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 medical record for a client who has pneumonia. The nurse should plan to have the client lie on his back with his head lower than his feet to mobilize secretions from which of the following lung segments?
Correct Answer: C
Rationale: Trendelenburg position assists in draining secretions from the anterior lower lung segments.
Question 2 of 5
A nurse is performing pulmonary hygiene for a client. The nurse should place the client on his right side with pillows elevating the left side of his chest to help mobilize secretions from which of the following lung segments?
Correct Answer: C
Rationale: Elevation of specific lung areas helps drain mucus and prevent complications such as pneumonia or atelectasis.
Question 3 of 5
A nurse is collecting data from the mother of a toddler. Which of the following activities should the nurse expect the toddler to be able to perform?
Correct Answer: B
Rationale: By age 3, toddlers can typically ride a tricycle as part of their gross motor skill development.
Question 4 of 5
A nurse is assisting with the implementation of a bowel training program for a client. For the program to be effective, the nurse should take the client to the bathroom at which of the following times?
Correct Answer: A
Rationale:
Correct Answer: A - When the client has the urge to defecate
Rationale: Taking the client to the bathroom when they have the urge to defecate is essential for effective bowel training. This timing aligns with the natural physiological cues of the body and helps retrain the bowel to empty at the appropriate time. By responding to the body's signals, the client is more likely to have successful and timely bowel movements.
Summary of other choices:
B: Every 2 hr while the patient is awake - This choice does not consider the client's natural bowel patterns and may lead to unnecessary or ineffective toileting.
C: Immediately before meals - Timing the bathroom visits before meals does not necessarily coincide with the body's natural cues for bowel movements.
D: After the client feels abdominal cramping - Waiting for abdominal cramping may lead to discomfort and is not a proactive approach to bowel training.
Question 5 of 5
A client receiving a cleansing enema reports mild cramping. After a few minutes, he asks the nurse to stop the enema and allow him to go to the bathroom. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Lower the height of the solution bag. Lowering the height of the solution bag will decrease the flow rate of the enema, which can help alleviate the mild cramping experienced by the client. This action allows the client to continue the enema at a more tolerable rate, reducing discomfort. Discontinuing the enema (
A) may not address the underlying issue of flow rate causing cramping. Continuing the enema and reassuring the client (
C) may exacerbate the discomfort. Pausing the enema and giving pain medication (
D) should be considered if the cramping persists or worsens, but adjusting the height of the solution bag is the initial appropriate intervention.