ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A nurse is collecting data about a client's cardiac functioning. The nurse auscultates an S3 sound. Which of the following causes should the nurse suspect?
Correct Answer: B
Rationale: The correct answer is B: Ventricular gallop. An S3 sound is indicative of a ventricular gallop, which occurs when the ventricles fill rapidly in early diastole. This sound is often associated with conditions like heart failure or volume overload. The S3 sound is heard immediately after the S2 sound, which is the closure of the semilunar valves.
Therefore, the S3 sound is not related to the closing of semilunar valves (choice
D). Atrial gallop (choice
A) is not associated with the S3 sound. The S3 sound is not caused by the closing of the atrioventricular valves (choice
C) but rather by the rapid filling of the ventricles.
Question 2 of 5
A nurse is caring for a client who has pneumonia. Which of the following actions should the nurse take to thin the client's respiratory secretions?
Correct Answer: C
Rationale: The correct answer is C: Encourage the client to drink more fluids. This action helps thin respiratory secretions by increasing hydration levels, making the mucus easier to expectorate. It also helps prevent dehydration, which can lead to thicker secretions. Encouraging ambulation (
A) promotes circulation but does not directly thin secretions. Coughing and deep breathing (
B) can help clear secretions but do not directly thin them. Regular use of the incentive spirometer (
D) improves lung function but does not directly thin secretions for expectoration.
Question 3 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.
Question 4 of 5
A nurse is reinforcing teaching with the spouse of a client about how to take a blood pressure. Which of the following actions by the spouse indicates a need for further instruction?
Correct Answer: B
Rationale: The correct answer is B: Place the client's arm above the level of the heart. This indicates a need for further instruction because positioning the arm above the heart can falsely decrease the blood pressure reading. Blood pressure should be measured at heart level to ensure accuracy.
Choice A is correct as the cuff should be wrapped snugly.
Choice C is correct as the gauge should start at zero.
Choice D is correct as the cuff bladder should be centered over the brachial artery.
Question 5 of 5
A nurse notes that the left eyelid of a client who is unconscious remains partially open. To protect the eye, which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Instill ophthalmic ointment into the lower lid. This is the correct action to prevent corneal abrasions and dryness in an unconscious client whose eyelid remains partially open. Ophthalmic ointment will provide lubrication and protection for the eye.
Choice A is incorrect because irrigation solution is not appropriate for this situation.
Choice B may help reduce light sensitivity but does not protect the eye.
Choice D is irrelevant to the issue of protecting the eye.