ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
When a nurse obtains an unusually low blood pressure measurement for a client whose blood pressure is generally elevated, she considers the possibility of a problem with her technique. Which of the following sources of error should she consider as a possible cause of the low reading?
Correct Answer: B
Rationale: The correct answer is B: Positioning the client's arm above heart level. When the client's arm is positioned above heart level, it can lead to artificially low blood pressure readings due to the effects of hydrostatic pressure. Blood pressure measurements are affected by the relative height of the heart in relation to the arm being measured. Elevating the arm above heart level can result in lower readings than the actual blood pressure. This is because gravity causes blood to pool in the arm, reducing the pressure in the arteries. Wrapping the cuff too loosely (choice
A) could lead to inaccurate readings, but it would likely result in higher readings rather than lower. Measuring blood pressure right after the client's mealtime (choice
C) may affect readings slightly, but it would not cause a significant drop in blood pressure. Deflating the cuff too slowly (choice
D) would not impact the initial measurement itself, only potentially the subsequent readings.
Choices E, F, and G are not provided but can be
Question 2 of 5
A nurse is planning to perform passive range of motion for a client who is immobilized. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Support extremities above and below joints. This is important to prevent injury and provide stability during passive range of motion exercises. By supporting the extremities above and below the joints, the nurse ensures controlled movement and minimizes the risk of hyperextension or hyperflexion. This technique also helps maintain proper alignment and reduces strain on the joints and surrounding tissues.
Incorrect choices:
A: Moving body parts rapidly can cause injury and discomfort to the client.
C: Stretching beyond the existing range of motion can lead to joint damage or muscle strain.
D: Continuing to move body parts if muscle spasticity occurs can exacerbate the spasticity and cause harm to the client.
Question 3 of 5
A nurse is collecting data from a client who has respiratory insufficiency. Which of the following findings should the nurse identify as an early sign of inadequate oxygenation?
Correct Answer: D
Rationale: Restlessness is an early sign of inadequate oxygenation, indicating the body's attempt to compensate for low oxygen levels.
Question 4 of 5
A nurse is reviewing the plan of care for a client who has a respiratory infection. The nurse should plan to have the client lie on his stomach with pillows elevating his chest and stomach to mobilize secretions from which of the following lung segments?
Correct Answer: C
Rationale: Prone positioning with elevation allows mucus drainage from posterior lung segments.
Question 5 of 5
A nurse is collecting data from a client who has depression to identify his ability to perform activities of daily living (ADLs) prior to discharge. Which of the following data should the nurse collect?
Correct Answer: A,B,E
Rationale: Assessing ADLs includes evaluating self-care abilities like hygiene, bathing, and dressing.