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 requires bed rest and has developed thrombophlebitis. Which of the following findings should the nurse expect when examining the client's leg?
Correct Answer: D
Rationale: The correct answer is D: Edema. Thrombophlebitis causes inflammation of the vein, leading to impaired blood flow and fluid accumulation in the affected area, resulting in swelling or edema. This is due to the clot obstructing blood flow and causing increased pressure within the vein. The other choices are not typically associated with thrombophlebitis. A: Cool skin is not a common finding because inflammation usually causes warmth. B: Numbness is not a typical symptom unless there is severe nerve compression, which is less common in thrombophlebitis. C: Pallor, or paleness, is not typically seen in thrombophlebitis unless there is compromised blood flow leading to tissue ischemia.
Question 2 of 5
A nurse is reinforcing dietary teaching with a client who is Asian-American and looks at the floor during the instruction. Which of the following actions should the nurse take to demonstrate cultural sensitivity?
Correct Answer: D
Rationale: Avoiding direct eye contact is a cultural sign of respect in some Asian cultures, so the nurse should not force eye contact.
Question 3 of 5
A nurse is auscultating the breath sounds of a client who has asthma. When the client exhales, the nurse hears continuous high-pitched squeaking sounds. The nurse should document this as which of the following adventitious lung sounds?
Correct Answer: D
Rationale: Wheezes are high-pitched musical sounds heard on expiration and indicate narrowed airways, commonly found in asthma patients.
Question 4 of 5
A nurse is collecting data from a client who has dehydration. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Urine output 20 mL/hr. In dehydration, the body conserves water, leading to decreased urine output. This is a key indicator of dehydration.
Choice A is incorrect as dehydration often leads to warm, dry skin due to decreased sweating.
Choice B, bradycardia, is not typically associated with dehydration; instead, tachycardia may occur due to the body compensating for decreased blood volume.
Choice D, sodium level of 142 mEq/L, is within the normal range and not specific to dehydration.
Question 5 of 5
A nurse is emptying a client's urinal when she notices the urine is dark amber, cloudy, and has an unpleasant odor. The nurse should identify that these findings are likely to be the result of which of the following?
Correct Answer: A
Rationale: The correct answer is A: Urinary tract infection. Dark amber color, cloudiness, and unpleasant odor in urine are common signs of a UTI due to the presence of bacteria, pus, and blood. The nurse should suspect a UTI and consider further assessment or notifying the healthcare provider for appropriate treatment. Urinary incontinence (
B) refers to the inability to control urination and does not explain the specific characteristics of the urine. Urinary frequency (
C) is the need to urinate more often but does not explain the dark amber color, cloudiness, or odor. Urinary retention (
D) is the inability to empty the bladder completely, which does not directly relate to the color, cloudiness, or odor of the urine.