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 whose arterial blood gases include a pH of 7.30, an HCO3- of 18 mEq/L and a PaCO2 of 28 mm Hg. The nurse should suspect that the client has developed which of the following acid-base imbalances?
Correct Answer: A
Rationale: The correct answer is A: Metabolic acidosis. The pH is below the normal range (7.35-7.45), indicating acidosis. The HCO3- level is below the normal range (22-26 mEq/L), suggesting metabolic acidosis. The PaCO2 is decreased, which would be a compensatory response in respiratory alkalosis, but since the pH and HCO3- are abnormal, the primary imbalance is metabolic acidosis. Other choices are incorrect because they do not align with the given ABG values.
Question 2 of 5
A nurse is caring for a client who has a hearing loss in her left ear. Which of the following nursing actions should the nurse take?
Correct Answer: C
Rationale: Minimizing background noise enhances communication for clients with hearing loss.
Question 3 of 5
A nurse is preparing to remove an NG tube for a client. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D, verify provider order to discontinue the tube. This is the first step because the nurse must always follow the provider's order before proceeding with any intervention. Without a valid order, the nurse cannot remove the NG tube. Option A is incorrect as disconnecting the tube from the wall suction can cause discomfort to the client if not done in the right order. Option B is important but should be done after confirming the provider's order. Option C is relevant but assessing the drainage amount and color can be done after verifying the order.
Question 4 of 5
A nurse is collecting data from a client who is 2 days postoperative. The nurse auscultates bilateral breath sounds but absent breath sounds in the bases. The nurse should suspect which of the following postoperative complications?
Correct Answer: A
Rationale: Atelectasis causes absent breath sounds in lung bases due to alveolar collapse.
Question 5 of 5
A nurse is caring for a client who had a severe traumatic brain injury 3 weeks ago, remains unconscious, and is unlikely to recover. While bathing the client, the assistive personnel (AP) talks to him about current events. The client's partner asks the nurse why the AP talks to the client. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B. Despite being unconscious, individuals with traumatic brain injuries may still have some level of awareness. Talking to the client can provide a sense of comfort and familiarity, potentially aiding in their recovery. This response shows understanding of the potential for the client to hear despite the lack of response.
Choice A is incorrect as it deflects responsibility and does not provide helpful information.
Choice C is incorrect as it dismisses the partner's concerns.
Choice D is incorrect as it praises the AP but does not address the partner's query.