ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A nurse is performing chest physiotherapy for a client with a respiratory infection. Which of the following techniques should the nurse use to increase the velocity and turbulence of the air the client exhales?
Correct Answer: D
Rationale: Vibration increases air turbulence and helps loosen secretions, facilitating expectoration.
Question 2 of 5
A nurse is reinforcing teaching with a client who is obese and has obstructive sleep apnea about how to decrease the number of apneic episodes he has each night. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
Correct Answer: C
Rationale: The correct answer is C: "I am going to try to lose about 50 pounds." This statement demonstrates the client's understanding of how weight loss can help reduce obstructive sleep apnea. Excess weight can contribute to airway obstruction during sleep, leading to apneic episodes. Losing weight can decrease the severity of sleep apnea symptoms.
Choices A, B, and D are incorrect. A humidifier may help with dryness but does not address the root cause of sleep apnea. Taking a sleeping pill can worsen sleep apnea by relaxing the muscles in the airway. Alcohol, like red wine, can relax the throat muscles and worsen breathing during sleep.
Therefore, C is the most appropriate choice as it directly addresses the underlying issue of obesity in obstructive sleep apnea.
Question 3 of 5
A nurse is collecting data from a client who is 2 days postoperative. The nurse auscultates bilateral breath sounds but absent breath sounds in the bases. The nurse should suspect which of the following postoperative complications?
Correct Answer: A
Rationale: Atelectasis causes absent breath sounds in lung bases due to alveolar collapse.
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 assisting with the plan of care for a client who does not speak the same language as the nurse. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Using pictures as reinforcement supports effective communication and understanding.