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 cranial nerves. Which of the following methods should the nurse use to identify a problem with cranial nerve II?
Correct Answer: A
Rationale: The correct answer is A: Use a Snellen chart. Cranial nerve II is the optic nerve responsible for vision. By using a Snellen chart, the nurse can assess the client's visual acuity, which is directly related to cranial nerve II function. If there is a problem with cranial nerve II, the client may have difficulty reading the chart. This method directly tests the nerve's function, making it the most appropriate choice.
Other choices are incorrect because:
B: Speech is related to cranial nerve X (vagus nerve), not cranial nerve II.
C: Smell is associated with cranial nerve I (olfactory nerve), not cranial nerve II.
D: Clenching teeth is related to cranial nerve V (trigeminal nerve), not cranial nerve II.
Question 2 of 5
A nurse in a long-term care facility finds an older adult client lying on the floor next to the bed. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is to check the client for injuries (
Choice
C). This is important to assess the client's condition and determine if any medical attention is needed. Assisting the client back into bed and applying restraints (
Choice
A) can be harmful and may restrict movement. Calling the family (
Choice
B) may delay necessary medical intervention. Obtaining sedating medication (
Choice
D) without proper assessment is inappropriate and may mask underlying issues. Checking for injuries is the immediate priority to ensure the client's safety and well-being.
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 charge nurse in a long-term care facility will be implementing a new protocol to meet the Joint Commission's National Safety Goal of preventing health care-associated pressure ulcers. When informing the staff nurses about the new standard, the nurse should emphasize that which of the following actions is the priority?
Correct Answer: B
Rationale: The correct answer is B: Identify the clients at greatest risk for development of pressure ulcers. This is the priority because it allows for targeted intervention to be implemented for those at highest risk. By identifying high-risk clients, preventive measures can be tailored to their specific needs, reducing the likelihood of pressure ulcer development.
A: Turning and positioning clients every 2 hours is important but may not address the individualized needs of high-risk clients.
C: Using a barrier cream during perineal care is a preventive measure but may not be the priority compared to identifying high-risk clients.
D: Ensuring adequate nutritional intake is crucial for wound healing, but it may not directly address the prevention of pressure ulcers in high-risk clients.
Question 5 of 5
A nurse is caring for a client who has pneumonia. The client's oxygen saturation is 85%. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Raise the head of the bed. This action is crucial to improve oxygenation in a client with pneumonia as it helps optimize lung expansion and ventilation. Elevating the head of the bed promotes better lung mechanics and enhances oxygenation by reducing pressure on the diaphragm and maximizing lung capacity. Increasing oral fluid intake (
A) may be beneficial for overall hydration but does not directly address the immediate oxygen saturation concern. Initiating humidification therapy (
B) may be helpful in some cases but is not the priority in this scenario. Encouraging coughing and deep breathing (
C) is important for airway clearance but should come after optimizing oxygenation.