ATI RN
ATI RN Fundamentals 2023 Exam 3 Questions
Extract:
Question 1 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: Restlessness (
B) signals hypovolemia from bleeding, reducing tissue perfusion. Bounding pulses (
A), warm skin (
C), and brisk refill (
D) suggest adequate circulation, not bleeding.
Question 2 of 5
A nurse is assessing a client who received morphine for severe pain 30 min ago. Which of the following findings is the nurse's priority?
Correct Answer: A
Rationale: Respiratory rate 7/min (
A) indicates opioid-induced respiratory depression, a life-threatening priority per ABCs. Bladder (
B), constipation (
C), and pain (
D) are less urgent.
Question 3 of 5
A nurse is performing an eye assessment for a newly admitted client. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Outward-curling eyelashes (
C) are normal. Pupils are 3-5 mm (
A), blinking is 15-20 times/min (
B), and corneas are clear (D, not opaque).
Question 4 of 5
A nurse is teaching a client who can only bear weight on one leg how to ambulate using crutches. Which of the following crutch gaits should the nurse plan to instruct the client to use?
Correct Answer: D
Rationale: The three-point gait (
D) advances crutches and the affected leg together, then the unaffected leg, ideal for one-leg weight-bearing. Two-point (
A) and four-point (
C) require bilateral weight, and swing-through (
B) is for non-weight-bearing.
Question 5 of 5
A nurse is assessing a client's cranial nerve VII. Which of the following responses should the nurse expect?
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.