ATI RN Fundamentals 2023 Exam 3

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?

A. Pupils that are 8 to 9 mm in diameterB. Eyelids that blink involuntarily 30 to 35 times per minuteC. Eyelashes that curl slightly outward.D. Corneas with an opaque appearance

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 2 of 5

A nurse is preparing to document in the client's medical record. The nurse should identify that which of the following abbreviations are specified by The Joint Commission for placement on a facility's Do Not Use list? (Select all that apply.)

A. UB. I & OC. IUD. q.dE. PRN

Correct Answer: A,C,D

Rationale: U' (
A) risks misreading as 'units,' 'IU' (
C) as 'IV,' and 'q.d' (
D) as 'qid'—all on the Do Not Use list for safety. 'I & O' (
B) and 'PRN' (E) are allowed.

Question 3 of 5

A nurse is assessing a client's abdomen. In what order should the nurse complete the steps of the assessment? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

A. Press deeply into the client's upper abdomen left of midline to detect aortic pulsation.B. Use fingertips to lightly depress the right lower quadrant of the client's abdomen.C. Systematically percuss the client's abdomen.D. Observe the contours of the client's abdomen using a penlightE. Determine the presence of bowel sounds by using the diaphragm of the stethoscope.

Correct Answer: D,E,C,B,A

Rationale: Abdominal assessment follows: inspection (
D) first to observe contours, auscultation (E) second for bowel sounds before palpation affects them, percussion (
C) third to assess sound quality, light palpation (
B) fourth for tenderness, and deep palpation (
A) last to avoid discomfort interference.

Question 4 of 5

A nurse is administering a medication to a client. The nurse identifies the client has an allergy to the medication after it has been administered. Which of the following actions should the nurse take?

A. Notify the facility's risk management team.B. Assess the client for a change in condition.C. Place an incident report in the client's electronic medical record.D. Administer an antidote before notifying the provider.

Correct Answer: B

Rationale: Assessing for changes (
B) is the priority to manage potential allergic reactions, per ABCs. Notifying (
A), reporting (
C), and antidote (
D) follow assessment.

Question 5 of 5

During change-of-shift report, a nurse discovers they overlooked a prescription for a type and cross-match of a client who is to have surgery the next day. Which of the following actions should the nurse take first?

A. Obtain the client's type and cross-match.B. Inform the provider of the delay in obtaining the type and cross-match.C. Document the incident in the client's medical record.D. Prepare an incident report for risk management.

Correct Answer: A

Rationale: Obtaining the type and cross-match (
A) first ensures blood availability for surgery, prioritizing patient safety. Informing (
B), documenting (
C), and reporting (
D) follow.

ATI RN Fundamentals 2023 Exam 3 | Nurselytic

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ATI RN

ATI RN