ATI RN
ATI Msn De5320 Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse is teaching a class about physical manifestations associated with the fight-or-flight response to stress. Which of the following manifestations should the nurse include?
Correct Answer: C
Rationale: Dilated pupils enhance vision during fight-or-flight, driven by adrenaline. Airways dilate, blood pressure rises, and glucose increases for energy, ruling out other options.
Question 2 of 5
A nurse is preparing a teaching plan for a client who is learning to walk with a cane. The nurse should identify that which of the following actions is a evaluation step of the teaching plan?
Correct Answer: A
Rationale: Evaluation assesses skill mastery, achieved by observing the client demonstrate cane use. Showing a video or setting goals is teaching/planning, and readiness is an initial assessment.
Question 3 of 5
A nurse is performing passive range of motion on a client who had a stroke. The nurse should identify that passive range of motion is performed to increase which of the following?
Correct Answer: B
Rationale: Passive range of motion maintains or improves joint flexibility by preventing contractures post-stroke. It does not significantly affect bone density, muscle mass, or strength.
Question 4 of 5
Which of the following is essential when restraints are applied to a client?
Correct Answer: B
Rationale: Assessing circulation and neurological integrity every 2 hours prevents restraint-related injuries. Square knots are hard to release, side rails risk entrapment, and 12-hour checks are too infrequent.
Question 5 of 5
A nurse obtained a telephone order from a primary care provider for a patient in pain. Which chart entry should the nurse document?
Correct Answer: C
Rationale: The correct entry includes the accurate date, medication, dosage, frequency, reason, telephone order notation (TO), provider’s name, nurse’s initials, and read-back confirmation for accuracy. Option A uses an invalid abbreviation (TOJ), B lacks read-back, and D incorrectly uses VO (verbal order).