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 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.
Question 2 of 5
A nurse is admitting a client who has a partial hearing impairment. Which of the following actions is the nurse's priority?
Correct Answer: D
Rationale: Determining if the client uses a hearing aid is a priority because it can significantly impact communication and care planning.
Question 3 of 5
A nurse is preparing to remove an NG tube for a client. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D, verify provider order to discontinue the tube. This is the first step because the nurse must always follow the provider's order before proceeding with any intervention. Without a valid order, the nurse cannot remove the NG tube. Option A is incorrect as disconnecting the tube from the wall suction can cause discomfort to the client if not done in the right order. Option B is important but should be done after confirming the provider's order. Option C is relevant but assessing the drainage amount and color can be done after verifying the order.
Question 4 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 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.