap smear) to young adult women. Which of the following types of preventive care is the Pap smear?
Correct Answer: B
Rationale: The correct answer is B: Secondary level. Pap smear is a type of secondary prevention as it aims to detect cervical abnormalities early, before they develop into cervical cancer. Secondary prevention focuses on early detection, screening, and intervention to prevent the progression of a disease. Pap smear helps in identifying precancerous changes in the cervix, allowing for timely treatment.
Choice A, Primary level, would involve measures to prevent the occurrence of cervical abnormalities, such as HPV vaccination.
Choice C, Tertiary level, would involve managing and treating existing cervical cancer cases.
Choice D, Self-care ability level, is not a recognized level of preventive care.
Question 5 of 5
A nurse is caring for a client who practices Orthodox Judaism. The nurse should identify that which of the following foods together on the same dinner tray violates the client's religious practices?
Correct Answer: A
Rationale: Orthodox Judaism dietary laws prohibit mixing dairy and meat in the same meal.