ATI RN
ATI Nurse 142 Final Questions
Extract:
Question 1 of 5
A 58-year-old patient is going home today. The nurse does her final assessment of the patient. Which of the following would be considered a normal finding?
Correct Answer: C
Rationale: A respiratory rate of 25 is slightly above the normal range (12-20 breaths per minute) but can be normal for some individuals. Bowel sounds of 5-30 per minute are normal but not sufficient alone for discharge. Capillary refill >3 seconds and a heart rate of 10 are abnormal, indicating poor perfusion and severe bradycardia, respectively.
Question 2 of 5
A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup?
Correct Answer: A
Rationale: Lentils provide about 15.6 grams of fiber per cup, significantly higher than asparagus (2.8g), oatmeal (4g), or cabbage (2.9g). High fiber helps alleviate constipation, common in pregnancy.
Question 3 of 5
The nurse is assessing the patient's lips and notes a bluish tinge. This finding would indicate that the patient may be experiencing which problem?
Correct Answer: B
Rationale: Hypoxia is a medical condition characterized by a lack of oxygen in the body's tissues, which can occur due to a variety of reasons, such as respiratory failure, cardiac arrest, or other serious medical conditions. Cyanosis occurs when the oxygen saturation level in the blood falls below 85%, which causes a bluish color to appear on the skin, especially on the lips and fingertips.
Therefore, if a nurse observes cyanosis in a patient's lips, it is a significant sign of hypoxia, and the patient requires immediate medical attention.
Question 4 of 5
The nurse is performing a focused interview and eye assessment on a client. Which assessment findings indicate the client is experiencing a vision problem? (Select all that apply)
Correct Answer: B,E
Rationale: Pupils that remain dilated during an accommodation test indicate a potential issue with the autonomic nervous system, affecting pupil adjustment. Frowning and squinting while reading the Snellen chart suggest difficulty seeing clearly, indicating a vision problem. Normal findings, such as pupil dilation in dim light, 20/20 vision, and symmetrical pupillary reflex, do not indicate vision problems.
Question 5 of 5
To evaluate the patient's level of consciousness (LOC), the nurse will:
Correct Answer: C
Rationale: Level of consciousness (LO
C) is assessed by observing the patient's wakefulness, awareness, and responsiveness to stimuli, indicating neurological function. Checking turgor assesses dehydration, pupillary response evaluates brainstem function, and auscultating the temporal artery is unrelated to LOC.