ATI RN
ATI Fundamentals Quiz Questions
Extract:
Question 1 of 5
The nurse is assessing a client who reports abdominal pain. Which assessment technique will the nurse perform first?
Correct Answer: A
Rationale: Inspection: Inspection is always the first step in any physical examination, including abdominal assessments. It allows the nurse to visually assess the abdomen for distension, asymmetry, discoloration, or other abnormalities. Percussion: Percussion is performed after inspection and auscultation. It helps assess the density of abdominal contents but should not be the first step. Palpation: Palpation is performed last in an abdominal exam to avoid altering bowel sounds and causing discomfort. It should be done after inspection, auscultation, and percussion. Auscultation: Auscultation is typically the second step after inspection to listen for bowel sounds before palpation and percussion, which might alter them.
Question 2 of 5
Upon entering the client's room at the beginning of a shift and throughout the shift,the nurse assesses the client. The nurse considers the client's plan of care and response to nursing interventions during the assessments. What type of assessment is the nurse performing?
Correct Answer: A
Rationale: Ongoing assessment: Ongoing assessments are continuous evaluations performed throughout the nurse's shift to monitor the client's status, response to interventions, and to adjust the care plan as needed. Focused assessment: A focused assessment is targeted on a specific problem or area of concern, rather than a general or comprehensive evaluation. Emergency assessment: An emergency assessment is rapid and focuses on identifying life-threatening conditions or urgent needs. It is not a routine, ongoing assessment. Comprehensive assessment: A comprehensive assessment is an in-depth evaluation of the client's overall health status, usually performed upon admission or during initial evaluation. It is not typically repeated throughout the shift.
Question 3 of 5
A nurse is assessing a client's cranial nerves. Which of the following methods should the nurse use to assess cranial nerve II?
Correct Answer: A
Rationale: Ask the client to read a Snellen chart: Cranial nerve II (Optic nerve) is responsible for vision. Assessing the client's ability to read a Snellen chart tests visual acuity, which is a function of cranial nerve II. Listen to the client's speech: This assesses cranial nerves V (Trigeminal) and VII (Facial), which are involved in speech and facial sensation. Ask the client to clench his teeth: This assesses cranial nerve V (Trigeminal), which controls jaw movement and sensation. Ask the client to identify scented aromas: This assesses cranial nerve I (Olfactory), which is responsible for the sense of smell.
Question 4 of 5
The nurse is assessing a client who reports abdominal pain. Which assessment technique will the nurse perform first?
Correct Answer: A
Rationale: Inspection: Inspection is always the first step in any physical examination, including abdominal assessments. It allows the nurse to visually assess the abdomen for distension, asymmetry, discoloration, or other abnormalities. Percussion: Percussion is performed after inspection and auscultation. It helps assess the density of abdominal contents but should not be the first step. Palpation: Palpation is performed last in an abdominal exam to avoid altering bowel sounds and causing discomfort. It should be done after inspection, auscultation, and percussion. Auscultation: Auscultation is typically the second step after inspection to listen for bowel sounds before palpation and percussion, which might alter them.
Question 5 of 5
To what is a person referring when during an interview the person says,"I am a member of the sandwich generation?
Correct Answer: B
Rationale: Has both older and younger siblings: This does not specifically relate to the 'sandwich generation' concept. Cares for children and aging parents at the same time: The term 'sandwich generation' refers to individuals who are simultaneously caring for their own children and their aging parents. There is a role reversal between parents and self: While this may occur in caregiving situations, it doesn't define the 'sandwich generation.' Assists own parents and spouse's parents: This is similar to option B but specifically refers to assisting one's own parents and the spouse's parents, not necessarily at the same time.