ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A nurse is reviewing the goals of a nurse-client therapeutic relationship with a newly licensed nurse. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The goal of a therapeutic relationship is to help the client achieve personal growth and well-being.
Question 2 of 5
A nurse on a medical unit is caring for a client who requires seizure precautions. Which of the following interventions should the nurse contribute to the client's plan of care?
Correct Answer: C
Rationale:
Correct Answer: C - Keep the client's bed in the lowest position.
Rationale: Keeping the client's bed in the lowest position is important for safety during a seizure. Lowering the bed reduces the risk of injury if the client were to fall during a seizure episode. It also helps facilitate easier access for healthcare providers to assist the client during and after a seizure.
Summary of Incorrect
Choices:
A: Restrain the client as soon as seizure activity begins - Restraint can increase the risk of injury and is not recommended during a seizure.
B: Keep the lights on when the client is sleeping - Bright lights can trigger seizures in some individuals and may disrupt the client's sleep.
D: Have a padded tongue depressor available at the bedside - A padded tongue depressor is not a standard intervention for seizure precautions and does not directly contribute to client safety during a seizure.
Question 3 of 5
A nurse is attending a social gathering when another guest suddenly coughs weakly once, grasps her throat with her hands, and cannot talk. Which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Correct Answer: C - Perform the Heimlich maneuver on the guest.
Rationale: The guest's inability to talk and grasping of the throat indicate a partial airway obstruction, which can lead to choking. The Heimlich maneuver is the appropriate response for a conscious choking victim to dislodge the obstruction and clear the airway, as it helps to expel the object blocking the airway. This action is crucial to prevent further complications and potentially save the guest's life.
Summary of Incorrect
Choices:
A: Mouth-to-mouth resuscitation is not indicated for a conscious choking victim with a partial airway obstruction.
B: Observing the guest without taking immediate action can be dangerous as the guest is showing signs of choking.
D: Slapping the guest on the back may not effectively dislodge the object and can potentially worsen the situation by causing the object to become further lodged in the airway.
Question 4 of 5
A nurse is caring for a client who has metabolic alkalosis. For which of the following clinical manifestations should the nurse monitor? (Select all that apply.)
Correct Answer: A,B,D
Rationale: The correct answer is A, B, and D. In metabolic alkalosis, the body has excess bicarbonate leading to elevated pH. Shallow respirations can be a compensatory mechanism to retain CO2. Cardiac dysrhythmias can occur due to electrolyte imbalances resulting from altered acid-base balance. Hyperactive reflexes can be a sign of neuromuscular irritability due to decreased ionized calcium levels. Flushing (choice
C) is more commonly seen in metabolic acidosis. Abdominal pain (choice E) is not typically associated with metabolic alkalosis. Monitoring these manifestations is crucial to assess the client's condition and intervene promptly.
Question 5 of 5
A nurse is caring for a client who has pneumonia. The client's oxygen saturation is 85%. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Raise the head of the bed. This action is crucial to improve oxygenation in a client with pneumonia as it helps optimize lung expansion and ventilation. Elevating the head of the bed promotes better lung mechanics and enhances oxygenation by reducing pressure on the diaphragm and maximizing lung capacity. Increasing oral fluid intake (
A) may be beneficial for overall hydration but does not directly address the immediate oxygen saturation concern. Initiating humidification therapy (
B) may be helpful in some cases but is not the priority in this scenario. Encouraging coughing and deep breathing (
C) is important for airway clearance but should come after optimizing oxygenation.