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: The correct answer is D: Take the client to the bathroom on a regular schedule. This intervention helps reduce the risk of falls and incontinence by ensuring the client's regular toileting needs are met. It also helps maintain the client's dignity and comfort. Assigning the client to a quiet room away from the nurses' station (
A) may increase feelings of isolation and anxiety. Elevating all four side rails on the bed (
B) can be considered a restraint and is not recommended as a first-line intervention. Encouraging the client to rest during the day (
C) may disrupt the client's circadian rhythm and worsen nighttime wandering.
Question 2 of 5
A nurse is collecting data from a client who has narcolepsy. Which of the following manifestations should the nurse expect? (Select all that apply).
Correct Answer: B, C
Rationale: The correct manifestations for narcolepsy are sudden attacks of sleep and sleep-wake cycle hallucinations. Narcolepsy is a neurological disorder characterized by excessive daytime sleepiness, sudden attacks of sleep (choice
B), and disrupted REM sleep leading to sleep-wake cycle hallucinations (choice
C).
Choice A (feeling extremely tired upon waking) is more indicative of general fatigue rather than narcolepsy.
Choice D (sleep apnea) is a separate sleep disorder characterized by pauses in breathing during sleep.
Choice E (urge to move the legs when trying to sleep) is a symptom of restless leg syndrome, which is not typically associated with narcolepsy.
Question 3 of 5
A nurse in a dialysis center is caring for a client who has a new diagnosis of end-stage renal disease. At the first dialysis treatment, the client tells the nurse, 'I decided to come today, but I am not sure if I will need to come back again this week. I am feeling much better since my discharge from the hospital and I think my kidneys are working again.' The nurse should recognize the client is demonstrating which stage of Kübler-Ross's stages of grieving?
Correct Answer: B
Rationale: The correct answer is B: Denial. The client's statement indicates denial as they are refusing to accept the reality of their condition and are hopeful that their kidneys are functioning again, despite the need for dialysis. This stage in Kübler-Ross's stages of grieving involves avoiding the truth to cope with the overwhelming emotions. Bargaining (
A), Depression (
C), and Anger (
D) are not demonstrated in the client's statement. Bargaining involves seeking alternatives to the situation, Depression involves feelings of sadness and hopelessness, and Anger involves frustration and resentment.
Question 4 of 5
A nurse is caring for a client who has a new diagnosis of chronic renal failure. The nurse should recognize which of the following client statements as an indication of anticipatory grief?
Correct Answer: C
Rationale: The correct answer is C because the statement reflects a sense of loss and mourning over the potential impact of the diagnosis on the client's life. Anticipatory grief involves feelings of sadness, anxiety, and loss before an actual event occurs. Option A shows hope and optimism, not anticipatory grief. Option B indicates a lack of understanding about the seriousness of the condition. Option D demonstrates a focus on prevention rather than grieving.
Question 5 of 5
A nurse is assisting with the admission of a client who is about to have elective surgery. The client tells the nurse she feels anxious. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "Tell me more about your concerns." This is the best response because it shows active listening and empathy towards the client's feelings. By encouraging the client to express their concerns, the nurse can address specific fears or worries, providing reassurance and support tailored to the individual's needs. This open-ended question allows the client to share their feelings, leading to better communication and trust between the nurse and client.
Other choices are incorrect because:
A: "You have nothing to worry about." is dismissive and does not acknowledge the client's feelings.
B: "Others who have had this procedure have had great results." may minimize the client's anxiety and not address their specific concerns.
D: "Why are you feeling so anxious?" is a closed-ended question that may put the client on the spot and not facilitate open communication.