ATI RN
ATI RN Fundamentals 2023 Exam 5 Questions
Extract:
Question 1 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: A
Rationale: The correct answer is A: Eyelashes that curl slightly outward. This is expected in a normal eye assessment as eyelashes help protect the eyes from foreign particles.
Choice B is incorrect as corneas should be clear, not opaque.
Choice C is incorrect as involuntary blinking 30 to 35 times per minute is excessive.
Choice D is incorrect as normal pupil size is around 3 to 5 mm.
Question 2 of 5
A nurse enters a client's room and finds the client on the floor having a seizure. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is to clear the nearby area of furniture (choice
C) during a seizure to prevent injury. Moving the client (choice
A) may worsen the seizure. Turning the client onto their back (choice
B) can lead to aspiration. Placing a tongue depressor in the mouth (choice
D) can cause airway obstruction. The other choices are irrelevant or potentially harmful.
Question 3 of 5
A nurse is preparing to transfer a client to the radiology department using a wheelchair. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Back the wheelchair into the elevator. This is the correct action to take because it allows the nurse to maintain control of the wheelchair and ensures the client's safety during the transfer process. By backing the wheelchair into the elevator, the nurse can easily maneuver it out of the room without the risk of the client falling or the wheelchair tipping over. This also allows for a smooth transition and minimizes the chances of any accidents occurring during the transfer.
Other choices are incorrect:
A: Leaving a transfer belt in place is not necessary for transferring a client to the radiology department.
B: Positioning the client so their weight is shifted forward may not be appropriate and could potentially increase the risk of the client falling during the transfer.
C: Lowering the footplates before transferring the client from the bed is not necessary for transferring the client to the radiology department.
Overall, choice D is the most appropriate and safest action to take in this scenario.
Question 4 of 5
A nurse is caring for a client who has tuberculosis. The nurse should anticipate which isolation precautions for the client?
Correct Answer: A
Rationale: The correct answer is A: Airborne precautions. Tuberculosis is spread through the air via droplet nuclei. Airborne precautions include wearing an N95 respirator mask, placing the client in a negative pressure room, and ensuring proper ventilation. Contact precautions (
C) are for diseases spread by direct contact, not airborne transmission like tuberculosis. Droplet precautions (
D) are for diseases spread through large droplets, not small droplet nuclei. Protective precautions (
B) are not specific to tuberculosis.
Question 5 of 5
A home health nurse is performing a fall risk assessment for an older adult client. Which of the following findings should the nurse identify as a potential fall risk in the home?
Correct Answer: B
Rationale: The correct answer is B: The client takes an antihypertensive medication. Antihypertensive medications can cause dizziness or orthostatic hypotension, increasing the risk of falls. Other choices are incorrect because: A: Secured wires are not a direct fall risk. C: Rubber-sole shoes may actually decrease fall risk by providing better traction. D: Visual acuity of 20/40 is suboptimal but not a direct fall risk.