ATI RN
ATI RN Fundamentals 2023 Exam 5 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a new diagnosis of fibromyalgia. The client tells the nurse that she wants to use traditional Chinese medicine for treatment instead of the medication prescribed by their provider. Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: The correct answer is D because the nurse is respecting the client's autonomy and cultural beliefs by offering a referral to a practitioner of traditional Chinese medicine. This response shows cultural competence and patient-centered care.
Choice A is incorrect because it assumes the provider will recommend against traditional Chinese medicine.
Choice B is incorrect because it dismisses the client's preference without exploring it further.
Choice C is incorrect because the FDA does not regulate traditional Chinese medicine.
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 nurse is caring for a postoperative client. Which of the following findings indicate the client may be actively bleeding?
Correct Answer: B
Rationale: The correct answer is B: Restlessness. Restlessness can be a sign of hypovolemic shock due to active bleeding postoperatively. This is because the body is trying to compensate for the decreased blood volume. Bounding pulses, warm skin, and brisk capillary refill are signs of good perfusion and not indicative of active bleeding.
Question 5 of 5
A nurse is preparing to obtain a blood sample from an adult client for a capillary blood glucose test. Which of the following sites should the nurse select?
Correct Answer: D
Rationale: The correct answer is D: The side of the ring finger. This site is ideal for capillary blood glucose testing because it has good blood flow, is less painful, and minimizes the risk of injury to the patient. The thumb (choice
A) and big toe (choice
C) have thicker skin and may result in more pain and difficulty in obtaining an adequate blood sample. The pinna of the ear (choice
B) lacks sufficient blood flow for accurate testing. Other choices are not commonly used for capillary blood glucose testing in adults.