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 an older adult client who has dementia and wanders at night. Which of the following interventions should the nurse take?
Correct Answer: D
Rationale:
Toileting at scheduled intervals can reduce nighttime wandering caused by discomfort or confusion about needing to use the bathroom.
Question 2 of 5
During a change-of-shift report, a nurse sees that a client's IV bag of 0.9% sodium chloride has 900 mL of fluid left in it. The nurse makes rounds 30 min later and notes that the IV bag is empty. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A rapid infusion of IV fluid can cause fluid overload, leading to respiratory distress. Checking respiratory status helps assess for complications.
Question 3 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: Patients in comatose states may still hear and process auditory stimuli, so speaking to them is beneficial.
Question 4 of 5
A nurse is planning to collect data about the abdomen of a client who reports 'stomach pain.' Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Inspection is always the first step in an abdominal assessment to observe for any abnormalities before auscultation and palpation.
Question 5 of 5
A nurse is collecting data from a client who has isotonic fluid-volume deficit. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: A weak, thready pulse is a classic sign of hypovolemia. Bradycardia and hypertension are more common with fluid overload.