ATI RN
ATI Nurse 142 Final Questions
Extract:
Question 1 of 5
To evaluate the patient's level of consciousness (LOC), the nurse will:
Correct Answer: C
Rationale: Level of consciousness (LO
C) is assessed by observing the patient's wakefulness, awareness, and responsiveness to stimuli, indicating neurological function. Checking turgor assesses dehydration, pupillary response evaluates brainstem function, and auscultating the temporal artery is unrelated to LOC.
Question 2 of 5
The patient reports an inability to taste. What is the most appropriate action for the nurse to take?
Correct Answer: D
Rationale: The sense of taste is primarily mediated by the facial nerve (cranial nerve VII) and the glossopharyngeal nerve (cranial nerve IX). Evaluating sensory function, including taste, is the most appropriate action to assess the patient's complaint. Testing specific cranial nerves like the hypoglossal (XII) or spinal accessory (XI) is not directly related to taste.
Question 3 of 5
In the SBAR reporting system, which of the following would be an example of a recommendation?
Correct Answer: B
Rationale: In the SBAR (Situation, Background, Assessment, Recommendation) reporting system, a recommendation involves suggesting a specific action or intervention. 'Ms. Choi needs to have a social construct' implies a recommended action, making it the correct choice. The other options provide situation, assessment, or background information but do not suggest a specific action.
Question 4 of 5
The nurse auscultates the client's abdomen for 1 minute and does not hear any bowel sounds. What should the nurse do next?
Correct Answer: B
Rationale: The absence of bowel sounds for one minute does not necessarily indicate a surgical emergency. Listening for another minute is appropriate to confirm the absence of sounds. If no sounds are heard after additional time, auscultating for a total of 5 minutes or notifying the physician may be warranted. Listening posteriorly is not a standard practice for assessing bowel sounds.
Question 5 of 5
To evaluate the patient's level of consciousness (LOC), the nurse will:
Correct Answer: C
Rationale: Level of consciousness (LO
C) is assessed by observing the patient's wakefulness, awareness, and responsiveness to stimuli, indicating neurological function. Checking turgor assesses dehydration, pupillary response evaluates brainstem function, and auscultating the temporal artery is unrelated to LOC.