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 is receiving intermittent enteral feedings. Which of the following laboratory values should the nurse identify as an indication that the client needs a change in the formula?
Correct Answer: C
Rationale: The correct answer is C: BUN 28 mg/dL. This indicates the client needs a change in the enteral feeding formula as it suggests poor protein utilization. A high BUN level may indicate inadequate protein intake or impaired protein metabolism. Hematocrit, urine specific gravity, and sodium levels are not directly related to the assessment of enteral feeding adequacy. Thus, choices A, B, and D are incorrect.
Question 2 of 5
A nurse is caring for a client who has hemophilia and has developed hemarthrosis of the left knee. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action is to elevate the knee. Elevating the knee helps reduce swelling by promoting venous return and decreasing bleeding in hemarthrosis. Administering low-dose aspirin (choice
A) is contraindicated in hemophilia as it can increase bleeding risk. Applying heat (choice
B) can worsen bleeding by dilating blood vessels. Administering analgesics IM (choice
C) may not address the underlying issue and can increase bleeding risk due to needle puncture. Elevation (choice
D) is the most appropriate action to manage hemarthrosis in hemophilia.
Question 3 of 5
A nurse is caring for a client whose parent has died. The client asks the nurse, 'Why do I feel relief now that my dad is gone?' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Encouraging the client to express their feelings fosters therapeutic communication and helps with grief processing.
Question 4 of 5
A nurse is collecting data from a client who has depression to identify his ability to perform activities of daily living (ADLs) prior to discharge. Which of the following data should the nurse collect?
Correct Answer: A,B,E
Rationale: Assessing ADLs includes evaluating self-care abilities like hygiene, bathing, and dressing.
Question 5 of 5
A nurse is collecting data from a client's skin. Which of the following actions should the nurse take to assess skin turgor?
Correct Answer: D
Rationale:
Rationale: Option D is correct because grasping a fold of skin on the client's forearm or near the sternum allows for assessment of skin turgor by observing how quickly the skin returns to its normal position when released. Skin turgor reflects the skin's elasticity and hydration status. Option A is incorrect as lightly palpating the skin does not provide an accurate assessment of turgor. Option B is incorrect as pressing the skin over the ankle bone does not evaluate skin turgor. Option C is incorrect as observing for nonblanching, pinpoint-size spots assesses for petechiae, not skin turgor.