ATI RN
RN ATI Fundamentals of Nursing 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: A
Rationale: Cranial nerve III (oculomotor nerve) controls pupil constriction and eye movement. Checking pupillary response to light assesses its function by evaluating pupil size changes.
Choice B tests cranial nerves IX and X
Choice C assesses cranial nerve II and
Choice D evaluates cranial nerve VII.
Question 2 of 5
A nurse is assessing a client's peripheral circulation. In which of the following locations should the nurse palpate to assess the posterior tibial pulse? (Selectable areas, or "Hot Spots," are outlined in the artwork below. Select only the outlined area that corresponds to your answer.)
Correct Answer: C
Rationale: The posterior tibial pulse is located in the lower third of the tibia just behind the medial malleolus on the inner ankle making it the correct site for palpation.
Choice A is associated with the femoral pulse
Choice B is not a pulse site and
Choice D corresponds to the dorsalis pedis pulse. Selectable areas outlined in artwork
Question 3 of 5
A nurse is planning care for a client who has a decreased level of consciousness. The client is receiving continuous enteral feedings via a gastrostomy tube due to an inability to swallow. Which of the following is the priority action by the nurse?
Correct Answer: A
Rationale: Observing respiratory status (
A) is the priority due to aspiration risk in decreased consciousness. Other actions are secondary.
Question 4 of 5
A nurse is receiving a provider's prescription for a client via telephone. Which of the following actions should the nurse take to ensure the accuracy of the telephone prescription? (Select all that apply.)
Correct Answer: B,C,E
Rationale: Questioning unclear orders (
B) transcribing accurately (
C) and repeating back (E) ensure prescription accuracy.
Choices A and D are incorrect or incomplete.
Question 5 of 5
A nurse in a long-term care facility is caring for an older adult client who has dementia and begins to have frequent episodes of urinary incontinence. After the provider determines no medical cause for the client's incontinence
Correct Answer: B
Rationale: Scheduled toileting every 2 hours is an effective non-invasive intervention for managing incontinence in clients with dementia promoting regular voiding and reducing accidents.
Choice A increases infection risk and is a last resort.
Choice C is unreliable due to cognitive impairment in dementia.
Choices D and E (identical) do not address the underlying issue and may compromise dignity.