ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching about health promotion with a group of older adults. Which of the following health promotion measures should the nurse recommend? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: The correct answers are A, B, C, and D. Yearly blood pressure screening is essential for early detection of hypertension in older adults. Using lotions with SPF 15 or higher helps prevent skin damage and reduce the risk of skin cancer. Immunization for influenza is crucial to prevent serious complications in older adults. Annual visual acuity screening is important for early identification of vision problems like cataracts or age-related macular degeneration.
Choices E is incorrect because reducing calcium intake can lead to osteoporosis and other bone-related issues in older adults.
Question 2 of 5
A nurse is performing pulmonary hygiene for a client. The nurse should place the client on his right side with pillows elevating the left side of his chest to help mobilize secretions from which of the following lung segments?
Correct Answer: C
Rationale: Elevation of specific lung areas helps drain mucus and prevent complications such as pneumonia or atelectasis.
Question 3 of 5
A nurse is caring for a client who has metabolic alkalosis. For which of the following clinical manifestations should the nurse monitor? (Select all that apply.)
Correct Answer: A,B,D
Rationale: The correct answer is A, B, and D. In metabolic alkalosis, the body has excess bicarbonate leading to elevated pH. Shallow respirations can be a compensatory mechanism to retain CO2. Cardiac dysrhythmias can occur due to electrolyte imbalances resulting from altered acid-base balance. Hyperactive reflexes can be a sign of neuromuscular irritability due to decreased ionized calcium levels. Flushing (choice
C) is more commonly seen in metabolic acidosis. Abdominal pain (choice E) is not typically associated with metabolic alkalosis. Monitoring these manifestations is crucial to assess the client's condition and intervene promptly.
Question 4 of 5
A nurse is caring for a client who has dyspnea, crackles, and 3+ bilateral pitting pedal edema. Which of the following serum sodium levels should the nurse identify as an indication of fluid volume excess?
Correct Answer: A
Rationale: The correct answer is A: 116 mEq/L. A low serum sodium level (hyponatremia) often indicates fluid volume excess due to dilution of sodium in the bloodstream. In this scenario, the client's symptoms of dyspnea, crackles, and pitting pedal edema are classic signs of fluid overload. A serum sodium level of 116 mEq/L suggests that the excess fluid in the body is diluting the sodium concentration.
Choices B, C, and D have normal to high serum sodium levels, which would not support the diagnosis of fluid volume excess.
Therefore, option A is the most appropriate choice indicating fluid volume excess based on the client's presentation and the associated electrolyte imbalance.
Question 5 of 5
A nurse is reinforcing teaching with an older adult client. Which of the following strategies should the nurse use?
Correct Answer: B
Rationale: The correct answer is B: Emphasize visual and auditory teaching techniques. Older adults may have sensory impairments, so using visual and auditory methods can enhance understanding. Visual aids like diagrams and written materials help reinforce learning. Auditory techniques, such as verbal explanations and discussions, cater to different learning styles. This approach ensures information retention and comprehension for older adults.
Incorrect choices:
A: Incorporating teaching in one session can overwhelm the older adult and hinder retention.
C: While minimizing distractions is important, closing the door may make the client feel isolated.
D: Starting with the most difficult tasks can be discouraging and may lead to frustration.