ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client whose arterial blood gases include a pH of 7.30, an HCO3- of 18 mEq/L and a PaCO2 of 28 mm Hg. The nurse should suspect that the client has developed which of the following acid-base imbalances?
Correct Answer: A
Rationale: The correct answer is A: Metabolic acidosis. The pH is below the normal range (7.35-7.45), indicating acidosis. The HCO3- level is below the normal range (22-26 mEq/L), suggesting metabolic acidosis. The PaCO2 is decreased, which would be a compensatory response in respiratory alkalosis, but since the pH and HCO3- are abnormal, the primary imbalance is metabolic acidosis. Other choices are incorrect because they do not align with the given ABG values.
Question 3 of 5
A nurse is reinforcing teaching with a client about crutch walking using the swing-through gait. Which of the following statements should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Move both crutches forward, then lift and move your body past the crutches. This is the correct technique for the swing-through gait with crutches. By moving both crutches forward first, the client can then lift and advance their body past the crutches, providing stability and support. Looking down at the feet (
A) can disrupt balance and coordination. Placing one crutch forward with the opposite foot (
B) is incorrect for the swing-through gait. Bearing weight against the underarm crutch pads (
D) is not the correct method for using crutches in this gait pattern.
Question 4 of 5
A nurse is reinforcing preoperative teaching with a client who will undergo abdominal surgery. The nurse explains that the client will wear antiembolism stockings after the procedure. When the client asks what the stockings do, which of the following responses should the nurse make?
Correct Answer: C
Rationale:
Correct Answer: C. They'll improve your circulation to keep blood from pooling in your legs.
Rationale: Antiembolism stockings are designed to promote circulation and prevent blood clots by applying gentle pressure to the legs. This helps to reduce the risk of deep vein thrombosis (DVT) and venous stasis. By improving circulation, the stockings help prevent blood from pooling in the legs and reduce the likelihood of clot formation.
Summary of Other
Choices:
A: Incorrect. While antiembolism stockings can help prevent skin breakdown by improving circulation, their primary purpose is not focused on protecting the legs and heels from skin breakdown.
B: Incorrect. Antiembolism stockings do not serve the purpose of keeping the client warm; their main function is to promote circulation.
D: Incorrect. Antiembolism stockings are not intended to make leg exercises easier; their main function is to prevent blood clots.
E, F, G: No additional choices provided.
Question 5 of 5
A nurse is planning to monitor a client for dehydration following several episodes of vomiting and an increase in the client's temperature. Which of the following findings should the nurse identify as an indication that the client is dehydrated?
Correct Answer: A
Rationale: The correct answer is A: Urine specific gravity 1.034. A high urine specific gravity indicates concentrated urine, a sign of dehydration due to fluid loss. When the body is dehydrated, the kidneys conserve water, leading to concentrated urine. Bounding pulse (
B) is a sign of fluid overload, not dehydration. High blood pressure (
C) and distended neck veins (
D) are signs of fluid overload and not dehydration. Other choices are not relevant to dehydration monitoring.