ATI RN
ATI RN Fundamentals 2023 Exam 5 Questions
Extract:
Question 1 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.)
Correct Answer: A,B,C,D,E
Rationale: The correct order for assessing a client's abdomen is A, B, C, D, E. First, observing the abdomen with a penlight helps assess skin condition, scars, and distension. Second, using a stethoscope to listen for bowel sounds provides information on gastrointestinal motility. Third, systematically percussing the abdomen helps identify areas of dullness or tympany. Fourth, lightly depressing the right lower quadrant helps assess for tenderness or pain. Lastly, pressing deeply into the upper left abdomen detects aortic pulsation, which is crucial for identifying potential abnormalities. This sequence ensures a comprehensive and systematic assessment. Other choices are incorrect as they do not follow a logical progression of assessment steps.
Question 2 of 5
A nurse enters a client's room and finds the client on the floor having a seizure. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is to clear the nearby area of furniture (choice
C) during a seizure to prevent injury. Moving the client (choice
A) may worsen the seizure. Turning the client onto their back (choice
B) can lead to aspiration. Placing a tongue depressor in the mouth (choice
D) can cause airway obstruction. The other choices are irrelevant or potentially harmful.
Question 3 of 5
A nurse is assessing a client's cranial nerve VII. Which of the following responses should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A. Cranial nerve VII, the facial nerve, controls facial expressions including smiling. Symmetrical smile indicates intact function. B is incorrect as tongue position is assessed by cranial nerve XII. C is related to cranial nerve XI, not VII. D involves cranial nerve II, not VII. E, F, and G are not relevant to cranial nerve VII assessment. In summary, A is correct because it directly relates to the function of cranial nerve VII, while the other choices are unrelated or pertain to different cranial nerves.
Question 4 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.)
Correct Answer: B,C,D
Rationale: The correct answers are B, C, and D. B is important to ensure the client signed the document voluntarily. C confirms the client was not coerced into signing. D is vital to ensure the client has the legal capacity to provide consent. A is incorrect as language proficiency does not impact the validity of consent. E is irrelevant as mental health conditions do not necessarily invalidate consent.
Question 5 of 5
A nurse is caring for a client who has an NG tube set to low-intermittent suction for gastric decompression. The nurse observes that the NG tube is not draining. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Inject 10 mL of air into the vent lumen. Injecting air into the vent lumen can help to clear any blockage in the NG tube and facilitate drainage. This action creates pressure within the tube, potentially dislodging any obstruction. Lowering the head of the client's bed to 15 degrees (
Choice
A) may help prevent aspiration but will not address the issue of the tube not draining. Placing the NG tube to high suction (
Choice
C) can be harmful and is not indicated for gastric decompression. Connecting the air vent to the suction (
Choice
D) would not resolve the drainage issue and can interfere with the functioning of the NG tube.