ATI RN
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ATI Fundamentals Assessment Exam Midterm Questions
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Question
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1 of 5
The nurse read the patient's health history and noted cranial nerve III oculomotor paralysis. Which of the following would the nurse expect?
Correct Answer: C
Rationale: Oculomotor nerve (III) paralysis causes ptosis (eyelid drooping) and absent pupillary constriction due to loss of levator palpebrae and iris muscle control. Lateral eye movement is controlled by cranial nerve VI, myopia is a refractive error, and normal movement is impossible.
Question 2 of 5
A client has arrived at the clinic for a routine physical examination. Prior to assessing the client's blood pressure, what should the nurse do?
Correct Answer: C
Rationale: Sitting quietly for 5 minutes stabilizes heart rate and blood pressure for accurate measurement. Below-waist arm positioning raises readings, radial pulse palpation is unnecessary, and clothing interferes with cuff placement.
Question 3 of 5
The nurse assesses a client's submental lymph nodes. In which area of the client's head should the nurse palpate these lymph nodes?
Correct Answer: B
Rationale: Submental lymph nodes are located in the midline under the chin, a few centimeters behind the mandible, draining the lower lip and mouth floor. Other options correspond to preauricular, cervical, and submandibular nodes.
Question 4 of 5
A patient is diagnosed with left ear unilateral sensorineural hearing loss. During the performance of the Weber test, the nurse expects lateralization of the sound/vibration to the:
Correct Answer: C
Rationale: In sensorineural hearing loss, the Weber test lateralizes to the unaffected ear (right ear), which has better cochlear function. Conductive loss would lateralize to the affected ear, and equal lateralization suggests normal or symmetrical hearing.
Question 5 of 5
A 45-year-old African-American client comes to the clinic complaining of fatigue, thirst, and frequent urination. During the physical exam, the nurse notices areas of linear hyperpigmentation around the neck and in the axillae (Acanthosis Nigricans). What would the nurse do next?
Correct Answer: A
Rationale: Acanthosis Nigricans with fatigue, thirst, and frequent urination suggests insulin resistance and possible diabetes, warranting medical follow-up for comprehensive evaluation, including blood sugar testing. Cancer history is less urgent, the findings are not benign without investigation, and a random blood sugar test is part of follow-up but not the immediate next step.