ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A nurse is measuring the vital signs of a client he suspects has hypovolemic shock. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Hypovolemic shock leads to decreased blood pressure due to fluid loss and compensatory tachycardia.
Question 2 of 5
A nurse is collecting data from a client who has respiratory insufficiency. Which of the following findings should the nurse identify as an early sign of inadequate oxygenation?
Correct Answer: D
Rationale: Restlessness is an early sign of inadequate oxygenation, indicating the body's attempt to compensate for low oxygen levels.
Question 3 of 5
A nurse is caring for a client who has a wound infection. Which of the following actions should the nurse take when obtaining a wound drainage specimen for culture?
Correct Answer: A
Rationale: The correct answer is A: Cleanse the wound with 0.9% sodium chloride irrigation before obtaining the specimen. This step is crucial to ensure that the specimen collected is not contaminated with external microorganisms. Cleansing the wound with a sterile solution like 0.9% sodium chloride helps remove debris and surface contaminants, providing a more accurate culture result.
Option B is incorrect because using antiseptics can interfere with the accuracy of the culture results by inhibiting or killing certain bacteria that need to be identified. Option C is incorrect as intact skin at the wound edges may not provide an accurate representation of the infection. Option D is incorrect as swabbing normal skin can introduce normal flora into the culture specimen, leading to inaccurate results.
Question 4 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 5 of 5
A nurse is supervising a newly licensed nurse who is female while she performs postmortem care on a male client who is Muslim. Which of the following actions by the newly licensed nurse should prompt the nurse to intervene?
Correct Answer: B
Rationale: In Islamic practices, same-gender family members or religious personnel should perform body cleansing. A female nurse cleansing a male client would require intervention.