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 pulmonary system. While auscultating the client's lungs, the nurse hears continuous gurgling, low-pitched sounds over the trachea and bronchi. Which of the following terms should the nurse use to document this finding?
Correct Answer: A
Rationale: The correct answer is A: Rhonchi. Rhonchi are continuous gurgling, low-pitched sounds heard over the trachea and bronchi. This indicates the presence of secretions or mucus in the airways. Crackles (
B) are discontinuous, high-pitched sounds heard during inspiration and indicate fluid in the alveoli. Wheezing (
C) is a high-pitched musical sound heard during expiration, indicating narrowed airways. Friction rub (
D) is a harsh, grating sound heard during inspiration and expiration, indicating inflammation of the pleural surfaces. The other choices do not match the description provided in the question, making them incorrect.
Question 2 of 5
A nurse is assisting with the admission of a client to an inpatient unit. Which of the following sources of information should the nurse use as a primary source of accurate data about the client?
Correct Answer: A
Rationale: The correct answer is A: Client concerns. The primary source of accurate data about the client should always be the client themselves. Clients are the most reliable source for information about their own health, symptoms, and concerns. By directly asking the client about their medical history, progress, and current concerns, the nurse can gather accurate and firsthand information. Family information (
B) may be helpful but may not always be accurate or up-to-date. Medical history (
C) and progress notes (
D) are important sources of information but may not always reflect the client's current status or concerns. It is crucial to prioritize the client's own input to ensure the accuracy and relevance of the data collected.
Question 3 of 5
A nurse is assisting with speaking in front of a group of nurses about new guidelines to prevent pressure ulcers. Which of the following actions by the nurse demonstrates confidence?
Correct Answer: A
Rationale: Standing tall with good posture conveys confidence and authority while speaking.
Question 4 of 5
A nurse is caring for an older adult client who reports occasional constipation. The nurse should inform the client that straining while defecating can cause which of the following?
Correct Answer: B
Rationale: The correct answer is B: Dysrhythmias. Straining while defecating can lead to increased intra-abdominal pressure, which can stimulate the vagus nerve and trigger dysrhythmias in the heart. This is known as the Valsalva maneuver. Dilated pupils (
A) are not directly related to straining during defecation. Diarrhea (
C) is the opposite of constipation and not a consequence of straining. Gastric ulcer (
D) is more commonly associated with factors like H. pylori infection and NSAID use.
Question 5 of 5
A nurse is collecting data from a client who has ataxia. Which of the following is appropriate to evaluate the client's ability to safely ambulate?
Correct Answer: B
Rationale: The correct answer is B: Perform a Romberg test. Ataxia affects coordination and balance, making it crucial to assess the client's ability to ambulate safely. The Romberg test evaluates proprioception and balance by asking the client to stand with feet together, eyes closed. If the client sways significantly, it indicates a positive Romberg sign, suggesting impaired balance and proprioception. Auscultating for Korotkoff's sounds (choice
A) is used to measure blood pressure, not related to ataxia. Checking cranial nerve V function (choice
C) assesses facial sensation, not relevant to ambulation. Inspecting for clubbing (choice
D) is used to assess the respiratory system, not relevant to ataxia.