Questions 67

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ATI RN Test Bank

RN ATI Fundamentals of Nursing Questions

Extract:


Question 1 of 5

A nurse is caring for a group of clients on a medical-surgical unit. Which of the following situations requires that the nurse wear gloves?

Correct Answer: A,B,E

Rationale: Oral care (
A) urine handling (
B) and ostomy care (E) involve potential exposure to infectious materials requiring gloves.

Choices C and D do not.

Question 2 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 3 of 5

A nurse is planning care for a client who requires airborne precautions. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: An N95 respirator mask is essential for airborne precautions to protect against inhaling infectious particles like tuberculosis.

Choices A B and C are insufficient or incorrect.

Question 4 of 5

An assistive personnel (AP) reports a client's vital signs as tympanic temperature 37.1°C (98.8°F),pulse 92/min,respiratory rate 18/min,and BP 98/58 mm Hg. Which of the following vital signs should the nurse re-measure?

Correct Answer: B

Rationale: The BP of 98/58 mm Hg (
B) is low particularly the diastolic requiring re-measurement to ensure accuracy. Other vitals are normal.

Question 5 of 5

A nurse is caring for a client who is prescribed bedrest. The plan of care indicates that the client should perform isometric exercises every 2 hr. Which of the following actions should the nurse take as directed by the plan of care?

Correct Answer: A

Rationale: Isometric exercises (
A) involve muscle tightening without joint movement suitable for bedrest. Other choices describe different exercise types.

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