ATI RN
ATI N103N103 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client’s cranial nerves. Which methods should the nurse use to assess cranial nerve V?
Correct Answer: A
Rationale: Cranial nerve V (trigeminal) is assessed by testing motor function (clenching teeth to evaluate masseter/temporalis strength) and sensory function (light touch on facial areas). Clenching teeth (
B) assesses motor function but sensory assessment is also required for a complete evaluation making A (clench teeth and assess sensation) the standard. Listening to speech (
A) reading a Snellen chart (
C) and raising eyebrows (
D) assess other cranial nerves.
Question 2 of 5
A nurse is auditing a client. During the assessment the nurse notes the client has multiple cavities chipped and missing teeth. The client reports having difficulty eating. Which diet should the nurse recommend the primary health care provider to order for this client?
Correct Answer: C
Rationale: A mechanical soft diet includes easy-to-chew foods ideal for clients with dental issues like cavities and missing teeth. Pureed (
A) is for severe swallowing issues and soft (
B) may still be challenging.
Question 3 of 5
A nurse is caring for a patient who is pregnant. Check the name tag (select all that apply):
Correct Answer: A
Rationale: Ensuring privacy during urine sample collection is crucial for a pregnant patient’s dignity and comfort, especially for tests monitoring conditions like gestational diabetes. Otoscope, tannic acid, and pupil dilation are not relevant to routine pregnancy care.
Question 4 of 5
A nurse on the medical-surgical unit is conducting a fall risk assessment on four clients. Which of these clients would be at greatest risk for falls?
Correct Answer: C
Rationale: An older adult with confusion and urinary frequency is at greatest fall risk due to disorientation and urgency compounded by age-related declines in strength/balance. Postoperative assistance (
A) crutch adaptation (
B) and leg ulcer (
D) pose lower risks.
Question 5 of 5
A nurse is assessing a client’s cranial nerves. Which methods should the nurse use to assess cranial nerve V?
Correct Answer: A
Rationale: Cranial nerve V (trigeminal) is assessed by testing motor function (clenching teeth to evaluate masseter/temporalis strength) and sensory function (light touch on facial areas). Identifying aromas (
B) reading a Snellen chart (
C) and raising eyebrows (
D) assess cranial nerves I II and VII respectively.