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: The correct answer is A: Count the apical pulsations for a full minute. This is because counting the apical pulse for a full minute provides the most accurate assessment of the client's heart rate. It allows for any irregularities or fluctuations in the pulse to be detected.
Choice B is incorrect as using a Doppler device is not necessary for routine assessment of the apical pulse.
Choice C is incorrect as the bell of the stethoscope, not the diaphragm, should be used to listen to the apical pulsations for better sound transmission.
Choice D is incorrect as pressing the stethoscope firmly against the client's skin can create artifact noise and interfere with accurate auscultation.
Question 2 of 5
A 46-year-old African-American man is in an outpatient clinic for a physical examination. His BP is 126/84 mm Hg, his BMI is 24, and he reports no previous medical problems. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Provide information about how to reduce risk factors of hypertension. The rationale is as follows: The patient is at risk for developing hypertension based on his age, ethnicity, and BP reading. Providing information on reducing risk factors such as maintaining a healthy diet, regular exercise, stress management, and avoiding tobacco and excess alcohol can help prevent the development of hypertension. This proactive approach aligns with preventive healthcare measures.
Choices A, C, and D are incorrect because scheduling the next appointment for 1 year from now does not address the potential risk of hypertension, a PSA test is unrelated to the patient's current presentation, and weight loss is not indicated as the patient's BMI is within the normal range.
Question 3 of 5
A nurse is preparing to collect health history data during a client's admission. Which of the following questions should the nurse ask to promote this discussion?
Correct Answer: A
Rationale: The correct answer is A: "What brought you to the hospital?" This question is open-ended and allows the client to share their reason for seeking care, which can provide valuable information for the nurse to understand the client's current health status and concerns. It also helps establish rapport and encourages the client to share their perspective.
Rationale for other choices:
B: Asking about all medical issues is too broad and may overwhelm the client, leading to a less focused discussion.
C: Asking if the client wants to talk about health concerns puts the onus on the client to bring up topics, which may hinder open communication.
D: While discussing feelings is important, it may not be the most immediate priority during admission and may not capture the primary reason for seeking care.
Question 4 of 5
A nurse is preparing an older adult client for a physical examination the provider is about to perform. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A. The nurse should explain to the client what is about to happen to ensure the client feels informed and comfortable throughout the physical examination. This helps establish trust and promote client autonomy.
Choice B is incorrect because older adults may prefer a warmer room temperature for comfort.
Choice C is incorrect as not all clients may find music distracting or helpful during the examination.
Choice D is incorrect because informing the client about examining sensitive areas first may cause unnecessary anxiety.
Question 5 of 5
A nurse is reinforcing teaching with an older adult client. Which of the following strategies should the nurse use?
Correct Answer: B
Rationale: The correct answer is B: Emphasize visual and auditory teaching techniques. Older adults may have sensory impairments, so using visual aids and auditory cues can enhance learning. Visual aids help reinforce concepts, and auditory cues can aid in memory retention. This strategy accommodates potential hearing or vision deficits in older adults, promoting effective learning.
A: Incorporating teaching needs into one daily session may overwhelm the client.
C: Closing the door may not address other potential distractions in the environment.
D: Beginning with the most difficult tasks may discourage the client and hinder learning progress.