2024 ATI PROCTORED ACTUAL EXAM LATEST VERSION 2023 -2024 100 QUESTION AND CORRECT ANSWE RS WITH RATIONALES RATED A GRADE. A nurse is caring for a client who is exhibiting confusion. The nurse should identify which of the following laboratory values can cause confusion? - ANSWER -Sodium 123 mEq/L A nurse is collecting data from a client as part of a neurological examination. To promote safety during the examination, the nurse stands nearby as the client follows the instructions for which of the following tests? - ANSWER -Romberg A nurse is collecting a specimen for culture from a client's infected wound. Which of the following actions should the nurse take? - ANSWER -Cleanse the wound with 0.9% sodium chloride irrigation A nurse is using a portable ultrasound bladder scanner to measure a client's post -
void residual. Which of the following actions should the nurse take? - ANSWER -
Apply light pressure to the scanner head once it is in position A nurse is caring for a client who is dehydrated. An insensible fluid loss of approximately 500 to 600 mL occurs each day through which of the following organ? - ANSWER -Skin A nurse is assisting with the care of a client who requires ventilatory assistance with breathing following a motor vehicle crash. The nurse should suspect that the client has an injury to which of the following parts of the brain? - ANSWER -
Brainstem A nurse is collecting data from a client who is experiencing stress over a near fall out of bed. Which of the following physiological responses should the nurse expect to observe due to the client's fight -or-flight response? - ANSWER -Increased blood pressure A nurse is contributing to the planning of an in -service session about nutrition. Which of the following pieces of information should the nurse recommend for the teaching? - ANSWER -Protein serves as an energy source when other sources are inadequate A nurse is caring for a client who has xerostomia with a lack of saliva. The nurse should identify that which of the following nutrients will be affected by the lack of salivary amylase ? - ANSWER -Starch A nurse is collecting data from a client who is having difficulty breathing. The nurse should assist the client into which of the following positions? - ANSWER -
Fowler's A nurse is reinforcing teaching with a client about how to remove a soiled dressing. Which of the following statements by the client indicate an understanding of the teaching? - ANSWER -"I'll wear nonsterile gloves." A nurse is caring for a client who, after multiple less restrictive interventions, continues to pick at and dislodge his nasogastric tube. The provider has prescribed wrist restraints. Which of the following actions should the nurse take? - ANSWER -
Pad the client's wrists before applying the restraints A nurse is reinforcing teaching for a client who has a new prescription for home oxygen therapy. Which of the following instructions should the nurse include? - ANSWER -Do not use any materials containing oil or alcohol when using oxygen A nurse is collecting baseline data about a client's respiration as part of a comprehensive physical examination. Which of the following types of breath sounds should the nurse report to the provider? - ANSWER -Ronchi A nurse is assisting with planning a community presentation for parents. When suggesting a discussion of controlling impulses and cooperating with others, the nurse should plan to relate it to Erikson's developmental task for which of the following age gro ups? - ANSWER -Preschoolers A nurse on a pediatric unit is caring for a child who is 4 years old. To help with communication and play activities for this client, the nurse should consider which of the following characteristics of Piaget's preoperational period? - ANSWER -
Animism A nurse is reinforcing teaching with a preschooler about how to use a metered -
dose inhaler. Which of the following methods should the nurse use during this instructional session? - ANSWER -A simple demonstration of inhaler use A nurse is preparing a presentation for a group of older adults at a senior community center about nutrition and exercise. Which of the following strategies should the nurse use in preparing learning activities for this group of clients? - ANSWER -Allow rest periods during the presentation A nurse is helping a client perform range -of-motion exercises for the neck. For evaluating neck flexion, which of the following motions should the nurse instruct the client to perform? - ANSWER -Touching his chin to his chest
void residual. Which of the following actions should the nurse take? - ANSWER -
Apply light pressure to the scanner head once it is in position A nurse is caring for a client who is dehydrated. An insensible fluid loss of approximately 500 to 600 mL occurs each day through which of the following organ? - ANSWER -Skin A nurse is assisting with the care of a client who requires ventilatory assistance with breathing following a motor vehicle crash. The nurse should suspect that the client has an injury to which of the following parts of the brain? - ANSWER -
Brainstem A nurse is collecting data from a client who is experiencing stress over a near fall out of bed. Which of the following physiological responses should the nurse expect to observe due to the client's fight -or-flight response? - ANSWER -Increased blood pressure A nurse is contributing to the planning of an in -service session about nutrition. Which of the following pieces of information should the nurse recommend for the teaching? - ANSWER -Protein serves as an energy source when other sources are inadequate A nurse is caring for a client who has xerostomia with a lack of saliva. The nurse should identify that which of the following nutrients will be affected by the lack of salivary amylase ? - ANSWER -Starch A nurse is collecting data from a client who is having difficulty breathing. The nurse should assist the client into which of the following positions? - ANSWER -
Fowler's A nurse is reinforcing teaching with a client about how to remove a soiled dressing. Which of the following statements by the client indicate an understanding of the teaching? - ANSWER -"I'll wear nonsterile gloves." A nurse is caring for a client who, after multiple less restrictive interventions, continues to pick at and dislodge his nasogastric tube. The provider has prescribed wrist restraints. Which of the following actions should the nurse take? - ANSWER -
Pad the client's wrists before applying the restraints A nurse is reinforcing teaching for a client who has a new prescription for home oxygen therapy. Which of the following instructions should the nurse include? - ANSWER -Do not use any materials containing oil or alcohol when using oxygen A nurse is collecting baseline data about a client's respiration as part of a comprehensive physical examination. Which of the following types of breath sounds should the nurse report to the provider? - ANSWER -Ronchi A nurse is assisting with planning a community presentation for parents. When suggesting a discussion of controlling impulses and cooperating with others, the nurse should plan to relate it to Erikson's developmental task for which of the following age gro ups? - ANSWER -Preschoolers A nurse on a pediatric unit is caring for a child who is 4 years old. To help with communication and play activities for this client, the nurse should consider which of the following characteristics of Piaget's preoperational period? - ANSWER -
Animism A nurse is reinforcing teaching with a preschooler about how to use a metered -
dose inhaler. Which of the following methods should the nurse use during this instructional session? - ANSWER -A simple demonstration of inhaler use A nurse is preparing a presentation for a group of older adults at a senior community center about nutrition and exercise. Which of the following strategies should the nurse use in preparing learning activities for this group of clients? - ANSWER -Allow rest periods during the presentation A nurse is helping a client perform range -of-motion exercises for the neck. For evaluating neck flexion, which of the following motions should the nurse instruct the client to perform? - ANSWER -Touching his chin to his chest
