ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A nurse is performing pulmonary hygiene for a client. The nurse should place the client on his right side with pillows elevating the left side of his chest to help mobilize secretions from which of the following lung segments?
Correct Answer: C
Rationale: Elevation of specific lung areas helps drain mucus and prevent complications such as pneumonia or atelectasis.
Question 2 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 3 of 5
A nurse is caring for a client who had a severe traumatic brain injury 3 weeks ago, remains unconscious, and is unlikely to recover. While bathing the client, the assistive personnel (AP) talks to him about current events. The client's partner asks the nurse why the AP talks to the client. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Patients in comatose states may still hear and process auditory stimuli, so speaking to them is beneficial.
Question 4 of 5
A nurse is collecting data from a client. Which of the following findings should the nurse report to the charge nurse as an indicator of dehydration?
Correct Answer: C
Rationale: Skin tenting is a hallmark sign of dehydration due to decreased skin elasticity. Jugular vein distention and high BP indicate fluid overload.
Question 5 of 5
A nurse is preparing to remove a client's urinary catheter. After performing hand hygiene, which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: Positioning the client supine helps maintain comfort, prevent injury, and facilitate catheter removal. Supine position allows for proper access to the catheter insertion site and minimizes the risk of catheter dragging against the urethra. This position also ensures a smooth and gentle removal process, reducing discomfort for the client.
Summary of Incorrect
Choices:
B: Having the client bear down during removal can cause urethral trauma and discomfort as it increases pressure on the urinary tract.
C: Cleansing the perineal area with an antiseptic is not necessary before catheter removal and may cause unnecessary irritation to the skin.
D: Deflating the balloon halfway and then pulling out the catheter can lead to balloon rupture or catheter breakage, potentially causing harm to the client.