ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A nurse is completing a client's history and physical examination. Which information should the nurse consider subjective data?
Correct Answer: C
Rationale: Subjective data refers to information given by the client based on their feelings or experiences, such as nausea. This data cannot be measured or observed directly by the nurse. Blood pressure (
A) is an objective measurement that can be assessed through a physical examination. Cyanosis (
B) and petechiae (
D) are physical signs that can be observed.
Therefore, they are objective data. In summary, the nurse should consider nausea (
C) as subjective data because it is based on the client's personal experience and cannot be directly measured or observed by the nurse.
Question 2 of 5
A nurse is reinforcing teaching with an older adult client. Which of the following strategies should the nurse use?
Correct Answer: B
Rationale: Older adults benefit from visual and auditory aids to enhance learning and retention.
Question 3 of 5
A nurse is preparing to remove a client's urinary catheter. After performing hand hygiene, which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: Positioning the client supine helps maintain comfort, prevent injury, and facilitate catheter removal. Supine position allows for proper access to the catheter insertion site and minimizes the risk of catheter dragging against the urethra. This position also ensures a smooth and gentle removal process, reducing discomfort for the client.
Summary of Incorrect
Choices:
B: Having the client bear down during removal can cause urethral trauma and discomfort as it increases pressure on the urinary tract.
C: Cleansing the perineal area with an antiseptic is not necessary before catheter removal and may cause unnecessary irritation to the skin.
D: Deflating the balloon halfway and then pulling out the catheter can lead to balloon rupture or catheter breakage, potentially causing harm to the client.
Question 4 of 5
A nurse is caring for four clients who have drainage tubes. The nurse should identify the client who has which of the following tubes as being at risk for hypokalemia?
Correct Answer: A
Rationale: NG suction removes gastric contents, leading to loss of potassium and increased risk of hypokalemia.
Question 5 of 5
A nurse is assisting with the implementation of a bowel training program for a client. For the program to be effective, the nurse should take the client to the bathroom at which of the following times?
Correct Answer: A
Rationale:
Correct Answer: A - When the client has the urge to defecate
Rationale: Taking the client to the bathroom when they have the urge to defecate is essential for effective bowel training. This timing aligns with the natural physiological cues of the body and helps retrain the bowel to empty at the appropriate time. By responding to the body's signals, the client is more likely to have successful and timely bowel movements.
Summary of other choices:
B: Every 2 hr while the patient is awake - This choice does not consider the client's natural bowel patterns and may lead to unnecessary or ineffective toileting.
C: Immediately before meals - Timing the bathroom visits before meals does not necessarily coincide with the body's natural cues for bowel movements.
D: After the client feels abdominal cramping - Waiting for abdominal cramping may lead to discomfort and is not a proactive approach to bowel training.