ATI RN
ATI Fundamentals Quiz Questions
Extract:
Question 1 of 5
A nurse is assessing a client's cranial nerves as part of a neurological examination. Which of the following actions should the nurse take to assess cranial nerve III?
Correct Answer: D
Rationale: The correct action to assess cranial nerve III (oculomotor nerve) is checking the pupillary response to light (
Choice
D). This nerve controls the constriction of the pupil in response to light stimulation. By shining a light into each eye and observing for pupil constriction, the nurse can evaluate the function of cranial nerve III. Testing visual acuity (
Choice
A) is related to cranial nerve II (optic nerve). Observing for facial symmetry (
Choice
B) is more relevant to cranial nerve VII (facial nerve). Eliciting the gag reflex (
Choice
C) is associated with cranial nerves IX (glossopharyngeal) and X (vagus), not cranial nerve III.
Therefore, checking the pupillary response to light is the correct action to assess cranial nerve III, while the other choices are not directly related to this specific cranial nerve assessment.
Question 2 of 5
A nurse is caring for an older adult client who states,"I am afraid that I may fall while walking to the bathroom during the night. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Leave a nightlight on in the client's room. This is the best option as it addresses the client's fear of falling during the night by providing adequate lighting for safe movement. A bedside commode (
A) may be helpful but does not directly address the client's fear of falling. Limiting fluid intake (
B) may lead to dehydration and is not the best approach. Putting up side rails (
C) restricts the client's independence and may not prevent falls. Leaving a nightlight on (
D) promotes safety and independence.
Question 3 of 5
A nurse is preparing an older adult client for a physical examination the provider is about to perform. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Explain to the client what is about to happen. This is important to ensure the client feels informed and comfortable during the physical examination. By explaining the procedure, the nurse can address any concerns or questions the client may have, promoting trust and cooperation. Providing music (
A) may not be suitable for all older adults and may not address the client's need for information. Room temperature (
B) preferences can vary among individuals, so it is not a priority in this case. Informing the client about sensitive areas first (
D) may cause unnecessary anxiety and is not a standard practice.
Question 4 of 5
The nurse is conducting an assessment of a client that has been admitted to a medical unit in the hospital for treatment of pneumonia. Which action will the nurse take when conducting the respiratory assessment of this client?
Correct Answer: B
Rationale: The correct answer is B: Auscultate the chest for breath sounds. This is the appropriate action because assessing breath sounds is crucial in evaluating respiratory function, especially in a client with pneumonia. Abnormal breath sounds can indicate underlying lung pathology, such as consolidation or effusion. Documenting "impaired oxygenation" (
A) is premature without a thorough assessment. Collaborating with the client to form goals (
C) is important but not the immediate priority. Applying supplemental oxygen (
D) is a potential intervention after assessing breath sounds.
Question 5 of 5
A nurse is assessing a client's cranial nerves. Which of the following methods should the nurse use to assess cranial nerve II?
Correct Answer: A
Rationale: The correct answer is A: Ask the client to read a Snellen chart. Cranial nerve II is the optic nerve responsible for vision. By assessing the client's ability to read a Snellen chart, the nurse can evaluate visual acuity and potential visual impairments.
Choices B, C, and D are incorrect because they do not specifically assess cranial nerve II. Listening to speech (
B) evaluates cranial nerve VIII; clenching teeth (
C) assesses cranial nerve V; and identifying scented aromas (
D) evaluates cranial nerve I.