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 circulatory system. Which of the following pulse sites should the nurse avoid checking bilaterally at the same time?
Correct Answer: B
Rationale: The correct answer is B: Carotid. Checking the carotid pulse bilaterally simultaneously can potentially cause a vagal response leading to decreased heart rate and blood pressure. This could be dangerous, especially in clients with cardiovascular issues. Checking other pulse sites bilaterally at the same time is generally safe. Brachial, femoral, and popliteal pulse sites can be checked bilaterally without significant risk of vagal response.
Question 2 of 5
A nurse is caring for a client who is postoperative. Which of the following actions should the nurse take to help prevent an incisional infection?
Correct Answer: D
Rationale: The correct answer is D: Perform hand hygiene prior to dressing changes. Hand hygiene is crucial to prevent the introduction of harmful microorganisms to the surgical site. By washing hands before dressing changes, the nurse reduces the risk of contaminating the incision and causing an infection. Protective isolation (
A) is not necessary in preventing incisional infections. Allowing the wound to air periodically (
B) can actually increase the risk of contamination. Cleaning the incision with soap and water (
C) may disrupt the healing process and lead to infection.
Question 3 of 5
A nurse is caring for a client who has a prescription for a stool guaiac test. The client asks the nurse about the purpose of the test. The nurse should respond by stating that the stool guaiac is testing for which of the following findings in the client's feces?
Correct Answer: C
Rationale: The correct answer is C: Blood. The stool guaiac test is used to detect the presence of hidden blood in the feces, which may indicate gastrointestinal bleeding. The rationale is as follows: 1. The test is based on the principle that blood in the stool can be detected by a chemical reaction that triggers a color change when guaiac is added. 2. By identifying blood in the stool, healthcare providers can investigate potential causes such as ulcers, polyps, or colorectal cancer. 3.
Choices A, B, and D are incorrect because the stool guaiac test specifically targets blood, not bacteria, parasites, or fat.
Question 4 of 5
A nurse is caring for a client whose arterial blood gases include a pH of 7.30, an HCO3- of 18 mEq/L and a PaCO2 of 28 mm Hg. The nurse should suspect that the client has developed which of the following acid-base imbalances?
Correct Answer: A
Rationale: The correct answer is A: Metabolic acidosis. The pH is below the normal range (7.35-7.45), indicating acidosis. The HCO3- level is below the normal range (22-26 mEq/L), suggesting metabolic acidosis. The PaCO2 is decreased, which would be a compensatory response in respiratory alkalosis, but since the pH and HCO3- are abnormal, the primary imbalance is metabolic acidosis. Other choices are incorrect because they do not align with the given ABG values.
Question 5 of 5
A nurse is developing a therapeutic relationship with a client. The nurse should perform which of the following actions during the working phase of a therapeutic relationship?
Correct Answer: B
Rationale: The working phase involves problem-solving, goal setting, and implementing strategies to improve the client's well-being.