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 is 2 days postoperative following a right hemicolectomy. When the nurse enters the client's room, he states that, following a bout of coughing, 'something popped in my belly.' The nurse lifts the sheets and sees that the client's gown is bloody. After sending a coworker to get the charge nurse and call the surgeon, which of the following actions should the nurse take next?
Correct Answer: C
Rationale: Evisceration requires immediate covering of the wound with a sterile, moist dressing to prevent infection and tissue damage.
Question 2 of 5
A nurse is preparing a client for ambulation. Which of the following actions should the nurse take to determine the client's level of strength?
Correct Answer: D
Rationale: The correct answer is D: Ask the client to push her legs and feet against the nurse's palms. This action assesses the client's muscle strength directly, providing a more objective measure compared to subjective self-reporting (
A). Asking if the client has been out of bed does not specifically evaluate strength (
B). Checking pedal pulses and feet for edema assesses circulation and fluid retention, not strength (
C). Asking the client to actively push against resistance helps determine the client's actual muscle strength level accurately.
Question 3 of 5
A nurse is reinforcing teaching with a client who is to collect stool at home for a fecal occult blood test (FOBT). Which of the following should the nurse instruct the client to avoid for at least 3 days before the test?
Correct Answer: B
Rationale: The correct answer is B: Magnesium hydroxide. The rationale is that magnesium hydroxide can interfere with the accuracy of the FOBT by causing false positive results due to its chemical reaction with the test reagents. It is important to avoid magnesium-containing substances, such as antacids, for at least 3 days before the test to ensure reliable results.
Other choices are incorrect because:
A: Whole grain cereal does not interfere with the FOBT.
C: Orange juice does not interfere with the FOBT.
D: Acetaminophen does not interfere with the FOBT.
Therefore, B is the correct answer to ensure the accuracy of the test results.
Question 4 of 5
A nurse is assisting with the preparation of a presentation at a community center about complementary and alternative therapies. Which of the following therapies should the nurse describe as the use of an electronic monitoring device to help clients learn to control physical responses?
Correct Answer: B
Rationale: Biofeedback uses electronic monitoring to help individuals gain control over physiological functions such as heart rate and muscle tension.
Question 5 of 5
A nurse is reinforcing preoperative teaching with a client who will undergo abdominal surgery. The nurse explains that the client will wear antiembolism stockings after the procedure. When the client asks what the stockings do, which of the following responses should the nurse make?
Correct Answer: C
Rationale:
Correct Answer: C. They'll improve your circulation to keep blood from pooling in your legs.
Rationale: Antiembolism stockings are designed to promote circulation and prevent blood clots by applying gentle pressure to the legs. This helps to reduce the risk of deep vein thrombosis (DVT) and venous stasis. By improving circulation, the stockings help prevent blood from pooling in the legs and reduce the likelihood of clot formation.
Summary of Other
Choices:
A: Incorrect. While antiembolism stockings can help prevent skin breakdown by improving circulation, their primary purpose is not focused on protecting the legs and heels from skin breakdown.
B: Incorrect. Antiembolism stockings do not serve the purpose of keeping the client warm; their main function is to promote circulation.
D: Incorrect. Antiembolism stockings are not intended to make leg exercises easier; their main function is to prevent blood clots.
E, F, G: No additional choices provided.