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 newly licensed nurse about respecting a client's personal space. The nurse should include in the teaching that which of the following actions require client consent? (Select all that apply.)
Correct Answer: A, C
Rationale: Actions that involve physical touch or intrusion into personal space, such as removing dentures or palpating edema, require consent.
Question 2 of 5
A nurse is collecting data from a client who has respiratory insufficiency. Which of the following findings should the nurse identify as an early sign of inadequate oxygenation?
Correct Answer: D
Rationale: Restlessness is an early sign of inadequate oxygenation, indicating the body's attempt to compensate for low oxygen levels.
Question 3 of 5
A nurse is collecting data from a client who has narcolepsy. Which of the following manifestations should the nurse expect? (Select all that apply).
Correct Answer: B, C
Rationale: Narcolepsy is characterized by sudden sleep attacks and hallucinations during the transition between sleep and wakefulness.
Question 4 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 5 of 5
A nurse is preparing a client for ambulation. Which of the following actions should the nurse take to determine the client's level of strength?
Correct Answer: D
Rationale: The correct answer is D: Ask the client to push her legs and feet against the nurse's palms. This action assesses the client's muscle strength directly, providing a more objective measure compared to subjective self-reporting (
A). Asking if the client has been out of bed does not specifically evaluate strength (
B). Checking pedal pulses and feet for edema assesses circulation and fluid retention, not strength (
C). Asking the client to actively push against resistance helps determine the client's actual muscle strength level accurately.