ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A nurse is preparing a client for ambulation. Which of the following actions should the nurse take to determine the client's level of strength?
Correct Answer: D
Rationale: The correct answer is D: Ask the client to push her legs and feet against the nurse's palms. This action assesses the client's muscle strength directly, providing a more objective measure compared to subjective self-reporting (
A). Asking if the client has been out of bed does not specifically evaluate strength (
B). Checking pedal pulses and feet for edema assesses circulation and fluid retention, not strength (
C). Asking the client to actively push against resistance helps determine the client's actual muscle strength level accurately.
Question 2 of 5
A nurse is reinforcing teaching with a client about relationship development. The nurse should explain that, according to Erikson, establishing relationships with commitment is a primary task of which of the following stages of psychosocial development?
Correct Answer: C
Rationale: The correct answer is C: Intimacy versus isolation. According to Erikson's psychosocial development theory, the primary task during the stage of Intimacy versus Isolation (young adulthood) is to establish intimate and committed relationships. This stage focuses on forming deep connections with others and developing a sense of trust and commitment in relationships.
Choice A, Generativity versus stagnation, focuses on middle adulthood and involves contributing to the next generation.
Choice B, Identity versus role diffusion, pertains to adolescence and is about forming a sense of self.
Choice D, Trust versus mistrust, is the stage of infancy where the primary task is developing a sense of trust in others.
Question 3 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.
Question 4 of 5
A nurse observes an adolescent client who has paraplegia sitting in a wheelchair crying. The client says, “Go away! No one can help me.†Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Offering to return shows concern and allows the client to open up on their own terms.
Question 5 of 5
A nurse is caring for a client who has pneumonia. Which of the following actions should the nurse take to thin the client's respiratory secretions?
Correct Answer: C
Rationale: The correct answer is C: Encourage the client to drink more fluids. This action helps thin respiratory secretions by increasing hydration levels, making the mucus easier to expectorate. It also helps prevent dehydration, which can lead to thicker secretions. Encouraging ambulation (
A) promotes circulation but does not directly thin secretions. Coughing and deep breathing (
B) can help clear secretions but do not directly thin them. Regular use of the incentive spirometer (
D) improves lung function but does not directly thin secretions for expectoration.