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 unconscious. With the help of an assistive personnel, the nurse has repositioned the client from a left lateral to a right lateral position. The client's daughter asks why the nurse keeps her father lying on his side. Which of the following rationales should the nurse give the family member?
Correct Answer: B
Rationale: The correct answer is B:
To prevent aspiration problems. When a client is lying on their side, it helps prevent the pooling of secretions in the back of the throat, reducing the risk of aspiration. This is particularly important for unconscious patients who may have difficulty swallowing or managing their own secretions. Repositioning also aids in drainage of fluids from the airways.
Choices A, C, and D do not directly address the risk of aspiration that is crucial in the care of an unconscious client.
Therefore, they are incorrect in this context.
Question 2 of 5
A nurse is monitoring a client for complications of immobility. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: A,D,E
Rationale: The correct answer is A, D, and E. Immobility can lead to contractures of extremities due to muscle stiffness, crackles in the lungs due to decreased lung expansion, and pressure ulcers due to prolonged pressure on skin areas. These complications are commonly seen in immobile clients.
Choices B and C are incorrect as immobility typically leads to orthostatic hypotension rather than hypertension, and it does not directly cause diarrhea.
Question 3 of 5
A nurse is completing a client's history and physical examination. Which information should the nurse consider subjective data?
Correct Answer: C
Rationale: Subjective data refers to information given by the client based on their feelings or experiences, such as nausea. This data cannot be measured or observed directly by the nurse. Blood pressure (
A) is an objective measurement that can be assessed through a physical examination. Cyanosis (
B) and petechiae (
D) are physical signs that can be observed.
Therefore, they are objective data. In summary, the nurse should consider nausea (
C) as subjective data because it is based on the client's personal experience and cannot be directly measured or observed by the nurse.
Question 4 of 5
A nurse is reinforcing teaching with a client who has a respiratory infection. The nurse should have the client lie on his left side with pillows elevating the right side of his chest to help mobilize secretions from which of the following lung segments?
Correct Answer: D
Rationale: Positioning helps mobilize secretions from specific lung segments, aiding in pulmonary hygiene.
Question 5 of 5
A nurse is collecting data about a client's cranial nerves. Which of the following methods should the nurse use to identify a problem with cranial nerve II?
Correct Answer: A
Rationale: The correct answer is A: Use a Snellen chart. Cranial nerve II is the optic nerve responsible for vision. By using a Snellen chart, the nurse can assess the client's visual acuity, which is directly related to cranial nerve II function. If there is a problem with cranial nerve II, the client may have difficulty reading the chart. This method directly tests the nerve's function, making it the most appropriate choice.
Other choices are incorrect because:
B: Speech is related to cranial nerve X (vagus nerve), not cranial nerve II.
C: Smell is associated with cranial nerve I (olfactory nerve), not cranial nerve II.
D: Clenching teeth is related to cranial nerve V (trigeminal nerve), not cranial nerve II.