ATI RN
ATI N103N103 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving oxygen therapy via a nasal cannula. How should the nurse explain to the client how this method of oxygen delivery performs?
Correct Answer: D
Rationale: A nasal cannula delivers a constant flow of a specific oxygen concentration (24%-44%), adjusted per the client’s needs, making this the most accurate description.
Question 2 of 5
A nurse is preparing to assess a client. Which action should the nurse take to check cranial nerve VI?
Correct Answer: C
Rationale: Cranial nerve VI (abducens) controls the lateral rectus muscle enabling lateral eye movement. Asking the client to look outward assesses this function. Visual acuity (
A) whispering (
B) and smiling (
D) assess cranial nerves II VIII and VII respectively.
Question 3 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 4 of 5
A nurse is teaching a client who has left-sided weakness after a stroke on how to use a cane. What instructions should the nurse include?
Correct Answer: A
Rationale: Holding the cane on the right side supports the weaker left leg, enhancing balance. Advancing the strong leg with the cane, removing the rubber tip, or placing the cane too far ahead reduces stability.
Question 5 of 5
A nurse is preparing to administer vitamin K by IM injection to a newborn. The nurse should administer the medication into which muscle?
Correct Answer: C
Rationale: The vastus lateralis is the preferred IM injection site in newborns due to its well-developed muscle and distance from major nerves/vessels. Gastrocnemius (
A) and dorsogluteal (
B) are unsafe and ventrogluteal (
D) is used in older children/adults.