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 insert an indwelling urinary catheter for a female client. After opening the catheter kit and preparing the supplies, which of the following steps should the nurse perform next?
Correct Answer: B
Rationale: The correct answer is B: Don sterile gloves. This step is crucial to prevent introducing any infection during the catheter insertion process. Sterile gloves create a barrier between the nurse's hands and the client's urinary tract, minimizing the risk of contamination. By putting on sterile gloves before proceeding further, the nurse ensures aseptic technique and promotes client safety. Cleansing the meatus (
A) and labia (
C) should follow after donning sterile gloves to maintain cleanliness but are not the immediate next step. Lubricating the catheter (
D) is important but should be done after donning sterile gloves.
Question 2 of 5
A nurse is planning home care for a school-age child who is awaiting discharge to home following an acute asthma attack. Which of the following growth and development stages according to Erikson should the nurse consider in the planning?
Correct Answer: C
Rationale:
Correct Answer: C - Industry vs. inferiority
Rationale:
1. School-age children (6-12 years) are in the stage of Industry vs. Inferiority according to Erikson.
2. This stage focuses on developing a sense of competence through mastering skills and tasks.
3. Planning home care for a child in this stage should support their sense of industry and competence.
4.
Choices A, B, and D are stages that precede or follow the school-age period and are not relevant to the current developmental stage.
Question 3 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 4 of 5
During a change-of-shift report, a nurse sees that a client's IV bag of 0.9% sodium chloride has 900 mL of fluid left in it. The nurse makes rounds 30 min later and notes that the IV bag is empty. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A rapid infusion of IV fluid can cause fluid overload, leading to respiratory distress. Checking respiratory status helps assess for complications.
Question 5 of 5
A nurse is preparing to measure a client's oral temperature. The client states that he has just had some ice chips in his mouth. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Wait 30 min and return to measure the client's oral temperature. Ice chips can significantly lower oral temperature readings, leading to inaccurate results. Waiting for 30 minutes allows the ice chips to melt and the oral temperature to normalize. Providing warm water (choice
B) may also affect the temperature reading. Documenting inability to obtain an accurate reading (choice
C) is not proactive. Proceeding to measure the temperature (choice
D) without waiting may yield incorrect results.