ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A nurse is checking a client's bowel sounds. At which of the following times should the nurse auscultate the client's abdomen?
Correct Answer: B
Rationale: The correct answer is B: Prior to percussing the abdomen. Auscultation of bowel sounds should be done before percussing as it helps to assess the presence and quality of bowel sounds without causing any interference from other assessment techniques. Palpation (choice
A) can stimulate bowel sounds, leading to inaccurate assessment. Checking for kidney tenderness (choice
C) and inspecting the abdomen (choice
D) are unrelated to auscultating bowel sounds.
Question 2 of 5
A nurse is caring for a client who has a wound infection. Which of the following actions should the nurse take when obtaining a wound drainage specimen for culture?
Correct Answer: A
Rationale: The correct answer is A: Cleanse the wound with 0.9% sodium chloride irrigation before obtaining the specimen. This step is essential to remove debris and contaminants from the wound, ensuring that the specimen obtained is not contaminated. Cleansing with a normal saline solution helps to minimize the risk of introducing outside pathogens into the culture sample. It also helps to provide a more accurate representation of the microorganisms present specifically within the wound.
Choices B, C, and D are incorrect.
Choice B suggests using an antiseptic, which may interfere with the accuracy of the culture results.
Choice C is incorrect because intact skin should not be included in the culture sample, as it does not reflect the microorganisms present in the wound.
Choice D is incorrect as swabbing an area away from the wound will not provide relevant information about the wound infection.
Question 3 of 5
A nurse is reinforcing teaching with a client who reports constipation. Which of the following should the nurse discuss as causes of constipation? (Select all that apply.)
Correct Answer: A,B,C
Rationale: The correct answers are A, B, and C. A - Excessive laxative use can lead to constipation by causing dependency on laxatives. B - Ignoring the urge to defecate can disrupt normal bowel habits. C - Inadequate fluid intake can result in hard stools and difficulty passing them.
Choices D and E are incorrect because increased fiber in the diet and increased activity are actually recommended interventions to alleviate constipation.
Question 4 of 5
A nurse is reinforcing teaching with a client about relationship development. The nurse should explain that, according to Erikson, establishing relationships with commitment is a primary task of which of the following stages of psychosocial development?
Correct Answer: C
Rationale: The correct answer is C: Intimacy versus isolation. According to Erikson's psychosocial theory, the stage of intimacy versus isolation occurs in young adulthood. This stage focuses on forming close relationships and commitments with others. This is a critical time for individuals to develop intimate relationships and establish long-term commitments. Choosing option C is correct as it aligns with the primary task of this stage.
A: Generativity versus stagnation occurs in middle adulthood and focuses on contributing to society.
B: Identity versus role diffusion happens in adolescence and centers on forming a sense of self.
D: Trust versus mistrust is in infancy and relates to developing trust in others.
Thus, option C is the most appropriate choice for the stage involving establishing relationships with commitment.
Question 5 of 5
A nurse plans to reinforce discharge teaching with a client. Of the following barriers to learning the nurse identifies with this client, which should the nurse interpret as a need to postpone the session?
Correct Answer: A
Rationale: The correct answer is A. Pain can significantly impact a client's ability to concentrate and retain information during a teaching session. Pain can cause distress, affecting the client's focus and ability to engage in the learning process.
Therefore, addressing pain as a priority before proceeding with discharge teaching is essential.
Hearing loss (
B) can be accommodated with visual aids or written materials. Cultural considerations (
C) can be integrated into the teaching plan. Motor impairment (
D) can also be managed by providing alternative methods for learning. Other choices are not as critical as pain in hindering the learning process.