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 partner asks to speak with the nurse. The client's partner relates that she is concerned because her partner abuses alcohol and has difficulty maintaining employment. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Exploring the partner's past coping strategies encourages problem-solving and emotional support.
Question 2 of 5
A nurse is preparing a client for magnetic resonance imaging (MRI). Which of the following statements should the nurse include when reinforcing teaching?
Correct Answer: A
Rationale: The correct answer is A. Before an MRI, metal objects must be removed to prevent interference with the magnetic field. This is crucial for the accuracy of the imaging.
Choice B is incorrect as MRI does not involve radiation.
Choice C is incorrect because communication with the technician is usually possible during an MRI.
Choice D is incorrect as patients are required to remain still during the procedure for clear imaging.
Question 3 of 5
A nurse is caring for a client who has dyspnea, crackles, and 3+ bilateral pitting pedal edema. Which of the following serum sodium levels should the nurse identify as an indication of fluid volume excess?
Correct Answer: A
Rationale: The correct answer is A: 116 mEq/L. A low serum sodium level (hyponatremia) often indicates fluid volume excess due to dilution of sodium in the bloodstream. In this scenario, the client's symptoms of dyspnea, crackles, and pitting pedal edema are classic signs of fluid overload. A serum sodium level of 116 mEq/L suggests that the excess fluid in the body is diluting the sodium concentration.
Choices B, C, and D have normal to high serum sodium levels, which would not support the diagnosis of fluid volume excess.
Therefore, option A is the most appropriate choice indicating fluid volume excess based on the client's presentation and the associated electrolyte imbalance.
Question 4 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.
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.