ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A nurse is evaluating an older adult client who is receiving end-of-life care and has Cheyne-Stokes respirations. Which of the following observations should the nurse identify as confirmation of this respiratory pattern?
Correct Answer: A
Rationale: The correct answer is A because Cheyne-Stokes respirations are characterized by a pattern of breathing that ranges from very deep to very shallow with periods of apnea. This pattern reflects an abnormal breathing pattern often seen in end-of-life care. Shallow breathing alternating with periods of apnea (
Choice
B) is incorrect as it does not fully capture the range of depth in breathing associated with Cheyne-Stokes respirations. Rapid respirations that are unusually deep and regular (
Choice
C) do not align with the irregular pattern of Cheyne-Stokes respirations. An inability to breathe without dyspnea unless sitting upright (
Choice
D) describes orthopnea, which is not characteristic of Cheyne-Stokes respirations.
Question 2 of 5
A nurse is reviewing the medical record for a client who has pneumonia. The nurse should plan to have the client lie on his back with his head lower than his feet to mobilize secretions from which of the following lung segments?
Correct Answer: C
Rationale: Trendelenburg position assists in draining secretions from the anterior lower lung segments.
Question 3 of 5
A nurse in a provider's office is reinforcing teaching with a client who is to collect a 24-hr urine specimen. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: In a 24-hr urine collection, the client needs to discard the first urine voided and start the collection time from that point. This ensures that the collection accurately reflects the substances excreted over the 24-hour period. By discarding the initial urine, the nurse helps prevent skewed results due to overnight accumulation.
Incorrect
Choices:
B: Keeping the collection container at room temperature is not necessary for the accuracy of the collection.
C: Saving each urine collection in a separate container would lead to inaccuracies, as the purpose of a 24-hr collection is to combine all urine produced over the specified time frame.
D: Saving the final urine in a separate container at the end of the collection time is incorrect, as all urine produced during the 24-hour period should be collected in one container.
Question 4 of 5
A nurse is caring for a client who requires contact precautions. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Dedicate equipment and supplies for use with the client. This is essential for preventing the spread of infection as it ensures that contaminated items do not come into contact with other clients. By dedicating equipment, the nurse reduces the risk of cross-contamination. Wearing a mask when entering the client's room (choice
A) may be necessary for airborne precautions, not contact precautions. Removing potted plants (choice
B) does not directly relate to contact precautions. Allowing the client to leave the room every 2 hours (choice
C) may increase the risk of spreading infection to others.
Question 5 of 5
A nurse is caring for a client who has pneumonia. The nurse should place the client on his right side in Trendelenburg position to help mobilize secretions from which of the following lung segments?
Correct Answer: D
Rationale: The Trendelenburg position promotes drainage of secretions from specific lung segments, improving oxygenation.