Extract:

Question 1 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 2 of 5

A nurse is ambulating a client who is unsteady. The client begins to fall. Which of the following actions should the nurse take?

A. Place their arms around the client to prevent the fall.B. Remain upright as the client falls toward them.C. Move quickly to a position in front of the client.D. Allow the client to slide down their outstretched leg.

Correct Answer: D

Rationale: Allowing the client to slide down an outstretched leg (
D) safely lowers them, minimizing injury to both. Arms around (
A) risks mutual injury, staying upright (
B) or moving in front (
C) increases fall risk.

Question 3 of 5

A nurse is assessing a client's cranial nerve VII. Which of the following responses should the nurse expect?

A. The client's pupils constrict in response to light.B. The client's tongue is in a midline position:C. The client has a symmetrical smile.D. The client turns their head against resistance.

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.

Question 4 of 5

A nurse is observing a newly licensed nurse care for a client who is at increased risk for infection. Which of the following actions indicate the newly licensed nurse is following recommended medical asepsis practices?

A. The newly licensed nurse uses a paper towel to turn off the faucet after washing their hands.B. The newly licensed nurse uses an alcohol-based hand rub and begins patient care before their hands dry.C. The newly licensed nurse uses soap and cold water to wash their hands.D. The newly licensed nurse uses an alcohol-based hand rub to clean visibly soiled hands.

Correct Answer: A

Rationale: Using a paper towel (
A) prevents recontamination post-handwashing, per asepsis. Wet hands (
B), cold water (
C), and rub on soiled hands (
D) reduce effectiveness.

Question 5 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.

Nurselytic

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ATI RN Fundamentals 2023 Exam 3 Questions

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Question 1 of 5

Question 2 of 5

Question 3 of 5

Question 4 of 5

Question 5 of 5

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