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 scheduled to have a colonoscopy. The client states, 'I am so nervous about what the doctor might find during the test.' The nurse asks the client, 'Are you feeling anxious about the results of your colonoscopy?' The nurse's response is an example of which of the following communication techniques?
Correct Answer: A
Rationale: Clarification helps the nurse ensure understanding of the client's concerns.
Question 2 of 5
A nurse is collecting data from a client who sustained blood loss. Which of the following findings should the nurse identify as a manifestation of hypovolemia?
Correct Answer: D
Rationale: The correct answer is D: Thready pulse. Hypovolemia refers to decreased blood volume, leading to decreased cardiac output and tissue perfusion. A thready pulse is a weak, rapid pulse that indicates poor circulation due to reduced blood volume. Decreased heart rate (
A) is not a typical manifestation of hypovolemia as the body tries to compensate by increasing heart rate. Dyspnea (
B) may occur in severe cases but is not a direct manifestation of hypovolemia. Increased blood pressure (
C) is unlikely in hypovolemia as there is decreased blood volume.
Question 3 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 4 of 5
A nurse is caring for a client who has a stage-3 pressure ulcer that now has some granulating tissue. Which of the following interventions should the nurse recommend for inclusion in the plan of care?
Correct Answer: B
Rationale: 0.9% sodium chloride irrigation is recommended for granulating tissue. Povidone-iodine is cytotoxic and should not be used. Heat lamps and massage can cause further tissue damage.
Question 5 of 5
A nurse is planning care for a new client. Which of the following actions should the nurse plan to take in order to use the technique of presence to establish the nurse-client relationship?
Correct Answer: D
Rationale: Using active listening helps establish presence by showing genuine interest and attention to the client.