ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A nurse is rehearsing assertive communication approaches to decline leadership of a nursing department committee. Which of the following statements by the nurse demonstrates assertiveness?
Correct Answer: D
Rationale: Assertive communication is direct and respectful, clearly stating a decision without being passive or aggressive.
Question 2 of 5
A nurse is caring for a client who has a stage-3 pressure ulcer that now has some granulating tissue. Which of the following interventions should the nurse recommend for inclusion in the plan of care?
Correct Answer: B
Rationale: 0.9% sodium chloride irrigation is recommended for granulating tissue. Povidone-iodine is cytotoxic and should not be used. Heat lamps and massage can cause further tissue damage.
Question 3 of 5
When auscultating a client's lungs, the nurse identifies crackles in the left posterior base. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Repeat the auscultation after asking the client to breathe deeply and cough. Crackles indicate fluid in the lungs, which could be due to various reasons such as pneumonia or heart failure. Asking the client to breathe deeply and cough helps to clear secretions and may change the auscultation findings. This action helps the nurse gather more information to determine the cause of crackles. Option B is incorrect as limiting fluid intake may not address the underlying cause of crackles. Option C is incorrect as administering antibiotics without further assessment is premature. Option D is incorrect as bedrest in semi-Fowler's position does not directly address the presence of crackles.
Question 4 of 5
A nurse is collecting data from a client about pitting edema and notes an indentation of 6 mm (0.25 in) at the point of pressure. Which of the following numbers should the nurse document to indicate the intensity of the client's edema?
Correct Answer: B
Rationale: A 6-mm indentation corresponds to 3+ pitting edema, indicating moderate to severe fluid retention.
Question 5 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