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 improve threat detection in fight-or-flight via sympathetic activation. Bronchial dilation, hyperglycemia, and increased blood pressure occur, not constriction, hypoglycemia, or decreased pressure.
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
The nurse working in the ER is admitting a toddler to the orthopedic unit. The parents and grandparents are at bedside. What should the nurse use as the best source of data for this client?
Correct Answer: C
Rationale: Parents, as primary caregivers, provide the most accurate, up-to-date data on a toddler’s health and history. Grandparents offer secondary insights, providers give clinical data, and records may lack recent details.
Question 4 of 5
Which nursing action would be appropriate to protect a patient during a seizure?
Correct Answer: A,B,D,E
Rationale: Padding the head, avoiding oral objects, turning to the side, and using pillows prevent injury and aspiration. Moving to bed during a seizure risks harm.
Question 5 of 5
The nurse is reviewing interventions written for a client. Which of the following should the nurse consider as being independent?
Correct Answer: B
Rationale: Repositioning is an independent nursing action to prevent complications, requiring no order. Medication administration and IV antibiotics are dependent, needing physician orders.