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 the fluid status of four clients. Which of the following clients should the nurse identify as being at risk for fluid volume deficit?
Correct Answer: B
Rationale: The correct answer is B. A client with heart failure receiving diuretic therapy is at risk for fluid volume deficit due to increased urinary output from the diuretics, leading to potential loss of fluid and electrolytes. NPO status (
A) does not directly indicate fluid volume deficit. End-stage kidney disease (
C) and gastroenteritis (
D) may lead to fluid imbalances, but they do not necessarily indicate fluid volume deficit. Overall, the key factor is the potential for increased fluid loss in a client receiving diuretic therapy, making choice B the most appropriate.
Question 2 of 5
A nurse is reinforcing teaching about health promotion with a group of older adults. Which of the following health promotion measures should the nurse recommend? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: The correct answers are A, B, C, and D. Yearly blood pressure screening is essential for early detection of hypertension in older adults. Using lotions with SPF 15 or higher helps prevent skin damage and reduce the risk of skin cancer. Immunization for influenza is crucial to prevent serious complications in older adults. Annual visual acuity screening is important for early identification of vision problems like cataracts or age-related macular degeneration.
Choices E is incorrect because reducing calcium intake can lead to osteoporosis and other bone-related issues in older adults.
Question 3 of 5
A nurse in an urgent care clinic is preparing to remove skin sutures from a client. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Cutting below the suture knot prevents external contamination and reduces infection risk.
Question 4 of 5
A nurse is caring for a client whose hysterectomy wound has eviscerated. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action for the nurse to take is to cover the wound with a moist sterile dressing (
Choice
D). This is important to prevent infection and maintain a moist environment for healing. Applying an abdominal binder (
Choice
B) can further damage the eviscerated wound. Turning the client onto her side (
Choice
C) does not address the wound care issue. Assuring the client that this is an expected occurrence (
Choice
A) is inaccurate and may cause unnecessary distress.
Question 5 of 5
A nurse in a clinic is reinforcing teaching with a group of clients about preventing low back pain and injury. Which of the following statements should the nurse identify as an indication that the client requires further clarification?
Correct Answer: A
Rationale: The correct answer is A: "I'll sit with my knees lower than my hips." This statement indicates a misunderstanding because sitting with knees lower than hips can actually increase low back strain. Proper sitting posture involves keeping knees at or slightly below hip level. Strengthening abdominal muscles (
B) helps support the spine, wearing low-heeled shoes (
C) promotes proper alignment, and carrying heavy objects close to the body (
D) reduces strain on the back. These choices align with preventing low back pain.