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, low-pitched gurgling sounds heard over the trachea and bronchi. They are often associated with the presence of mucus or fluid in the airways. Crackles (
B) are discontinuous, high-pitched sounds typically heard during inspiration and associated with fluid in the alveoli. Wheezing (
C) is a high-pitched, musical sound heard during expiration and often indicates narrowed airways. Friction rub (
D) is a grating, rubbing sound heard during inspiration and expiration, typically caused by inflammation of the pleura.
Therefore, in this scenario, the nurse should document the finding as rhonchi due to the description of continuous gurgling, low-pitched sounds over the trachea and bronchi.
Question 2 of 5
A nurse is reinforcing preoperative teaching with a client who will undergo abdominal surgery. The nurse explains that the client will wear antiembolism stockings after the procedure. When the client asks what the stockings do, which of the following responses should the nurse make?
Correct Answer: C
Rationale:
Correct Answer: C. They'll improve your circulation to keep blood from pooling in your legs.
Rationale: Antiembolism stockings are designed to promote circulation and prevent blood clots by applying gentle pressure to the legs. This helps to reduce the risk of deep vein thrombosis (DVT) and venous stasis. By improving circulation, the stockings help prevent blood from pooling in the legs and reduce the likelihood of clot formation.
Summary of Other
Choices:
A: Incorrect. While antiembolism stockings can help prevent skin breakdown by improving circulation, their primary purpose is not focused on protecting the legs and heels from skin breakdown.
B: Incorrect. Antiembolism stockings do not serve the purpose of keeping the client warm; their main function is to promote circulation.
D: Incorrect. Antiembolism stockings are not intended to make leg exercises easier; their main function is to prevent blood clots.
E, F, G: No additional choices provided.
Question 3 of 5
A nurse is caring for a client who had a severe traumatic brain injury 3 weeks ago, remains unconscious, and is unlikely to recover. While bathing the client, the assistive personnel (AP) talks to him about current events. The client's partner asks the nurse why the AP talks to the client. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Patients in comatose states may still hear and process auditory stimuli, so speaking to them is beneficial.
Question 4 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.
Question 5 of 5
A nurse is planning to perform passive range of motion for a client who is immobilized. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Support extremities above and below joints. This is important to prevent injury and provide stability during passive range of motion exercises. By supporting the extremities above and below the joints, the nurse ensures controlled movement and minimizes the risk of hyperextension or hyperflexion. This technique also helps maintain proper alignment and reduces strain on the joints and surrounding tissues.
Incorrect choices:
A: Moving body parts rapidly can cause injury and discomfort to the client.
C: Stretching beyond the existing range of motion can lead to joint damage or muscle strain.
D: Continuing to move body parts if muscle spasticity occurs can exacerbate the spasticity and cause harm to the client.