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 reports persistent vomiting, dizziness, palpitations, and numbness and tingling in his fingers and toes and around his mouth. The nurse notes the client's respirations are slow and shallow. The nurse should suspect that the client has developed which of the following acid-base imbalances?
Correct Answer: B
Rationale: The correct answer is B: Metabolic alkalosis. The client's symptoms of vomiting, dizziness, palpitations, numbness, tingling, slow, and shallow respirations suggest an excess loss of acid (hydrochloric acid) from the stomach due to vomiting. This loss of acid results in an alkalotic state in the body, leading to metabolic alkalosis. The low levels of acid in the body cause an increase in pH, resulting in symptoms such as dizziness and numbness. The other choices are incorrect because: A: Metabolic acidosis is characterized by low pH and bicarbonate levels, which is not consistent with the client's symptoms. C: Respiratory acidosis results from inadequate ventilation, leading to high CO2 levels and low pH, which does not match the client's slow and shallow respirations. D: Respiratory alkalosis is caused by hyperventilation, resulting in low CO2 levels and high pH, which is not in line with the client's
Question 2 of 5
A nurse is performing tracheostomy care for a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Securing new tracheostomy ties before removing old ones prevents accidental displacement. Medical asepsis is insufficient; sterile technique is required.
Question 3 of 5
A nurse receives a client's laboratory results and notes a potassium level of 3.1 mEq/L. When reviewing the client's medication administration record, which of the following types of medication should the nurse identify as a contributing factor to the client's electrolyte imbalance?
Correct Answer: A
Rationale: Corticosteroids can cause potassium loss through increased renal excretion, leading to hypokalemia.
Question 4 of 5
A nurse whose left hand is dominant is preparing to perform a straight catheterization for a client who is paraplegic. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Raise the bed to a comfortable working height. By raising the bed to a comfortable working height, the nurse ensures proper body mechanics and reduces the risk of injury while performing the procedure. This action promotes safety and efficiency during the catheterization process. Standing on the client's right side (choice
C) may be a personal preference and not necessarily a requirement for the procedure. Using the left hand to cleanse the urinary meatus (choice
A) may not be optimal if the nurse's right hand is more dexterous. Using the right hand to insert the catheter (choice
B) may not be necessary as long as the nurse is comfortable and skilled with using the left hand. Overall, option D is the most critical step to ensure a successful and safe catheterization procedure.
Question 5 of 5
A nurse is caring for a client who has pneumonia and has been receiving oxygen therapy for several days. When collecting data from the client, the nurse should identify which of the following findings as an indication of an adverse effect of oxygen therapy?
Correct Answer: C
Rationale: Tachycardia can indicate oxygen toxicity. Other symptoms include confusion and restlessness. Pulmonary secretions are expected in pneumonia, not a sign of toxicity.