ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A nurse is checking the apical pulse of a client who is taking several cardiovascular medications. Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct Answer: A - Count the apical pulsations for a full minute.
Rationale: Counting the apical pulse for a full minute is essential to accurately determine the heart rate, especially in clients taking cardiovascular medications that can affect heart rate. This method provides a more precise measurement and helps in detecting any irregularities or changes in the heart rhythm.
Incorrect
Choices:
B: Checking the apical pulse with a Doppler device is not necessary for routine assessment and may not provide an accurate heart rate measurement.
C: Using the diaphragm of the stethoscope is appropriate, but the key point is to count the pulsations for a full minute.
D: Pressing the stethoscope firmly against the client's skin may impede the sound transmission and can lead to inaccurate readings.
Question 2 of 5
A nurse is administering a tap-water enema to a client. The client reports cramping as the nurse instills the irrigating solution. Which of the following actions should the nurse take to relieve the client's discomfort?
Correct Answer: A
Rationale:
Correct Answer: A. Lower the height of the solution container.
Rationale: Lowering the height of the solution container will decrease the rate of solution flow, reducing the cramping sensation experienced by the client. By slowing down the flow, the client will have better tolerance for the enema procedure.
Summary of Incorrect
Choices:
B: Encouraging the client to bear down can increase the pressure in the abdomen and worsen the cramping.
C: Allowing the client to expel some fluid before continuing may not address the root cause of the cramping and can lead to an incomplete enema.
D: Stopping the enema without attempting to alleviate the discomfort does not address the client's needs and may result in inadequate treatment.
Question 3 of 5
A nurse is observing an assistive personnel (AP) who is preparing to deliver a meal tray to a client who practices Orthodox Judaism. On the tray is a roast beef dinner with nonfat milk. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Orthodox Jewish dietary laws prohibit consuming dairy and meat together, so a kosher meal should be requested.
Question 4 of 5
A client who is about to undergo hip arthroplasty tells the nurse she is afraid of not receiving adequate anesthesia during the procedure. Which of the following is an appropriate response?
Correct Answer: B
Rationale: Asking the client to elaborate allows for exploration of their concerns and reassurance through proper information.
Question 5 of 5
A nurse is completing a client's history and physical examination. Which information should the nurse consider subjective data?
Correct Answer: C
Rationale: Subjective data refers to information given by the client based on their feelings or experiences, such as nausea. This data cannot be measured or observed directly by the nurse. Blood pressure (
A) is an objective measurement that can be assessed through a physical examination. Cyanosis (
B) and petechiae (
D) are physical signs that can be observed.
Therefore, they are objective data. In summary, the nurse should consider nausea (
C) as subjective data because it is based on the client's personal experience and cannot be directly measured or observed by the nurse.