ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A nurse is preparing to administer a soapsuds enema to an adult client. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Assist the client to the left Sims' position. This position helps facilitate the enema administration by allowing gravity to aid in the flow of the solution through the colon. The left Sims' position positions the client on their left side with the upper leg flexed and the lower leg straight. This position helps to promote the retention of the enema solution and reduces discomfort for the client.
Choice A is incorrect as sterile gloves are not necessary for this procedure unless there are specific concerns about infection control.
Choice C is incorrect as the height of the enema container should be around 45-60 cm (18-24 in) above the anus to ensure proper flow.
Choice D is incorrect as the tubing should be inserted about 7.5-10 cm (3-4 in) into the anus, not 15 cm (6 in), to avoid injury or discomfort.
Question 2 of 5
A nurse is observing a client's nonverbal behavior. When evaluating this behavior, the nurse should factor in which of the following principles that influence nonverbal communication?
Correct Answer: B
Rationale: Cultural background significantly influences nonverbal cues, such as eye contact and gestures.
Question 3 of 5
A nurse is assisting in interviewing a client who is being admitted from a long-term care facility. In which of the following situations should the nurse ask a closed-ended question?
Correct Answer: D
Rationale: Closed-ended questions are useful for obtaining specific, factual information, such as whether the client took their medications.
Question 4 of 5
A nurse is performing pulmonary hygiene for a client who has pneumonia. The nurse should have the client lie on his back with his head elevated to mobilize secretions from which of the following lung segments?
Correct Answer: A
Rationale: Elevating the head improves lung expansion and drainage of anterior lung segments.
Question 5 of 5
A nurse is assisting with the implementation of a bowel training program for a client. For the program to be effective, the nurse should take the client to the bathroom at which of the following times?
Correct Answer: A
Rationale:
Correct Answer: A - When the client has the urge to defecate
Rationale: Taking the client to the bathroom when they have the urge to defecate is essential for effective bowel training. This timing aligns with the natural physiological cues of the body and helps retrain the bowel to empty at the appropriate time. By responding to the body's signals, the client is more likely to have successful and timely bowel movements.
Summary of other choices:
B: Every 2 hr while the patient is awake - This choice does not consider the client's natural bowel patterns and may lead to unnecessary or ineffective toileting.
C: Immediately before meals - Timing the bathroom visits before meals does not necessarily coincide with the body's natural cues for bowel movements.
D: After the client feels abdominal cramping - Waiting for abdominal cramping may lead to discomfort and is not a proactive approach to bowel training.