ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A nurse is performing tracheostomy care for a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Securing new tracheostomy ties before removing old ones prevents accidental displacement. Medical asepsis is insufficient; sterile technique is required.
Question 2 of 5
A nurse is assisting with an education program about breast self-examinations. Which of the following information should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Perform breast self-examinations 1 week following menses. This timing is important as breasts are less tender and lumpy post-menses, making it easier to detect abnormalities. Palpating in circular motion is more effective.
Choice B is incorrect as it suggests a specific direction instead of circular motion.
Choice C is incorrect as nipple discharge is not a normal finding that should be encouraged monthly.
Choice D is incorrect as performing breast self-exams in the shower can help detect abnormalities more easily.
Question 3 of 5
A nurse is reviewing the goals of a nurse-client therapeutic relationship with a newly licensed nurse. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The goal of a therapeutic relationship is to help the client achieve personal growth and well-being.
Question 4 of 5
A nurse is caring for a client who has not voided for 8 hr following surgery. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Perform a bladder scan. This is the first step because it allows the nurse to assess the client's bladder volume without invasive measures. If the bladder is found to be distended, further interventions such as offering fluids or inserting a catheter can be determined. Offering fluids (
A) is important but not the first step. Inserting a catheter (
C) should only be done if necessary after assessment. Providing assistance to the bathroom (
D) is not appropriate if the client cannot void.
Question 5 of 5
A nurse is caring for a client who is in the early stages of hypoxia and is receiving oxygen therapy. When collecting data from this client, the nurse should expect to find which of the following early indications of hypoxia?
Correct Answer: D
Rationale: Early signs of hypoxia include tachypnea, restlessness, and hypertension due to sympathetic nervous system activation.