ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A nurse plans to reinforce discharge teaching with a client. Of the following barriers to learning the nurse identifies with this client, which should the nurse interpret as a need to postpone the session?
Correct Answer: A
Rationale: The correct answer is A: Pain. Pain can significantly affect a client's ability to concentrate and retain information during a teaching session. The client may be too preoccupied with managing their pain to effectively participate in the teaching. This barrier should be addressed first before proceeding with discharge teaching.
The other choices (B: Hearing loss, C: The client's culture, D: Motor impairment) may pose challenges but can be accommodated through appropriate communication strategies, cultural sensitivity, and adapted teaching methods.
Question 2 of 5
A nurse is completing a client's history and physical examination. Which information should the nurse consider subjective data?
Correct Answer: C
Rationale: Subjective data refers to information given by the client based on their feelings or experiences, such as nausea. This data cannot be measured or observed directly by the nurse. Blood pressure (
A) is an objective measurement that can be assessed through a physical examination. Cyanosis (
B) and petechiae (
D) are physical signs that can be observed.
Therefore, they are objective data. In summary, the nurse should consider nausea (
C) as subjective data because it is based on the client's personal experience and cannot be directly measured or observed by the nurse.
Question 3 of 5
A nurse is caring for an older adult client who is Chinese and is recovering from a bowel obstruction. The client is prescribed a clear-liquid diet and asks the nurse for a cup of hot ginger tea. The nurse should identify that this request is for which of the following purposes?
Correct Answer: B
Rationale: The correct answer is B:
To promote digestion. Ginger tea is commonly used in Chinese culture to aid digestion and alleviate digestive issues such as bloating and indigestion. Ginger contains compounds that help stimulate digestive enzymes and increase the movement of food through the digestive tract. This can be particularly beneficial for someone recovering from a bowel obstruction as it may help ease any digestive discomfort and promote better digestion.
Incorrect
Choices:
A:
To regulate blood pressure - Ginger tea is not typically used for regulating blood pressure.
C:
To enhance the immune system - While ginger may have some immune-boosting properties, the primary purpose in this context is likely related to digestion.
D:
To reduce inflammation - While ginger is known for its anti-inflammatory properties, the immediate purpose in this scenario is more likely related to digestion rather than inflammation.
Question 4 of 5
A nurse is supervising a newly licensed nurse who is female while she performs postmortem care on a male client who is Muslim. Which of the following actions by the newly licensed nurse should prompt the nurse to intervene?
Correct Answer: B
Rationale: In Islamic practices, same-gender family members or religious personnel should perform body cleansing. A female nurse cleansing a male client would require intervention.
Question 5 of 5
A nurse is evaluating an older adult client who is receiving end-of-life care and has Cheyne-Stokes respirations. Which of the following observations should the nurse identify as confirmation of this respiratory pattern?
Correct Answer: A
Rationale: The correct answer is A because Cheyne-Stokes respirations are characterized by a pattern of breathing that ranges from very deep to very shallow with periods of apnea. This pattern reflects an abnormal breathing pattern often seen in end-of-life care. Shallow breathing alternating with periods of apnea (
Choice
B) is incorrect as it does not fully capture the range of depth in breathing associated with Cheyne-Stokes respirations. Rapid respirations that are unusually deep and regular (
Choice
C) do not align with the irregular pattern of Cheyne-Stokes respirations. An inability to breathe without dyspnea unless sitting upright (
Choice
D) describes orthopnea, which is not characteristic of Cheyne-Stokes respirations.