ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A nurse observes an adolescent client who has paraplegia sitting in a wheelchair crying. The client says, “Go away! No one can help me.†Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Offering to return shows concern and allows the client to open up on their own terms.
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 a client about pitting edema and notes an indentation of 6 mm (0.25 in) at the point of pressure. Which of the following numbers should the nurse document to indicate the intensity of the client's edema?
Correct Answer: B
Rationale: A 6-mm indentation corresponds to 3+ pitting edema, indicating moderate to severe fluid retention.
Question 4 of 5
A nurse is measuring an adult client's tympanic temperature. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Aim the probe posteriorly in the direction of the eardrum. This is the correct action when measuring tympanic temperature as it ensures accurate reading by aligning the probe with the eardrum. Removing cerumen with a cotton-tipped applicator (
A) is not necessary for temperature measurement. Pulling the pinna downward and backward (
B) is incorrect as it can obstruct the ear canal. Inserting the probe with a circular motion (
D) can cause discomfort and inaccurate readings.
Question 5 of 5
A nurse is collecting data about a client's pulmonary system. While auscultating the client's lungs, the nurse hears continuous gurgling, low-pitched sounds over the trachea and bronchi. Which of the following terms should the nurse use to document this finding?
Correct Answer: A
Rationale: The correct answer is A: Rhonchi. Rhonchi are continuous gurgling, low-pitched sounds heard over the trachea and bronchi. This indicates the presence of secretions or mucus in the airways. Crackles (
B) are discontinuous, high-pitched sounds heard during inspiration and indicate fluid in the alveoli. Wheezing (
C) is a high-pitched musical sound heard during expiration, indicating narrowed airways. Friction rub (
D) is a harsh, grating sound heard during inspiration and expiration, indicating inflammation of the pleural surfaces. The other choices do not match the description provided in the question, making them incorrect.