ATI RN
ATI Fundamental Proctored Exam Simulated Exam Questions With Detailed Verified Answer Questions
Extract:
Question 1 of 5
A nurse on a medical-surgical unit is receiving a change-of-shift report for four clients. Which of the following clients should the nurse see first?
Correct Answer: D
Rationale: The nurse should see the client with new onset dyspnea 24 hours after a total hip arthroplasty first. Dyspnea following surgery can indicate a potentially life-threatening complication like pulmonary embolism. Prompt assessment and intervention are crucial to prevent further complications. Acute abdominal pain (choice
A) can be urgent but is less likely to be immediately life-threatening compared to dyspnea post-surgery. Pneumonia with oxygen saturation of 96% (choice
B) and a urinary tract infection with low-grade fever (choice
C) may require attention, but they are less urgent compared to potential respiratory distress post-surgery.
Question 2 of 5
A home health nurse is performing a fall risk assessment for an older adult client. Which of the following findings should the nurse identify as a potential fall risk in the home?
Correct Answer: A
Rationale: The correct answer is A because antihypertensive medications can cause side effects like dizziness or lightheadedness, increasing the risk of falls. Secure electrical wires (
B) reduce tripping hazards. Rubber-sole shoes (
C) provide better traction and reduce slipping. Visual acuity of 20/40 (
D) is suboptimal but not directly related to home fall risk.
Question 3 of 5
A nurse is caring for a client who has dysphagia. When assisting the client during breakfast, which of the following actions by the client indicates the nurse should intervene?
Correct Answer: A
Rationale: The correct answer is A because drinking thickened liquids with a straw can increase the risk of aspiration for a client with dysphagia. Thickened liquids are already challenging to swallow, and using a straw can lead to improper control of liquid flow, potentially causing the liquid to enter the airway.
Choice B is correct as it promotes proper positioning for swallowing.
Choice C is correct as tucking the chin helps close off the airway during swallowing.
Choice D is incorrect because taking breaks while eating can actually be beneficial for a client with dysphagia to prevent fatigue and ensure safe swallowing.
Question 4 of 5
A nurse is planning to use nonpharmacological pain relief methods for a client who reports continued mild back pain after receiving analgesia 1 hr ago. Which of the following actions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Instruct the client to take deep, rhythmic breaths. Deep breathing can help the client relax, distract from pain, and improve oxygenation, reducing perception of pain. This method is non-invasive and can be easily implemented by the client.
Choice A may provide temporary relief but is not recommended for prolonged periods as it can lead to skin damage.
Choice C may exacerbate the pain as ice is not indicated for mild back pain.
Choice D may help create a calming environment but does not directly address the pain.
Question 5 of 5
A nurse is administering multiple types of ophthalmic drugs to a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Wait 5 min between the administration of each medication. This is important to prevent dilution of the medication and ensure proper absorption in the eye. Waiting between administrations allows each medication to have its full effect before the next one is introduced. Holding the dropper 3 cm away from the eye (
A) is incorrect as it may cause inaccurate dosing. Asking the client to close their eyes tightly after instillation (
B) can prevent proper absorption. Massaging the client's eyelids (
C) can lead to contamination or injury. Waiting 5 min between medications is the best practice to ensure each drug is absorbed effectively.