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 isotonic fluid-volume deficit. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: A weak, thready pulse is a classic sign of hypovolemia. Bradycardia and hypertension are more common with fluid overload.
Question 2 of 5
A nurse is caring for a client who has a wound infection. Which of the following actions should the nurse take when obtaining a wound drainage specimen for culture?
Correct Answer: A
Rationale: The correct answer is A: Cleanse the wound with 0.9% sodium chloride irrigation before obtaining the specimen. This step is crucial to ensure that the specimen collected is not contaminated with external microorganisms. Cleansing the wound with a sterile solution like 0.9% sodium chloride helps remove debris and surface contaminants, providing a more accurate culture result.
Option B is incorrect because using antiseptics can interfere with the accuracy of the culture results by inhibiting or killing certain bacteria that need to be identified. Option C is incorrect as intact skin at the wound edges may not provide an accurate representation of the infection. Option D is incorrect as swabbing normal skin can introduce normal flora into the culture specimen, leading to inaccurate results.
Question 3 of 5
A nurse is contributing to the plan of care for a client who has a disturbed body image following a motor vehicle crash that resulted in a right arm amputation. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Assessing the client's perception of their body image is the first step in understanding their emotional and psychological response.
Question 4 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 because Cheyne-Stokes respirations are characterized by a pattern of breathing that ranges from very deep to very shallow with periods of apnea. This pattern reflects an abnormal breathing pattern often seen in end-of-life care. Shallow breathing alternating with periods of apnea (
Choice
B) is incorrect as it does not fully capture the range of depth in breathing associated with Cheyne-Stokes respirations. Rapid respirations that are unusually deep and regular (
Choice
C) do not align with the irregular pattern of Cheyne-Stokes respirations. An inability to breathe without dyspnea unless sitting upright (
Choice
D) describes orthopnea, which is not characteristic of Cheyne-Stokes respirations.
Question 5 of 5
A nurse plans to reinforce discharge teaching with a client. Of the following barriers to learning the nurse identifies with this client, which should the nurse interpret as a need to postpone the session?
Correct Answer: A
Rationale: The correct answer is A: Pain. Pain can significantly impair a client's ability to focus, comprehend, and retain information during a teaching session. It may also hinder their overall engagement and willingness to participate actively.
Therefore, it is crucial to address their pain first before attempting any teaching interventions.
Other choices are incorrect because:
B: Hearing loss - Can be accommodated through visual aids or written materials.
C: The client's culture - Can be integrated into the teaching session to enhance understanding and respect diversity.
D: Motor impairment - Can be accommodated by providing assistive devices or adjusting the teaching methods.