ATI RN Fundamentals 2023 Exam 3

Extract:

Question 1 of 5

A home health nurse is performing a fall risk assessment for an older adult client. Which of the following findings should the nurse identify as a potential fall risk in the home?

A. The client has electrical wires secured to baseboards.B. The client wears rubber-sole shoes.C. The client's visual acuity is 20/40.D. The client takes an antihypertensive medication.

Correct Answer: D

Rationale: Antihypertensives (
D) can cause hypotension and dizziness, increasing fall risk. Secured wires (
A) and rubber soles (
B) reduce risk, and 20/40 vision (
C) is mildly impaired but less critical.

Question 2 of 5

A nurse is assessing a client's cranial nerve VII. Which of the following responses should the nurse expect?

A. The client's pupils constrict in response to light.B. The client's tongue is in a midline position:C. The client has a symmetrical smile.D. The client turns their head against resistance.

Correct Answer: C

Rationale: Cranial nerve VII (facial nerve) controls facial expressions; a symmetrical smile (
C) indicates normal function. Pupil constriction (
A) tests cranial nerve II, tongue position (
B) tests XII, and head turning (
D) tests XI.

Question 3 of 5

A nurse is preparing to transfer a client to the radiology department using a wheelchair. Which of the following actions should the nurse take?

A. Leave a transfer belt in place until the client returns from radiology.B. Lower the footplates before transferring the client from the bed.C. Back the wheelchair into the elevator.D. Position the client so their weight is shifted forward

Correct Answer: B

Rationale: Lowering footplates (
B) prevents leg injury during transfer. Leaving a belt (
A) risks pressure ulcers, backing into elevators (
C) isn’t necessary, and forward weight (
D) increases fall risk.

Question 4 of 5

A nurse is teaching a client about stress management techniques. Which of the following client statements indicates an understanding of the teaching?

A. I should go to bed at a different time each night.'B. I should attend a support group each week.'C. I should exercise for 1 hour each week.'D. I should do tasks myself, rather than delegate.'

Correct Answer: B

Rationale: Attending a support group weekly (
B) fosters social support, reducing stress. Variable sleep (
A) disrupts rest, minimal exercise (
C) is insufficient, and not delegating (
D) increases workload—contrary to stress management.

Question 5 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.

ATI RN Fundamentals 2023 Exam 3 | Nurselytic

Nurselytic

ATI RN

ATI RN