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 sustained blood loss. Which of the following findings should the nurse identify as a manifestation of hypovolemia?
Correct Answer: D
Rationale: The correct answer is D: Thready pulse. Hypovolemia, or low blood volume, leads to decreased blood flow, resulting in a thready pulse due to decreased stroke volume. A: Decreased heart rate is not typically associated with hypovolemia as the body may try to compensate by increasing heart rate. B: Dyspnea may occur in hypovolemic shock, but it is not a specific manifestation of hypovolemia. C: Increased blood pressure is not a typical finding in hypovolemia, as the blood pressure tends to drop due to decreased fluid volume. Thus, D is the correct choice as it directly correlates with the pathophysiology of hypovolemia.
Question 2 of 5
A nurse is monitoring a client for complications of immobility. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: A,D,E
Rationale: The correct answers are A, D, and E. Contractures of extremities occur due to prolonged immobility. Crackles in the lungs can result from immobility-related respiratory complications. Pressure ulcers are common in immobile clients due to prolonged pressure on bony prominences. Hypertension and diarrhea are not typically associated with complications of immobility.
Question 3 of 5
A nurse is caring for a client who has pneumonia. The client's oxygen saturation is 85%. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct action is to raise the head of the bed (
Choice
D) first. This helps improve ventilation and oxygenation by optimizing lung expansion and reducing the work of breathing. Elevating the head of the bed promotes better oxygen exchange in pneumonia patients. Increasing oral fluid intake (
Choice
A) may be beneficial but not the priority in this scenario. Humidification therapy (
Choice
B) may help with secretions but does not directly address the oxygenation concern. Encouraging cough and deep breathing (
Choice
C) is important for lung hygiene but should come after ensuring adequate oxygenation.
Question 4 of 5
A nurse is preparing to measure a client's oxygen saturation and notes edema of the client's hands and thickened toenails. The nurse should apply the pulse oximeter probe to which of the following locations?
Correct Answer: B
Rationale: The correct answer is B: Earlobe. The nurse should apply the pulse oximeter probe to the earlobe in this scenario because the client's hands have edema, making finger placement less reliable for accurate readings. Thickened toenails also suggest poor circulation in the toes, making toe placement less accurate. The earlobe provides a good peripheral site for accurate oxygen saturation measurement, as it has good blood flow and is less affected by edema or circulation issues. Placing the probe on the skin fold may lead to erroneous readings due to variations in skin thickness and perfusion.
Therefore, the earlobe is the most suitable and reliable location for obtaining an accurate oxygen saturation measurement in this situation.
Question 5 of 5
A nurse is caring for a client who has pneumonia. Which of the following actions should the nurse take to thin the client's respiratory secretions?
Correct Answer: C
Rationale: The correct answer is C: Encourage the client to drink more fluids. Increased fluid intake helps to thin respiratory secretions, making it easier for the client to cough them up and clear the airways. This action promotes effective airway clearance and reduces the risk of complications such as pneumonia worsening. Encouraging ambulation (
A) is beneficial for overall lung health but does not directly address thinning of respiratory secretions. While coughing and deep breathing (
B) are important for clearing secretions, increasing fluids is more effective in thinning them. Using the incentive spirometer (
D) helps with lung expansion but does not directly thin secretions.