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 from a client about pitting edema and notes an indentation of 6 mm (0.25 in) at the point of pressure. Which of the following numbers should the nurse document to indicate the intensity of the client's edema?
Correct Answer: B
Rationale: A 6-mm indentation corresponds to 3+ pitting edema, indicating moderate to severe fluid retention.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new diagnosis of heart failure. Which of the following tools should the nurse use when speaking with client?
Correct Answer: A,B,C,D
Rationale: Health education materials should be culturally appropriate, up to date, understandable, and in the client's language for better comprehension.
Question 3 of 5
A nurse is collecting data about a client's cardiac functioning. The nurse auscultates an S3 sound. Which of the following causes should the nurse suspect?
Correct Answer: B
Rationale: The correct answer is B: Ventricular gallop. An S3 sound is indicative of a ventricular gallop, which occurs when the ventricles fill rapidly in early diastole. This sound is often associated with conditions like heart failure or volume overload. The S3 sound is heard immediately after the S2 sound, which is the closure of the semilunar valves.
Therefore, the S3 sound is not related to the closing of semilunar valves (choice
D). Atrial gallop (choice
A) is not associated with the S3 sound. The S3 sound is not caused by the closing of the atrioventricular valves (choice
C) but rather by the rapid filling of the ventricles.
Question 4 of 5
A nurse is assisting with the care of a client who has developed cardiogenic shock. When evaluating circulation to the client's brain, which of the following pulse sites should the nurse use?
Correct Answer: B
Rationale: The correct answer is B: Carotid. When evaluating circulation to the brain in a client with cardiogenic shock, the nurse should use the carotid pulse site. The carotid arteries supply blood directly to the brain, making it the most accurate site to assess circulation to this vital organ. The femoral pulse site (choice
A) is not ideal for assessing brain circulation as it is located in the lower extremities. The popliteal pulse site (choice
C) is also in the lower extremities and not directly related to brain circulation. The radial pulse site (choice
D) is located in the wrist and is commonly used to assess peripheral circulation but is not as directly linked to brain perfusion as the carotid site.
Question 5 of 5
A nurse is collecting data from a client. Which of the following findings should the nurse report to the charge nurse as an indicator of dehydration?
Correct Answer: C
Rationale: Skin tenting is a hallmark sign of dehydration due to decreased skin elasticity. Jugular vein distention and high BP indicate fluid overload.