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 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.
Question 2 of 5
A nurse is preparing to collect health history data during a client's admission. Which of the following questions should the nurse ask to promote this discussion?
Correct Answer: A
Rationale: The correct answer is A: What brought you to the hospital? This question is open-ended and allows the client to share their reason for seeking care, leading to a comprehensive health history. Option B is too broad and may overwhelm the client. Option C assumes the client has health concerns. Option D focuses on feelings rather than the primary reason for admission. Options E, F, and G are not provided. Asking about the reason for hospitalization is crucial for understanding the client's current health status.
Question 3 of 5
A nurse in a community clinic is collecting data from a client who reports frequent vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: A,C,E
Rationale: Poor skin turgor, hypotension, and flat neck veins indicate dehydration due to fluid loss. Bradycardia is incorrect; tachycardia is expected. Pale yellow urine suggests adequate hydration.
Question 4 of 5
A nurse is collecting data for a client who has malnutrition resulting from a chronic illness. Which of the following manifestations should the nurse expect to find?
Correct Answer: D
Rationale: The correct answer is D: Depigmented hair. Malnutrition can lead to changes in hair color and texture, causing depigmentation. This occurs due to a lack of essential nutrients affecting hair follicles. Non-palpable spleen (
A) is not typically associated with malnutrition. Slightly moist skin (
B) is not a common manifestation of malnutrition; instead, dry skin is more likely. Presence of surface papillae on the tongue (
C) is not directly related to malnutrition. In summary, depigmented hair is a common manifestation of malnutrition, making it the correct choice in this scenario.
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.