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 of a client who has pneumonia. The nurse should plan to have the client lie on his stomach in Trendelenburg position with pillows elevating the right side of his chest to mobilize secretions from which of the following lung segments?
Correct Answer: D
Rationale: This positioning promotes drainage from the posterior right lower lobe by using gravity.
Question 2 of 5
A nurse is assisting with the admission of a client who is about to have elective surgery. The client tells the nurse she feels anxious. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Encouraging the client to express their concerns allows for emotional support and patient-centered care.
Question 3 of 5
A nurse is checking the apical pulse of a client who is taking several cardiovascular medications. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Count the apical pulsations for a full minute. This is the correct action because counting the apical pulse for a full minute provides a more accurate assessment of the client's heart rate, especially in clients taking cardiovascular medications. It allows for a thorough evaluation of the pulse rhythm and any irregularities.
Choice B is incorrect as using a Doppler device is not necessary for routine assessment of the apical pulse.
Choice C is incorrect as the bell of the stethoscope, not the diaphragm, is typically used to listen to the apical pulsations.
Choice D is incorrect as pressing the stethoscope firmly against the skin can distort the sound of the heartbeat. The key is to listen carefully without applying excessive pressure.
Question 4 of 5
A nurse is collecting data from a client who has ataxia. Which of the following is appropriate to evaluate the client's ability to safely ambulate?
Correct Answer: B
Rationale: The correct answer is B: Perform a Romberg test. Ataxia affects coordination and balance, making it crucial to assess the client's ability to ambulate safely. The Romberg test evaluates proprioception and balance by asking the client to stand with feet together, eyes closed. If the client sways significantly, it indicates a positive Romberg sign, suggesting impaired balance and proprioception. Auscultating for Korotkoff's sounds (choice
A) is used to measure blood pressure, not related to ataxia. Checking cranial nerve V function (choice
C) assesses facial sensation, not relevant to ambulation. Inspecting for clubbing (choice
D) is used to assess the respiratory system, not relevant to ataxia.
Question 5 of 5
A nurse is caring for a client who has diabetes mellitus and had a below-the-knee amputation 2 days ago. Which of the following statements by the client should the nurse identify as an indication that the client has a body image disturbance?
Correct Answer: A
Rationale: A body image disturbance is reflected in the client's negative perception of their physical self.