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 a respiratory infection. The nurse should have the client lie on his left side with pillows elevating the right side of his chest to help mobilize secretions from which of the following lung segments?
Correct Answer: D
Rationale: Positioning helps mobilize secretions from specific lung segments, aiding in pulmonary hygiene.
Question 2 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
Question 3 of 5
A nurse in an urgent care center is caring for a client who fell and injured her ankle. The ankle appears swollen and ecchymotic. While the client waits for the x-ray technician, which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,D,E
Rationale:
Correct Answer: A, D, E
Rationale:
A: Applying ice to the ankle helps reduce swelling and inflammation, providing pain relief.
D: Applying a compression bandage helps support the injured ankle, reducing swelling and providing stability.
E: Elevating the foot above heart level helps reduce swelling by promoting venous return and decreasing edema formation.
Summary:
B: Encouraging range-of-motion exercises can exacerbate the injury and cause further damage.
C: Providing a light snack is not a priority in managing an acute ankle injury.
Question 4 of 5
A nurse is collecting data about a client's skin turgor. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Grasp a fold of skin on the client's forearm or near the sternum. This is the correct action because assessing skin turgor involves gently lifting the skin to check for its elasticity and hydration status. Grasping a fold of skin on the forearm or near the sternum allows the nurse to evaluate how quickly the skin returns to its normal position after being pinched, indicating the level of hydration. Lightly palpating the skin (
A) does not provide an accurate assessment of skin turgor. Pressing the skin over the ankle bone (
B) or observing for red or purple spots on the abdomen (
C) are not relevant to assessing skin turgor.
Question 5 of 5
A nurse is caring for a client who has pneumonia. The nurse should place the client on his right side in Trendelenburg position to help mobilize secretions from which of the following lung segments?
Correct Answer: D
Rationale: The Trendelenburg position promotes drainage of secretions from specific lung segments, improving oxygenation.