ATI RN
ATI Med Surg Nursing 300 Day Exam Questions
Extract:
Question 1 of 5
The nurse prepares to assess the patient's cranial nerves. Which tool is necessary to assess cranial nerve (CN) III (oculomotor)?
Correct Answer: B
Rationale: A penlight is used to assess CN III (oculomotor) by evaluating the pupil's response to light and the ability to move the eye, as this nerve controls pupil constriction and most eye movements.
Question 2 of 5
The nurse is caring for a patient and is monitoring the level of consciousness hourly per hospital mandated policy. The nurse initially assesses the patient be awake with forgetfulness and difficulty following commands without prompting or reminders. 1 hour later, the nurse assesses the patient to be sleepy with slow and delayed responses to stimuli. Describe the two assessments of level of consciousness:
Correct Answer: A
Rationale: Initial forgetfulness and difficulty following commands indicate confusion, while later sleepiness and slow responses indicate lethargy.
Question 3 of 5
A client receives chemotherapy with an agent that causes thrombocytopenia. Which intervention is most important to teach the client?
Correct Answer: B
Rationale: Thrombocytopenia increases bleeding and bruising risk, making safety measures to prevent falls and injuries the most critical intervention.
Question 4 of 5
The nurse is planning care for a client diagnosed with heart failure who will soon be discharged home. What should be included in the teaching plan? The client will:
Correct Answer: A
Rationale: Daily weight monitoring detects fluid retention, critical for heart failure management.
Question 5 of 5
The nurse is performing a health screening of a 37-year-old female client. Which factor(s) would alert the nurse that this client is at greatest risk for developing a stroke?
Correct Answer: D
Rationale: Smoking and birth control pills significantly increase stroke risk, particularly in women, due to thrombotic effects.