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 with a client who is obese and has obstructive sleep apnea about how to decrease the number of apneic episodes he has each night. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
Correct Answer: C
Rationale: The correct answer is C: "I am going to try to lose about 50 pounds." This statement demonstrates the client's understanding of how weight loss can help reduce obstructive sleep apnea. Excess weight can contribute to airway obstruction during sleep, leading to apneic episodes. Losing weight can decrease the severity of sleep apnea symptoms.
Choices A, B, and D are incorrect. A humidifier may help with dryness but does not address the root cause of sleep apnea. Taking a sleeping pill can worsen sleep apnea by relaxing the muscles in the airway. Alcohol, like red wine, can relax the throat muscles and worsen breathing during sleep.
Therefore, C is the most appropriate choice as it directly addresses the underlying issue of obesity in obstructive sleep apnea.
Question 2 of 5
A nurse is caring for a client who has not voided for 8 hr following surgery. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Perform a bladder scan. This is the first step because it allows the nurse to assess the client's bladder volume without invasive measures. If the bladder is found to be distended, further interventions such as offering fluids or inserting a catheter can be determined. Offering fluids (
A) is important but not the first step. Inserting a catheter (
C) should only be done if necessary after assessment. Providing assistance to the bathroom (
D) is not appropriate if the client cannot void.
Question 3 of 5
A nurse is reinforcing teaching with a client who reports constipation. Which of the following should the nurse discuss as causes of constipation? (Select all that apply.)
Correct Answer: A,B,C
Rationale: The correct answers are A, B, and C. A: Excessive laxative use can lead to constipation by causing dependency. B: Ignoring the urge to defecate can disrupt normal bowel movements. C: Inadequate fluid intake can result in hard stools. D: Increased fiber in the diet helps prevent constipation. E: Increased activity promotes regular bowel movements. F: No information given. G: No information given.
Question 4 of 5
A nurse is assisting with an education program about breast self-examinations. Which of the following information should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Perform breast self-examinations 1 week following menses. This timing is important as breasts are less tender and lumpy post-menses, making it easier to detect abnormalities. Palpating in circular motion is more effective.
Choice B is incorrect as it suggests a specific direction instead of circular motion.
Choice C is incorrect as nipple discharge is not a normal finding that should be encouraged monthly.
Choice D is incorrect as performing breast self-exams in the shower can help detect abnormalities more easily.
Question 5 of 5
A nurse is assisting a client during ambulation when the client begins to fall. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take when a client begins to fall during ambulation is to lower the client to the floor (
Choice
C). This is the safest option as it helps prevent further injury to the client. Lowering the client to the floor ensures a controlled descent, reducing the risk of a more severe fall. Holding the client's arm (
Choice
A) may not provide enough support and could lead to both the nurse and client falling. Leaning the client toward the wall (
Choice
B) may not be effective in preventing a fall and could potentially cause injury if the client hits the wall. Maintaining a narrow base of support (
Choice
D) is not the appropriate action in this situation as it does not address the immediate risk of the client falling.