ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions

ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Related

Review ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions related questions and content

A nurse is collecting data about the fluid status of four clients. Which of the following clients should the nurse identify as being at risk for fluid volume deficit?

  • A. A client who has NPO status since midnight for an endoscopy
  • B. A client who has heart failure and is receiving diuretic therapy
  • C. A client who has end-stage kidney disease who will undergo dialysis
  • D. A client who has gastroenteritis and is receiving oral fluids
Correct Answer: B

Rationale: The correct answer is B: A client who has heart failure and is receiving diuretic therapy. In heart failure, the heart's ability to pump blood effectively is compromised, leading to fluid retention. Diuretics are prescribed to reduce fluid overload by increasing urine output. This process can potentially lead to fluid volume deficit if excessive fluid is removed. Clients with heart failure on diuretics are at risk for electrolyte imbalances and dehydration.
A: NPO status for an endoscopy does not necessarily indicate fluid volume deficit.
C: Clients with end-stage kidney disease undergoing dialysis are at risk for fluid volume overload due to the accumulation of waste products and fluid in the body.
D: Clients with gastroenteritis receiving oral fluids are typically at risk for fluid volume deficit, but the scenario does not provide enough information to confirm this as the correct choice.
In summary, choice B is correct because clients with heart failure on diuretics are at risk for fluid volume deficit due to the medication

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A nurse is caring for a client who has a stage-3 pressure ulcer that now has some granulating tissue. Which of the following interventions should the nurse recommend for inclusion in the plan of care?

  • A. Apply a heat lamp twice a day
  • B. Cleanse with 0.9% sodium chloride irrigation
  • C. Cleanse with povidone-iodine solution
  • D. Massage reddened areas during dressing changes
Correct Answer: B

Rationale: 0.9% sodium chloride irrigation is recommended for granulating tissue. Povidone-iodine is cytotoxic and should not be used. Heat lamps and massage can cause further tissue damage.

A nurse is caring for a client who has just learned he will need exploratory surgery the next day. As the nurse contributes to the preoperative teaching plan, which of the following actions should she take?

  • A. Reinforce information at the client's level of understanding.
  • B. Notify the client's family of the plan of care.
  • C. Describe the surgery and what the client will experience postoperatively.
  • D. Reassure the client that the surgery rarely has any negative outcomes.
Correct Answer: A

Rationale: Providing information at the client's level of understanding ensures comprehension and informed decision-making.

A nurse is reinforcing teaching with a client on how to use meditation and progressive relaxation techniques to manage stress. Which of the following physiologic outcomes should the nurse instruct the client to expect?

  • A. Arousal reduction
  • B. Decreased blood pressure
  • C. Decreased heart rate
  • D. Increased oxygen consumption
  • E. Increased respiratory rate
Correct Answer: A,B,C

Rationale: Meditation and relaxation techniques reduce physiological stress responses, leading to lower blood pressure, heart rate, and arousal.

A nurse is assisting with the admission of a client to an inpatient unit. Which of the following sources of information should the nurse use as a primary source of accurate data about the client?

  • A. Client concerns
  • B. Family information
  • C. Medical history
  • D. Progress note
Correct Answer: A

Rationale: The correct answer is A: Client concerns. This is because the client themselves is the primary source of information about their own health and well-being. By directly listening to the client's concerns, the nurse can gather accurate and firsthand information. Family information (B) may be helpful but is secondary to the client's own input. Medical history (C) is important but may not always reflect the current situation. Progress notes (D) are valuable but are based on observations and interpretations by healthcare providers. Therefore, relying on the client's concerns ensures the most accurate and up-to-date information for the admission process.

A nurse is preparing to remove an NG tube for a client. Which of the following actions should the nurse take first?

  • A. Disconnect the tube from the wall suction.
  • B. Perform hand hygiene and don gloves.
  • C. Observe the amount and color of drainage.
  • D. Verify provider order to discontinue the tube.
Correct Answer: D

Rationale: The correct answer is D: Verify provider order to discontinue the tube. This is the first step the nurse should take before removing the NG tube to ensure that the removal is in line with the provider's instructions. Removing the tube without a valid order can lead to complications. Disconnecting the tube from wall suction (A) should be done after verifying the order. Performing hand hygiene and donning gloves (B) is important but can be done after verifying the order. Observing the amount and color of drainage (C) is important but should come after verifying the order.

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