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 type I diabetes mellitus and is not adhering to guidelines for therapy. Which of the following factors should the nurse consider as contributing to the nonadherence?
Correct Answer: B,D,E
Rationale: Cultural beliefs, dexterity limitations, and motivation significantly impact adherence to diabetes management.
Question 2 of 5
A nurse is assisting with the implementation of a bowel training program for a client. For the program to be effective, the nurse should take the client to the bathroom at which of the following times?
Correct Answer: A
Rationale:
Correct Answer: A - When the client has the urge to defecate
Rationale: Taking the client to the bathroom when they have the urge to defecate is essential for effective bowel training. This timing aligns with the natural physiological cues of the body and helps retrain the bowel to empty at the appropriate time. By responding to the body's signals, the client is more likely to have successful and timely bowel movements.
Summary of other choices:
B: Every 2 hr while the patient is awake - This choice does not consider the client's natural bowel patterns and may lead to unnecessary or ineffective toileting.
C: Immediately before meals - Timing the bathroom visits before meals does not necessarily coincide with the body's natural cues for bowel movements.
D: After the client feels abdominal cramping - Waiting for abdominal cramping may lead to discomfort and is not a proactive approach to bowel training.
Question 3 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 4 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: The correct answer is C: Industry vs. inferiority. During the school-age stage (6-12 years old), children are focused on developing a sense of competence through mastering new skills. Planning home care for a child with asthma should consider this stage to promote feelings of industry (competence) rather than inferiority. Autonomy vs. shame and doubt (
A) is relevant to toddlers, Initiative vs. guilt (
B) is for preschoolers, and Identity vs. role confusion (
D) is for adolescents. These stages do not align with the specific needs and challenges of a school-age child recovering from an acute asthma attack.
Question 5 of 5
A nurse is administering a tap-water enema to a client. The client reports cramping as the nurse instills the irrigating solution. Which of the following actions should the nurse take to relieve the client's discomfort?
Correct Answer: A
Rationale:
Correct Answer: A. Lower the height of the solution container.
Rationale: Lowering the height of the solution container will decrease the rate of solution flow, reducing the cramping sensation experienced by the client. By slowing down the flow, the client will have better tolerance for the enema procedure.
Summary of Incorrect
Choices:
B: Encouraging the client to bear down can increase the pressure in the abdomen and worsen the cramping.
C: Allowing the client to expel some fluid before continuing may not address the root cause of the cramping and can lead to an incomplete enema.
D: Stopping the enema without attempting to alleviate the discomfort does not address the client's needs and may result in inadequate treatment.