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 the correct action because counting the apical pulse for a full minute provides a more accurate assessment of the client's heart rate, especially in clients taking cardiovascular medications. It allows for a thorough evaluation of the pulse rhythm and any irregularities.
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, is typically used to listen to the apical pulsations.
Choice D is incorrect as pressing the stethoscope firmly against the skin can distort the sound of the heartbeat. The key is to listen carefully without applying excessive pressure.
Question 2 of 5
A nurse is collecting data from a client who is experiencing stress. Which of the following findings should indicate to the nurse ineffective coping?
Correct Answer: B
Rationale: Sudden weight gain can be a sign of ineffective coping, such as emotional eating.
Question 3 of 5
A client receiving a cleansing enema reports mild cramping. After a few minutes, he asks the nurse to stop the enema and allow him to go to the bathroom. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Lower the height of the solution bag. Lowering the height of the solution bag will decrease the flow rate of the enema, which can help alleviate the mild cramping experienced by the client. This action allows the client to continue the enema at a more tolerable rate, reducing discomfort. Discontinuing the enema (
A) may not address the underlying issue of flow rate causing cramping. Continuing the enema and reassuring the client (
C) may exacerbate the discomfort. Pausing the enema and giving pain medication (
D) should be considered if the cramping persists or worsens, but adjusting the height of the solution bag is the initial appropriate intervention.
Question 4 of 5
A nurse is admitting a client who has a partial hearing impairment. Which of the following actions is the nurse's priority?
Correct Answer: D
Rationale: Determining if the client uses a hearing aid is a priority because it can significantly impact communication and care planning.
Question 5 of 5
A client comes to the clinic reporting chronic low back pain. He asks the nurse to recommend specific exercises for him. Which of the following activities should the nurse suggest?
Correct Answer: C
Rationale: The correct answer is C: Swimming. Swimming is a low-impact exercise that helps strengthen the back muscles without putting excessive strain on the spine. It also promotes flexibility and improves cardiovascular health, which can aid in managing chronic low back pain. Additionally, the buoyancy of water reduces the effects of gravity on the body, making it easier to move and exercise without exacerbating pain.
Other choices are incorrect because:
A: Tennis involves sudden, high-impact movements and twisting motions that can aggravate back pain.
B: Canoeing may require repetitive bending and twisting, potentially worsening back pain.
D: Archery does not provide the necessary physical activity to address back pain effectively.