ATI RN Fundamentals 2023 Exam 3

Extract:

Question 1 of 5

A charge nurse has four new clients arriving on the unit for admission. Which of the following clients should the nurse place in airborne precautions?

A. A client who has tuberculosisB. A client who has pneumoniaC. A client who has shigellaD. A client who has strep throat

Correct Answer: A

Rationale: Tuberculosis (
A) spreads via airborne droplets, requiring precautions. Pneumonia (
B) and strep throat (
D) are droplet-based, and shigella (
C) is fecal-oral.

Question 2 of 5

A staff nurse is teaching a newly hired nurse how to complete an informed consent document for a client. The staff nurse should include that the nurse's signature on the form confirms which of the following requirements? (Select all that apply)

A. The client signed in the nurse's presenceB. The client has legal authority to do soC. The client does not have a mental health conditionD. The client was not coercedE. The client speaks the same language as the nurse

Correct Answer: A,B,D

Rationale: The nurse’s signature verifies witnessing the signing (
A), legal capacity (
B), and no coercion (
D). Mental health (
C) isn’t confirmed, and language (E) isn’t required.

Question 3 of 5

A nurse is assessing a client who has hypocalcemia. Which of the following findings should the nurse expect? (Select all that apply.)

A. Tingling sensation around the lipsB. Abdominal distentionC. Positive Trousseau's signD. Negative Chvostek's signE. Muscle cramps

Correct Answer: A,C,E

Rationale: Hypocalcemia increases neuromuscular excitability, causing tingling (paresthesia) around the lips (
A), positive Trousseau’s sign (
C) from carpal spasm, and muscle cramps (E). Abdominal distention (
B) isn’t typical, and Chvostek’s sign is positive (not negative,
D) in hypocalcemia.

Question 4 of 5

A nurse is caring for a client who has recently retired from their job. The client states they feel like they no longer have a purpose. Which of the following responses should the nurse make?

A. Can you tell me what you mean by not having any purpose?'B. Have you started volunteering in the community?'C. You must plan to get involved in some new hobbies.'D. You seem in good health and able to handle whatever life presents.'

Correct Answer: A

Rationale: Asking for clarification (
A) shows empathy and explores feelings, aiding therapeutic communication. Volunteering (
B) and hobbies (
C) assume solutions, and health (
D) dismisses concerns.

Question 5 of 5

A nurse is assessing a client's abdomen. In what order should the nurse complete the steps of the assessment? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

A. Press deeply into the client's upper abdomen left of midline to detect aortic pulsation.B. Use fingertips to lightly depress the right lower quadrant of the client's abdomen.C. Systematically percuss the client's abdomen.D. Observe the contours of the client's abdomen using a penlightE. Determine the presence of bowel sounds by using the diaphragm of the stethoscope.

Correct Answer: D,E,C,B,A

Rationale: Abdominal assessment follows: inspection (
D) first to observe contours, auscultation (E) second for bowel sounds before palpation affects them, percussion (
C) third to assess sound quality, light palpation (
B) fourth for tenderness, and deep palpation (
A) last to avoid discomfort interference.

ATI RN Fundamentals 2023 Exam 3 | Nurselytic

Nurselytic

ATI RN

ATI RN