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 an older adult client who comes to the clinic with dry, flaky skin on her upper back. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Note dry, flaky skin as an expected finding. In older adults, changes in the skin such as dryness and flakiness are common due to decreased skin elasticity and moisture. This can be a normal part of the aging process.
Therefore, the nurse should recognize this as an expected finding in an older adult client.
Choice B is incorrect because examining the back before the general inspection of the skin is not necessary in this scenario.
Choice C is incorrect because checking skin turgor is more relevant for assessing hydration status, not dry, flaky skin.
Choice D is incorrect as using a penlight to examine the back in greater detail may not provide additional relevant information about the dry, flaky skin.
Question 2 of 5
A nurse in a long-term care facility finds an older adult client lying on the floor next to the bed. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is to check the client for injuries (
Choice
C). This is important to assess the client's condition and determine if any medical attention is needed. Assisting the client back into bed and applying restraints (
Choice
A) can be harmful and may restrict movement. Calling the family (
Choice
B) may delay necessary medical intervention. Obtaining sedating medication (
Choice
D) without proper assessment is inappropriate and may mask underlying issues. Checking for injuries is the immediate priority to ensure the client's safety and well-being.
Question 3 of 5
A nurse is reinforcing teaching with a client who reports constipation. Which of the following should the nurse discuss as causes of constipation? (Select all that apply.)
Correct Answer: A,B,C
Rationale: The correct answers are A, B, and C. A: Excessive laxative use can lead to constipation by causing dependency. B: Ignoring the urge to defecate can disrupt normal bowel movements. C: Inadequate fluid intake can result in hard stools. D: Increased fiber in the diet helps prevent constipation. E: Increased activity promotes regular bowel movements. F: No information given. G: No information given.
Question 4 of 5
A nurse is checking a client's bowel sounds. At which of the following times should the nurse auscultate the client's abdomen?
Correct Answer: B
Rationale: The correct answer is B: Prior to percussing the abdomen. Auscultation of bowel sounds should be done before percussing because percussion can alter bowel sounds. It is important to assess bowel sounds accurately to detect any abnormalities. Palpating the abdomen (choice
A) can also affect bowel sounds, so it should be done after auscultation. Checking for kidney tenderness (choice
C) is unrelated to assessing bowel sounds. Inspecting the abdomen (choice
D) visually does not impact bowel sounds.
Question 5 of 5
A nurse is reinforcing teaching about health promotion with a group of older adults. Which of the following health promotion measures should the nurse recommend? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: The correct answers are A, B, C, and D. Yearly blood pressure screening is essential for early detection of hypertension in older adults. Using lotions with SPF 15 or higher helps prevent skin damage and reduce the risk of skin cancer. Immunization for influenza is crucial to prevent serious complications in older adults. Annual visual acuity screening is important for early identification of vision problems like cataracts or age-related macular degeneration.
Choices E is incorrect because reducing calcium intake can lead to osteoporosis and other bone-related issues in older adults.