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 constipation. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Add fluid and fiber to the diet. This is the most appropriate action to address constipation in an older adult. Adequate fluid intake helps soften stools, while fiber promotes bowel motility. Requesting a stool softener (
A) is a secondary intervention and should be considered if dietary changes are ineffective. Promoting active range-of-motion activities (
B) may help prevent constipation but is not as effective as dietary modifications. Avoiding gas-producing foods (
D) is not directly related to constipation relief and may not address the underlying issue.
Question 2 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: Anticipatory grief occurs when a client is experiencing distress about future losses, such as lifestyle changes due to dialysis.
Question 3 of 5
A nurse in an urgent care clinic is preparing to remove skin sutures from a client. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Cutting below the suture knot prevents external contamination and reduces infection risk.
Question 4 of 5
A nurse is caring for a client who is postoperative. When helping to manage the client's pain, which of the following principles should the nurse apply? (Select all that apply.)
Correct Answer: B,D,E
Rationale:
Correct Answer: B, D, E
B: Considering the client's individual expression of pain is crucial as pain is subjective. Understanding the client's unique experience helps tailor pain management effectively.
D: Using a pain scale from 0 to 10 helps quantify and monitor the severity of the client's pain objectively, aiding in determining the effectiveness of interventions.
E: Expecting the client to express pain verbally and nonverbally allows for a comprehensive assessment, considering that not all clients may communicate pain in the same way.
Incorrect
Choices:
A: The statement about opioids leading to addiction is a generalization and does not consider individual responses to pain management. Opioids can be used safely for acute pain postoperatively.
C: Administering analgesics PO for fast-acting relief is not always appropriate postoperatively as IV or other routes may be more effective for immediate relief.
In summary, the correct principles focus on individualized pain assessment, objective monitoring, and recognizing diverse expressions
Question 5 of 5
A nurse is planning to perform passive range of motion for a client who is immobilized. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Support extremities above and below joints. This is important to prevent injury and provide stability during passive range of motion exercises. By supporting the extremities above and below the joints, the nurse ensures controlled movement and minimizes the risk of hyperextension or hyperflexion. This technique also helps maintain proper alignment and reduces strain on the joints and surrounding tissues.
Incorrect choices:
A: Moving body parts rapidly can cause injury and discomfort to the client.
C: Stretching beyond the existing range of motion can lead to joint damage or muscle strain.
D: Continuing to move body parts if muscle spasticity occurs can exacerbate the spasticity and cause harm to the client.