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 refers to decreased blood volume, leading to decreased cardiac output and tissue perfusion. A thready pulse is a weak, rapid pulse that indicates poor circulation due to reduced blood volume. Decreased heart rate (
A) is not a typical manifestation of hypovolemia as the body tries to compensate by increasing heart rate. Dyspnea (
B) may occur in severe cases but is not a direct manifestation of hypovolemia. Increased blood pressure (
C) is unlikely in hypovolemia as there is decreased blood volume.
Question 2 of 5
A nurse is assisting in preparing a presentation at a senior center about age-related musculoskeletal changes. Which of the following alterations is appropriate for the nurse to include?
Correct Answer: A
Rationale: The correct answer is A: Decreased muscle mass. As individuals age, there is a natural decline in muscle mass, known as sarcopenia. This is due to various factors such as decreased physical activity, hormonal changes, and reduced protein synthesis. The nurse should include this alteration in the presentation as it is a common age-related musculoskeletal change that can lead to decreased strength, balance, and overall functionality in older adults. Thickened vertebral disks (
B) and decreased chest width (
C) are not typical age-related musculoskeletal changes. Increased force of isometric contractions (
D) is also not a common alteration seen in aging muscles.
Question 3 of 5
A 46-year-old African-American man is in an outpatient clinic for a physical examination. His BP is 126/84 mm Hg, his BMI is 24, and he reports no previous medical problems. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Provide information about how to reduce risk factors of hypertension. This action is appropriate because the patient's blood pressure is in the prehypertensive range (126/84 mm Hg), indicating the need for preventive measures. Providing information on reducing risk factors such as maintaining a healthy diet, regular exercise, and stress management can help prevent the development of hypertension.
Choice A is incorrect as annual follow-up is not sufficient for a prehypertensive patient.
Choice C is incorrect as scheduling a PSA test is not indicated based on the information provided.
Choice D is also incorrect as the patient's BMI is within the normal range, so a weight loss plan may not be necessary at this time.
Question 4 of 5
A nurse is reinforcing teaching with the spouse of a client about how to take a blood pressure. Which of the following actions by the spouse indicates a need for further instruction?
Correct Answer: B
Rationale: The correct answer is B: Place the client's arm above the level of the heart. This indicates a need for further instruction because positioning the arm above the heart can falsely decrease the blood pressure reading. Blood pressure should be measured at heart level to ensure accuracy.
Choice A is correct as the cuff should be wrapped snugly.
Choice C is correct as the gauge should start at zero.
Choice D is correct as the cuff bladder should be centered over the brachial artery.
Question 5 of 5
The family of a client who has died unexpectedly arrives immediately after the death. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Allowing the family private time with the deceased supports grieving and provides closure.