ATI RN
ATI RN Fundamentals 2019 II Questions
Extract:
Question 1 of 5
A nurse is conducting the Weber's test on a client. Which of the following is an appropriate action for the Weber's test?
Correct Answer: C
Rationale: Placing the tuning fork on the forehead assesses sound lateralization for the Weber test. High-pitched sounds (
A) and mastoid placement (
B) are for the Rinne test and whispering (
D) is for the whisper test.
Question 2 of 5
A nurse is caring for a client who has a prescription for a 250 mL IV fluid bolus. The nurse administers a 500 mL IV bolus. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Obtaining vital signs first assesses for fluid overload complications like pulmonary edema. Documentation (
A) incident reports (
B) and reporting (
D) follow after ensuring client safety.
Question 3 of 5
A nurse is assessing an older adult client. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Decreased balance is expected in older adults due to vestibular and sensory changes. Pain sensation decreases (
A) sleep reduces (
C) and incontinence (
D) isn’t normal.
Question 4 of 5
A nurse is documenting client care. Which of the following abbreviations should the nurse use?
Correct Answer: C
Rationale: SQ for subcutaneous is a standard clear abbreviation. SS (
A) and BRP (
D) are non-standard and risk confusion; sliding scale insulin should be SSI and bathroom privileges should be spelled out. OJ (
B) is not standard and could mean other things.
Question 5 of 5
A nurse is assessing a client who has diabetes mellitus prior to performing a blood glucose test. Which of the following findings should indicate to the nurse that the client has hyperglycemia?
Correct Answer: B
Rationale: Thirst indicates hyperglycemia due to dehydration from high glucose. Confusion (
A) cold skin (
C) and shakiness (
D) are signs of hypoglycemia.