ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A nurse is measuring a client for knee-high antiembolic stockings to help prevent venous stasis. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Measure from the client's heel to the popliteal space. This is the correct action because knee-high antiembolic stockings should cover from the heel to just below the knee at the popliteal space to ensure proper compression and effectiveness in preventing venous stasis.
Choice A is incorrect because measuring to the gluteal fold would result in stockings that are too long.
Choice B is incorrect as only measuring the length of the feet does not account for the proper height of the stockings.
Choice D is incorrect as ankle circumference alone does not provide the necessary information for proper sizing.
Question 2 of 5
A nurse is caring for a client who is 2 days postoperative following a right hemicolectomy. When the nurse enters the client's room, he states that, following a bout of coughing, 'something popped in my belly.' The nurse lifts the sheets and sees that the client's gown is bloody. After sending a coworker to get the charge nurse and call the surgeon, which of the following actions should the nurse take next?
Correct Answer: C
Rationale: Evisceration requires immediate covering of the wound with a sterile, moist dressing to prevent infection and tissue damage.
Question 3 of 5
A nurse is collecting data from a client who has isotonic fluid-volume deficit. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: A weak, thready pulse is a classic sign of hypovolemia. Bradycardia and hypertension are more common with fluid overload.
Question 4 of 5
A charge nurse in a long-term care facility will be implementing a new protocol to meet the Joint Commission's National Safety Goal of preventing health care-associated pressure ulcers. When informing the staff nurses about the new standard, the nurse should emphasize that which of the following actions is the priority?
Correct Answer: B
Rationale: The correct answer is B: Identify the clients at greatest risk for development of pressure ulcers. This is the priority because it allows for targeted intervention to be implemented for those at highest risk. By identifying high-risk clients, preventive measures can be tailored to their specific needs, reducing the likelihood of pressure ulcer development.
A: Turning and positioning clients every 2 hours is important but may not address the individualized needs of high-risk clients.
C: Using a barrier cream during perineal care is a preventive measure but may not be the priority compared to identifying high-risk clients.
D: Ensuring adequate nutritional intake is crucial for wound healing, but it may not directly address the prevention of pressure ulcers in high-risk clients.
Question 5 of 5
A nurse is caring for a client who follows Halal, Islamic dietary laws. The nurse should recognize that the client will practice which of the following dietary practices?
Correct Answer: B
Rationale: Halal dietary laws prohibit the consumption of birds of prey, as they are considered impure.