ATI RN
ATI Nurse 142 Final Questions
Extract:
Question 1 of 5
The nurse should utilize what type of precaution when palpating the lips in a healthy adult?
Correct Answer: C
Rationale: Standard precautions refer to the basic infection prevention measures that should be taken with all patients, regardless of their known or suspected infection status. This includes hand hygiene, the use of personal protective equipment (such as gloves), and the proper handling and disposal of contaminated items. Palpating the lips of a healthy adult does not require additional precautions unless an infection is suspected.
Question 2 of 5
What term describes the amount of pain stimulation that is needed for an individual to feel pain?
Correct Answer: C
Rationale: Pain threshold is the point at which a person first perceives pain, varying by individual factors like genetics or health. Pain tolerance is the amount of pain one can endure, and the other options are unrelated.
Question 3 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.
Question 4 of 5
The nurse is mapping the client's abdomen into four quadrants. Which landmarks should the nurse use to perform this assessment? (Select all that apply)
Correct Answer: A
Rationale:
To map the abdomen into four quadrants, the nurse uses the umbilicus as the central landmark, drawing imaginary lines vertically and horizontally through it. The midclavicular lines, sternum, and lower border of the ribs are not used for this purpose.
Question 5 of 5
The nurse is assessing the patients sleep habits. Which of the patients responses indicate a need for the nurse to provide teaching?
Correct Answer: D
Rationale: Napping during the day can interfere with a person's ability to sleep at night, especially if it is done for long periods or close to bedtime. The nurse can provide education on proper sleep hygiene and recommend ways to establish a consistent sleep schedule that promotes restful sleep, such as avoiding caffeine and alcohol, practicing relaxation techniques, and limiting exposure to electronic devices before bedtime.