ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A nurse is discussing pressure ulcer staging with a newly licensed nurse. Which of the following statements should the nurse use to describe a stage 3 pressure ulcer?
Correct Answer: D
Rationale: Stage 3 ulcers involve full-thickness skin loss with damage to subcutaneous tissue but without exposed bone or muscle.
Question 2 of 5
A nurse is preparing an older adult client for a physical examination the provider is about to perform. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Older adults may have anxiety about procedures. Explaining what will happen promotes cooperation and comfort.
Question 3 of 5
A nurse is caring for a client whose arterial blood gases include a pH of 7.30, an HCO3- of 18 mEq/L and a PaCO2 of 28 mm Hg. The nurse should suspect that the client has developed which of the following acid-base imbalances?
Correct Answer: A
Rationale: The correct answer is A: Metabolic acidosis. The pH is below the normal range (7.35-7.45), indicating acidosis. The HCO3- level is below the normal range (22-26 mEq/L), suggesting metabolic acidosis. The PaCO2 is decreased, which would be a compensatory response in respiratory alkalosis, but since the pH and HCO3- are abnormal, the primary imbalance is metabolic acidosis. Other choices are incorrect because they do not align with the given ABG values.
Question 4 of 5
A nurse is checking the apical pulse of a client who is taking several cardiovascular medications. Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct Answer: A - Count the apical pulsations for a full minute.
Rationale: Counting the apical pulse for a full minute is essential to accurately determine the heart rate, especially in clients taking cardiovascular medications that can affect heart rate. This method provides a more precise measurement and helps in detecting any irregularities or changes in the heart rhythm.
Incorrect
Choices:
B: Checking the apical pulse with a Doppler device is not necessary for routine assessment and may not provide an accurate heart rate measurement.
C: Using the diaphragm of the stethoscope is appropriate, but the key point is to count the pulsations for a full minute.
D: Pressing the stethoscope firmly against the client's skin may impede the sound transmission and can lead to inaccurate readings.
Question 5 of 5
A nurse is caring for a client who had a severe traumatic brain injury 3 weeks ago, remains unconscious, and is unlikely to recover. While bathing the client, the assistive personnel (AP) talks to him about current events. The client's partner asks the nurse why the AP talks to the client. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Patients in comatose states may still hear and process auditory stimuli, so speaking to them is beneficial.