ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A nurse is planning to collect data about the abdomen of a client who reports 'stomach pain.' Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Inspection is always the first step in an abdominal assessment to observe for any abnormalities before auscultation and palpation.
Question 2 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 3 of 5
A nurse is collecting data from a client who has ataxia. Which of the following is appropriate to evaluate the client's ability to safely ambulate?
Correct Answer: B
Rationale: The correct answer is B: Perform a Romberg test. Ataxia affects coordination and balance, making it crucial to assess the client's ability to ambulate safely. The Romberg test evaluates proprioception and balance by asking the client to stand with feet together, eyes closed. If the client sways significantly, it indicates a positive Romberg sign, suggesting impaired balance and proprioception. Auscultating for Korotkoff's sounds (choice
A) is used to measure blood pressure, not related to ataxia. Checking cranial nerve V function (choice
C) assesses facial sensation, not relevant to ambulation. Inspecting for clubbing (choice
D) is used to assess the respiratory system, not relevant to ataxia.
Question 4 of 5
A nurse is caring for a client who has a hearing loss in her left ear. Which of the following nursing actions should the nurse take?
Correct Answer: C
Rationale: Minimizing background noise enhances communication for clients with hearing loss.
Question 5 of 5
A nurse is assisting with the admission of a client who is hyperventilating, reports lightheadedness and paresthesias, and has blurred vision and a new onset of confusion. The nurse should suspect that the client has developed which of the following imbalances?
Correct Answer: D
Rationale: The correct answer is D: Respiratory alkalosis. Hyperventilation leads to excessive elimination of carbon dioxide, causing a decrease in carbonic acid concentration in the blood, resulting in alkalosis. This explains the client's symptoms such as lightheadedness, paresthesias, blurred vision, and confusion. Metabolic acidosis (
A) is characterized by low pH and bicarbonate levels, not seen in this scenario. Metabolic alkalosis (
B) is characterized by high pH and bicarbonate levels, which is not consistent with the client's presentation. Respiratory acidosis (
C) is caused by retention of carbon dioxide, leading to acidosis, which is opposite of the client's condition.