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. This test evaluates the client's ability to maintain balance with eyes closed, which is essential for safe ambulation in a client with ataxia. Auscultating for Korotkoff's sounds (
A) is related to blood pressure assessment, not ambulation. Checking cranial nerve V function (
C) is important for facial sensation and chewing, not directly related to ambulation. Inspecting for clubbing (
D) is related to respiratory or cardiovascular conditions, not relevant to assessing ambulation.
Question 2 of 5
A nurse is evaluating an older adult client who is receiving end-of-life care and has Cheyne-Stokes respirations. Which of the following observations should the nurse identify as confirmation of this respiratory pattern?
Correct Answer: A
Rationale: The correct answer is A: Breathing ranging from very deep to very shallow with periods of apnea. Cheyne-Stokes respirations are characterized by a cyclical pattern of breathing that starts with shallow breaths and gradually becomes deeper, followed by a period of apnea. This pattern repeats itself. Option B is incorrect because it describes shallow breathing alternating with periods of apnea, which is not characteristic of Cheyne-Stokes respirations. Option C describes rapid and deep regular respirations, which is not consistent with Cheyne-Stokes respirations. Option D describes an inability to breathe without dyspnea unless sitting upright, which is not a feature of Cheyne-Stokes respirations. It is important for the nurse to be able to identify this specific respiratory pattern in the older adult client to provide appropriate care and support.
Question 3 of 5
When auscultating a client's lungs, the nurse identifies crackles in the left posterior base. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A. By asking the client to breathe deeply and cough, the nurse can assess if the crackles persist or change, helping to determine if they are related to secretions. This action can provide more information for a more accurate diagnosis and appropriate intervention. Option B is incorrect as limiting fluid intake is not directly related to addressing crackles. Option C is incorrect without further assessment or indication of infection. Option D is incorrect as bedrest in semi-Fowler's position is not the initial intervention for crackles.
Question 4 of 5
A nurse on a medical unit is caring for a client who requires seizure precautions. Which of the following interventions should the nurse contribute to the client's plan of care?
Correct Answer: C
Rationale: The correct answer is C: Keep the client's bed in the lowest position. This is important for client safety during a seizure as it reduces the risk of injury from falling out of bed. Keeping the bed low ensures a shorter fall distance and minimizes the impact. Restraint (choice
A) is not recommended as it can lead to further injury during a seizure. Keeping lights on (choice
B) can trigger seizures in some individuals. Having a padded tongue depressor available (choice
D) is not relevant to seizure precautions.
Question 5 of 5
A nurse is measuring a client for knee-high antiembolic stockings to help prevent venous stasis. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Measure from the client's heel to the popliteal space. This is the correct action because knee-high antiembolic stockings should cover the area from the heel to just below the knee at the popliteal space. This measurement ensures proper sizing and compression effectiveness.
A: Measuring from the heel to the gluteal fold is incorrect as it would result in stockings that are too long and may impede circulation.
B: Measuring the length of the client's feet is irrelevant for determining the correct size of knee-high stockings.
D: Measuring the client's ankle circumference alone is insufficient for determining the appropriate length of knee-high stockings.
In summary, choice C is correct as it ensures the stockings fit properly, while the other choices are incorrect due to inaccuracies or irrelevance in determining the appropriate size for knee-high antiembolic stockings.