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 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.
Question 2 of 5
A nurse is interviewing a female client who does not speak the same language as the nurse. The client's partner is translating what the nurse is saying to the client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A professional translator ensures accuracy, maintains confidentiality, and reduces potential biases from family members.
Question 3 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 4 of 5
When a nurse obtains an unusually low blood pressure measurement for a client whose blood pressure is generally elevated, she considers the possibility of a problem with her technique. Which of the following sources of error should she consider as a possible cause of the low reading?
Correct Answer: B
Rationale: The correct answer is B: Positioning the client's arm above heart level. When the client's arm is positioned above heart level, it can lead to artificially low blood pressure readings due to the effects of hydrostatic pressure. Blood pressure measurements are affected by the relative height of the heart in relation to the arm being measured. Elevating the arm above heart level can result in lower readings than the actual blood pressure. This is because gravity causes blood to pool in the arm, reducing the pressure in the arteries. Wrapping the cuff too loosely (choice
A) could lead to inaccurate readings, but it would likely result in higher readings rather than lower. Measuring blood pressure right after the client's mealtime (choice
C) may affect readings slightly, but it would not cause a significant drop in blood pressure. Deflating the cuff too slowly (choice
D) would not impact the initial measurement itself, only potentially the subsequent readings.
Choices E, F, and G are not provided but can be
Question 5 of 5
A nurse is collecting data for a client who has malnutrition resulting from a chronic illness. Which of the following manifestations should the nurse expect to find?
Correct Answer: D
Rationale: The correct answer is D: Depigmented hair. Malnutrition can lead to changes in hair color and texture, causing depigmentation. This occurs due to a lack of essential nutrients affecting hair follicles. Non-palpable spleen (
A) is not typically associated with malnutrition. Slightly moist skin (
B) is not a common manifestation of malnutrition; instead, dry skin is more likely. Presence of surface papillae on the tongue (
C) is not directly related to malnutrition. In summary, depigmented hair is a common manifestation of malnutrition, making it the correct choice in this scenario.