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 diabetes mellitus about using a glucometer to monitor her blood glucose. Which of the following actions should the nurse identify as an indication that the client understands the instructions?
Correct Answer: B
Rationale: The correct answer is B: Uses the side of a fingertip as the puncture site. This is the correct answer because using the side of a fingertip for blood glucose monitoring helps to minimize pain and discomfort for the client. The sides of the fingertips contain fewer nerve endings compared to the fingertips' pads, making it a less sensitive area for blood sampling. This method also reduces the risk of potential complications such as nerve damage or calluses.
Other choices are incorrect because:
A: Using the ball of a finger as the puncture site can be more painful due to the higher concentration of nerve endings in that area.
C: Avoiding the fingers of the dominant hand is not a necessary step for accurate blood glucose monitoring.
D: Avoiding the thumbs as puncture sites is irrelevant as thumbs are not commonly used for blood glucose monitoring and do not pose any specific risks.
Question 2 of 5
A nurse is assisting with the admission of a client to an inpatient unit. Which of the following sources of information should the nurse use as a primary source of accurate data about the client?
Correct Answer: A
Rationale: The correct answer is A: Client concerns. The primary source of accurate data about the client should always be the client themselves. Clients are the most reliable source for information about their own health, symptoms, and concerns. By directly asking the client about their medical history, progress, and current concerns, the nurse can gather accurate and firsthand information. Family information (
B) may be helpful but may not always be accurate or up-to-date. Medical history (
C) and progress notes (
D) are important sources of information but may not always reflect the client's current status or concerns. It is crucial to prioritize the client's own input to ensure the accuracy and relevance of the data collected.
Question 3 of 5
A nurse is reinforcing teaching to a newly licensed nurse about caring for a client who is a member of the Seventh-Day Adventist church. The nurse should include in the teaching that which of the following foods are restricted with this religion?
Correct Answer: D
Rationale: Seventh-Day Adventists often avoid caffeine, as it is considered a stimulant.
Question 4 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 5 of 5
A nurse is caring for a client who is postoperative. When helping to manage the client's pain, which of the following principles should the nurse apply? (Select all that apply.)
Correct Answer: B,D,E
Rationale:
Correct Answer: B, D, E
B: Considering the client's individual expression of pain is crucial as pain is subjective. Understanding the client's unique experience helps tailor pain management effectively.
D: Using a pain scale from 0 to 10 helps quantify and monitor the severity of the client's pain objectively, aiding in determining the effectiveness of interventions.
E: Expecting the client to express pain verbally and nonverbally allows for a comprehensive assessment, considering that not all clients may communicate pain in the same way.
Incorrect
Choices:
A: The statement about opioids leading to addiction is a generalization and does not consider individual responses to pain management. Opioids can be used safely for acute pain postoperatively.
C: Administering analgesics PO for fast-acting relief is not always appropriate postoperatively as IV or other routes may be more effective for immediate relief.
In summary, the correct principles focus on individualized pain assessment, objective monitoring, and recognizing diverse expressions