ATI RN
ATI Nursing 137 Exam 3 Fall 2023 Questions
Extract:
Question 1 of 5
The nurse is completing a neurological assessment on a client who suffered from a motor vehicle accident (MVA). Which of the following findings should the nurse report to the practitioner immediately?
Correct Answer: D
Rationale: A GCS of 5 indicates severe consciousness impairment, requiring urgent reporting. Swallowing, mild headache, or weakness are less immediately critical.
Question 2 of 5
The nurse has completed a peripheral vascular assessment on a client. Which of the following would the nurse document as expected findings?
Correct Answer: B
Rationale: Radial pulses 2+ bilaterally indicate normal circulation. Capillary refill <5 seconds is normal but typically <2-3 seconds; pale feet or edema suggest issues.
Question 3 of 5
During a community screening event for bone density an elderly client asked the nurse why she is an inch shorter in height. Which of the following responses by the nurse is correct?
Correct Answer: C
Rationale: Aging wears down spinal cartilage, reducing height. Fat loss or flexibility affect appearance less, and disks thin, not thicken.
Question 4 of 5
A nurse is assessing a client's cranial nerves. Which of the following methods should the nurse use to assess cranial nerve V?
Correct Answer: D
Rationale: Cranial nerve V (trigeminal) controls mastication muscles; clenching teeth tests its motor function. Speech, vision, and smell assess other nerves.
Question 5 of 5
The nurse is educating a client on different areas of the brain. The nurse recognizes that which of the following statements concerning areas of the brain is correct?
Correct Answer: D
Rationale: The hypothalamus regulates temperature and sleep. Basal ganglia aid motor control, thalamus relays sensory data, and cerebellum handles coordination.