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 has atelectasis. The nurse tells the client how to position herself to promote drainage of the apical lung segments. Which of the following statements by the client should the nurse identify as understanding of the teaching?
Correct Answer: D
Rationale: Prone positioning with pillows under the chest promotes postural drainage of apical lung segments. Other positions are ineffective.
Question 2 of 5
A nurse is collecting data from a client. Which of the following findings should the nurse report to the charge nurse as an indicator of dehydration?
Correct Answer: C
Rationale: Skin tenting is a hallmark sign of dehydration due to decreased skin elasticity. Jugular vein distention and high BP indicate fluid overload.
Question 3 of 5
A nurse is caring for a client who is postoperative. Which of the following actions should the nurse take to help prevent an incisional infection?
Correct Answer: D
Rationale: The correct answer is D: Perform hand hygiene prior to dressing changes. Hand hygiene is crucial to prevent the introduction of harmful microorganisms to the surgical site. By washing hands before dressing changes, the nurse reduces the risk of contaminating the incision and causing an infection. Protective isolation (
A) is not necessary in preventing incisional infections. Allowing the wound to air periodically (
B) can actually increase the risk of contamination. Cleaning the incision with soap and water (
C) may disrupt the healing process and lead to infection.
Question 4 of 5
A client who is about to undergo hip arthroplasty tells the nurse she is afraid of not receiving adequate anesthesia during the procedure. Which of the following is an appropriate response?
Correct Answer: B
Rationale: Asking the client to elaborate allows for exploration of their concerns and reassurance through proper information.
Question 5 of 5
A nurse is reinforcing teaching with the spouse of a client about how to take a blood pressure. Which of the following actions by the spouse indicates a need for further instruction?
Correct Answer: B
Rationale: The correct answer is B: Place the client's arm above the level of the heart. This indicates a need for further instruction because positioning the arm above the heart can falsely decrease the blood pressure reading. Blood pressure should be measured at heart level to ensure accuracy.
Choice A is correct as the cuff should be wrapped snugly.
Choice C is correct as the gauge should start at zero.
Choice D is correct as the cuff bladder should be centered over the brachial artery.