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 because percussion can alter bowel sounds. It is important to assess bowel sounds accurately to detect any abnormalities. Palpating the abdomen (choice
A) can also affect bowel sounds, so it should be done after auscultation. Checking for kidney tenderness (choice
C) is unrelated to assessing bowel sounds. Inspecting the abdomen (choice
D) visually does not impact bowel sounds.
Question 2 of 5
A nurse is collecting data about a client's pulmonary system. While auscultating the client's lungs, the nurse hears continuous gurgling, low-pitched sounds over the trachea and bronchi. Which of the following terms should the nurse use to document this finding?
Correct Answer: A
Rationale: The correct answer is A: Rhonchi. Rhonchi are continuous, low-pitched gurgling sounds heard over the trachea and bronchi. They are often associated with the presence of mucus or fluid in the airways. Crackles (
B) are discontinuous, high-pitched sounds typically heard during inspiration and associated with fluid in the alveoli. Wheezing (
C) is a high-pitched, musical sound heard during expiration and often indicates narrowed airways. Friction rub (
D) is a grating, rubbing sound heard during inspiration and expiration, typically caused by inflammation of the pleura.
Therefore, in this scenario, the nurse should document the finding as rhonchi due to the description of continuous gurgling, low-pitched sounds over the trachea and bronchi.
Question 3 of 5
A newly licensed nurse has obtained a capillary glucose level from a client that produced inaccurate results and reports this to the charge nurse. Which of the following actions should the charge nurse take?
Correct Answer: C
Rationale: The correct answer is C: Repeat the capillary glucose levels. This is the appropriate action to take because it will help to confirm the accuracy of the initial reading. By repeating the test, the charge nurse can ensure that the results are reliable before taking any further action or making decisions based on the inaccurate reading.
Assigning another nurse (
A) does not address the issue of the inaccurate results. Verifying attendance at an education class (
B) is not immediate or practical. Rechecking the next scheduled level (
D) may lead to delays in addressing the issue.
In summary, repeating the capillary glucose levels (
C) is the best course of action to verify the accuracy of the results and ensure appropriate care for the client.
Question 4 of 5
A nurse is performing wound care for an older adult client who has a stage I pressure ulcer. Which of the following types of dressings should the nurse apply to the wound?
Correct Answer: A
Rationale: Transparent dressings protect stage I pressure ulcers while allowing for visualization of the wound.
Question 5 of 5
A nurse is collecting data from a client about pitting edema and notes an indentation of 6 mm (0.25 in) at the point of pressure. Which of the following numbers should the nurse document to indicate the intensity of the client's edema?
Correct Answer: B
Rationale: A 6-mm indentation corresponds to 3+ pitting edema, indicating moderate to severe fluid retention.