ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A nurse is emptying a client's urinal when she notices the urine is dark amber, cloudy, and has an unpleasant odor. The nurse should identify that these findings are likely to be the result of which of the following?
Correct Answer: A
Rationale: The correct answer is A: Urinary tract infection. Dark amber color, cloudiness, and unpleasant odor in urine are common signs of a UTI due to the presence of bacteria, pus, and blood. The nurse should suspect a UTI and consider further assessment or notifying the healthcare provider for appropriate treatment. Urinary incontinence (
B) refers to the inability to control urination and does not explain the specific characteristics of the urine. Urinary frequency (
C) is the need to urinate more often but does not explain the dark amber color, cloudiness, or odor. Urinary retention (
D) is the inability to empty the bladder completely, which does not directly relate to the color, cloudiness, or odor of the urine.
Question 2 of 5
A nurse is caring for a client who is to undergo surgery the next day. The client tells the nurse, 'I'm afraid of what's going to happen.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Encouraging the client to talk about their fears provides emotional support and can reduce anxiety.
Question 3 of 5
A nurse is planning to perform passive range of motion for a client who is immobilized. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Support extremities above and below joints. This is important to prevent injury and provide stability during passive range of motion exercises. By supporting the extremities above and below the joints, the nurse ensures controlled movement and minimizes the risk of hyperextension or hyperflexion. This technique also helps maintain proper alignment and reduces strain on the joints and surrounding tissues.
Incorrect choices:
A: Moving body parts rapidly can cause injury and discomfort to the client.
C: Stretching beyond the existing range of motion can lead to joint damage or muscle strain.
D: Continuing to move body parts if muscle spasticity occurs can exacerbate the spasticity and cause harm to the client.
Question 4 of 5
A nurse is assisting an older adult client plan an exercise regimen. Which of the following activities should the nurse encourage the client to avoid?
Correct Answer: B
Rationale: The correct answer is B: Running. Older adults are at higher risk for joint and muscle injuries due to decreased bone density and muscle mass. Running is a high-impact activity that can put excessive stress on joints. Stretching helps maintain flexibility, resistance training improves muscle strength, and aerobic exercises benefit cardiovascular health. Running is not recommended due to its potential for joint damage.
Question 5 of 5
A nurse is caring for a client who has metabolic alkalosis. For which of the following clinical manifestations should the nurse monitor? (Select all that apply.)
Correct Answer: A,B,D
Rationale: The correct answer is A, B, and D. In metabolic alkalosis, the body has excess bicarbonate leading to elevated pH. Shallow respirations can be a compensatory mechanism to retain CO2. Cardiac dysrhythmias can occur due to electrolyte imbalances resulting from altered acid-base balance. Hyperactive reflexes can be a sign of neuromuscular irritability due to decreased ionized calcium levels. Flushing (choice
C) is more commonly seen in metabolic acidosis. Abdominal pain (choice E) is not typically associated with metabolic alkalosis. Monitoring these manifestations is crucial to assess the client's condition and intervene promptly.