Extract:

Question 1 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 2 of 5

A nurse is ambulating a client who is unsteady. The client begins to fall. Which of the following actions should the nurse take?

A. Place their arms around the client to prevent the fall.B. Remain upright as the client falls toward them.C. Move quickly to a position in front of the client.D. Allow the client to slide down their outstretched leg.

Correct Answer: D

Rationale: Allowing the client to slide down an outstretched leg (
D) safely lowers them, minimizing injury to both. Arms around (
A) risks mutual injury, staying upright (
B) or moving in front (
C) increases fall risk.

Question 3 of 5

A nurse is caring for a client who was recently diagnosed with a terminal illness. The client tells the nurse, 'I am looking forward to seeing my grandchildren grow up.' The nurse should identify that the client is experiencing which of the following stages of grief?

A. DenialB. BargainingC. AcceptanceD. Anger

Correct Answer: A

Rationale: Denial (
A) involves rejecting reality; expecting to see grandchildren grow up denies the terminal prognosis. Bargaining (
B) seeks deals, acceptance (
C) embraces reality, and anger (
D) shows frustration.

Question 4 of 5

A nurse is completing discharge teaching about ostomy care with a client who has a new stoma. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

A. Use povidone-iodine to clean around the stoma.'B. Cut the opening of the pouch 1/8 of an inch larger than the stoma.'C. Empty the ostomy pouch when it becomes one-third full of contents.'D. Place a piece of gauze over the stoma while changing the pouch.'E. Expect the stoma to turn a purple-blue color as it heals.'

Correct Answer: B,C,D

Rationale: Pouch opening 1/8 inch larger (
B) fits well, emptying at one-third (
C) prevents leaks, and gauze (
D) protects during changes. Povidone-iodine (
A) irritates, and purple-blue (E) signals poor blood flow, not healing.

Question 5 of 5

A community health nurse is caring for a group of families. The nurse should identify that which of the following families is experiencing a maturational loss?

A. A family whose head of household lost their job.B. A family whose house was destroyed in a fire.C. A family whose only child recently died due to cancer.D. A family whose oldest child is moving away for college.

Correct Answer: D

Rationale: Maturational loss (
D) is a normal life transition, like a child leaving for college. Job loss (
A), fire (
B), and death (
C) are situational losses.

Nurselytic

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ATI RN Fundamentals 2023 Exam 3 Questions

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Question 1 of 5

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Question 3 of 5

Question 4 of 5

Question 5 of 5

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