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 remove a client's urinary catheter. After performing hand hygiene, which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: Positioning the client supine helps maintain comfort, prevent injury, and facilitate catheter removal. Supine position allows for proper access to the catheter insertion site and minimizes the risk of catheter dragging against the urethra. This position also ensures a smooth and gentle removal process, reducing discomfort for the client.
Summary of Incorrect
Choices:
B: Having the client bear down during removal can cause urethral trauma and discomfort as it increases pressure on the urinary tract.
C: Cleansing the perineal area with an antiseptic is not necessary before catheter removal and may cause unnecessary irritation to the skin.
D: Deflating the balloon halfway and then pulling out the catheter can lead to balloon rupture or catheter breakage, potentially causing harm to the client.
Question 2 of 5
A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus. To focus on affective learning with this client, which of the following interventions should the nurse use?
Correct Answer: C
Rationale: The correct answer is C: Explore the client's feelings about dietary modifications. This intervention focuses on the client's emotional response to the new diagnosis, promoting affective learning by addressing the client's concerns and emotions related to dietary changes. By exploring the client's feelings, the nurse can help the client process and cope with the emotional aspect of managing diabetes, which is essential for long-term adherence to dietary modifications.
Incorrect answers:
A: Asking the client to perform a return demonstration of insulin injection focuses on psychomotor learning, not affective learning.
B: Reviewing the action of insulin therapy is important for cognitive learning but does not directly address emotional responses.
D: Having a family member practice blood glucose monitoring is not directly related to affective learning and does not address the client's emotional needs.
Question 3 of 5
A nurse is preparing to remove an NG tube for a client. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D, verify provider order to discontinue the tube. This is the first step because the nurse must always follow the provider's order before proceeding with any intervention. Without a valid order, the nurse cannot remove the NG tube. Option A is incorrect as disconnecting the tube from the wall suction can cause discomfort to the client if not done in the right order. Option B is important but should be done after confirming the provider's order. Option C is relevant but assessing the drainage amount and color can be done after verifying the order.
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 assisting with the admission of a client who is about to have elective surgery. The client tells the nurse she feels anxious. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Encouraging the client to express their concerns allows for emotional support and patient-centered care.