ATI RN
ATI Nurse 142 Final Questions
Extract:
Question 1 of 5
The nurse is performing a focused interview and eye assessment on a client. Which assessment findings indicate the client is experiencing a vision problem? (Select all that apply)
Correct Answer: B,E
Rationale: Pupils that remain dilated during an accommodation test indicate a potential issue with the autonomic nervous system, affecting pupil adjustment. Frowning and squinting while reading the Snellen chart suggest difficulty seeing clearly, indicating a vision problem. Normal findings, such as pupil dilation in dim light, 20/20 vision, and symmetrical pupillary reflex, do not indicate vision problems.
Question 2 of 5
Which of the following statements concerning breast examination is true?
Correct Answer: A
Rationale: Bimanual palpation is used to evaluate the tail of Spence, the breast tissue extending into the axilla. The axillae should always be palpated, nipple discharge is normal in pregnancy, and breasts are inspected in a consistent position to detect abnormalities.
Question 3 of 5
A nurse is reviewing the medical record for a client who is receiving treatment for gestational diabetes mellitus. Which of the following medications should the nurse expect to administer?
Correct Answer: A
Rationale: Glyburide, a sulfonylurea, is used to manage gestational diabetes mellitus by stimulating insulin production. Levothyroxine treats hypothyroidism, nifedipine manages hypertension or preterm labor, and chlorpromazine is for psychiatric conditions or nausea, not diabetes.
Question 4 of 5
The nurse would document which of the following as objective data obtained during a patient assessment?
Correct Answer: B
Rationale: Objective data are measurable and observable. Loss of hair on bilateral legs can be visually confirmed, making it objective. Reports of itching, pain, or numbness are subjective, relying on the patient's perception.
Question 5 of 5
The nurse is assessing the patient's range of motion. The nurse asks the patient to circumduct his arms. When the patient asks what this means, the nurse explains:
Correct Answer: B
Rationale: Circumduction is a movement that involves the circular rotation of a limb, such as an arm or leg, around a fixed point. When assessing the patient's range of motion, the nurse may ask the patient to perform circumduction of their arms to evaluate their ability to move their arms in a circular motion.