ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is performing a cranial nerve assessment on a client following a head injury. Which of the following findings should the nurse expect if the client has impaired function of the vestibulocochlear nerve (cranial nerve VIII)?
Correct Answer: C
Rationale: The vestibulocochlear nerve (VIII) controls balance and hearing; impaired function causes disequilibrium.
Tongue deviation, vision loss, and inability to smell relate to other cranial nerves.
Question 2 of 5
A nurse is caring for a client who is scheduled for a mastectomy. The client tells the nurse, 'I'm not sure I want to have a mastectomy.' Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Providing additional information respects the client's autonomy and helps informed decision-making. Suggesting a second opinion, promising cancer-free status, or sharing others' experiences is inappropriate.
Question 3 of 5
A nurse is providing discharge teaching for a client who has osteomyelitis in the left leg. Which of the following findings should the nurse identify as requiring a referral?
Correct Answer: B
Rationale: Long-term IV antibiotic therapy for osteomyelitis requires referral to prevent complications like peripheral thrombophlebitis. Elevated WBC is expected, furosemide is unrelated, and a HbA1c of 6% indicates good glycemic control.
Question 4 of 5
A nurse in a provider's office is caring for a client who has total vision loss and is the handler of a service dog. Which of the following actions should the nurse take to show consideration for the client and the service animal?
Correct Answer: B
Rationale: Consulting the client respects their control over the service dog, ensuring its work is not disrupted. Other actions may interfere with the dog's role.
Question 5 of 5
A nurse is performing a cranial nerve assessment on a client following a head injury. Which of the following findings should the nurse expect if the client has impaired function of the vestibulocochlear nerve (cranial nerve VIII)?
Correct Answer: C
Rationale: The vestibulocochlear nerve (VIII) controls balance and hearing; impaired function causes disequilibrium.
Tongue deviation, vision loss, and inability to smell relate to other cranial nerves.