Extract:

Question 1 of 5

A nurse is caring for a client who has recently retired from their job. The client states they feel like they no longer have a purpose. Which of the following responses should the nurse make?

A. Can you tell me what you mean by not having any purpose?'B. Have you started volunteering in the community?'C. You must plan to get involved in some new hobbies.'D. You seem in good health and able to handle whatever life presents.'

Correct Answer: A

Rationale: Asking for clarification (
A) shows empathy and explores feelings, aiding therapeutic communication. Volunteering (
B) and hobbies (
C) assume solutions, and health (
D) dismisses concerns.

Question 2 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 3 of 5

A home health nurse is performing a fall risk assessment for an older adult client. Which of the following findings should the nurse identify as a potential fall risk in the home?

A. The client has electrical wires secured to baseboards.B. The client wears rubber-sole shoes.C. The client's visual acuity is 20/40.D. The client takes an antihypertensive medication.

Correct Answer: D

Rationale: Antihypertensives (
D) can cause hypotension and dizziness, increasing fall risk. Secured wires (
A) and rubber soles (
B) reduce risk, and 20/40 vision (
C) is mildly impaired but less critical.

Question 4 of 5

A nurse is caring for a client who is 6 hr postoperative following abdominal surgery and is having difficulty voiding. Which of the following actions should the nurse take?

A. Allow the client to hear running water while attempting to void.B. Provide the client a bedpan while lying supine.C. Encourage fluid intake up to 1,000 mL daily.D. Insert an indwelling urinary catheter and connect it to gravity drainage.

Correct Answer: C

Rationale: Encouraging fluids (
C) promotes urine output, addressing retention non-invasively first. Running water (
A) helps some, supine (
B) hinders voiding, and catheterization (
D) is a last resort.

Question 5 of 5

A nurse enters a client's room to perform a focused assessment. Which of the following client information should the nurse use to properly identify the client?

A. Room numberB. Telephone numberC. Patient's nameD. Diagnosis

Correct Answer: C

Rationale: The patient’s name (
C) is the standard identifier to ensure the right client, per safety protocols. Room number (
A), phone (
B), and diagnosis (
D) aren’t reliable identifiers.

Nurselytic

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ATI RN Fundamentals 2023 Exam 3 Questions

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Question 3 of 5

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Question 5 of 5

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