ATI RN
ATI N103N103 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
The nurse is providing education to a student nurse regarding delegation. What tasks would be unable to be delegated to unlicensed assistive personnel (UAP)? (Select all that apply)
Correct Answer: C,D,E
Rationale: Evaluating treatment, assessing a stoma, and discharge teaching require clinical judgment and are reserved for licensed nurses. Bed baths and toileting are routine tasks suitable for UAPs.
Question 2 of 5
A nurse is preparing to assess a client. Which action should the nurse take to check cranial nerve VI?
Correct Answer: C
Rationale: Cranial nerve VI (abducens) controls the lateral rectus muscle enabling lateral eye movement. Asking the client to look outward assesses this function. Visual acuity (
A) whispering (
B) and smiling (
D) assess cranial nerves II VIII and VII respectively.
Question 3 of 5
A nurse is rounding on a client with bilateral wrist restraints. Which finding would warrant the nurse to loosen the restraints?
Correct Answer: C
Rationale: Cyanotic digits indicate impaired circulation necessitating immediate loosening to prevent tissue damage. Full range of motion (
A) and no discomfort (
D) suggest adequate restraint fit while attempting to remove them (
B) requires monitoring not loosening.
Question 4 of 5
A nurse is auditing a client. During the assessment the nurse notes the client has multiple cavities chipped and missing teeth. The client reports having difficulty eating. Which diet should the nurse recommend the primary health care provider to order for this client?
Correct Answer: C
Rationale: A mechanical soft diet includes easy-to-chew foods ideal for clients with dental issues like cavities and missing teeth. Pureed (
A) is for severe swallowing issues and soft (
B) may still be challenging.
Question 5 of 5
A nurse on the medical-surgical unit is conducting a fall risk assessment on four clients. Which of these clients would be at greatest risk for falls?
Correct Answer: C
Rationale: An older adult with confusion and urinary frequency is at greatest fall risk due to disorientation and urgency compounded by age-related declines in strength/balance. Postoperative assistance (
A) crutch adaptation (
B) and leg ulcer (
D) pose lower risks.