Questions 45

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ATI RN Test Bank

ATI Nurse 142 Final Questions

Extract:


Question 1 of 5

When assessing the patient's ability to perform rapid altering movements, the nurse is observing the:

Correct Answer: D

Rationale: The motor system controls voluntary movements, including rapid alternating movements like tapping fingers or rotating the wrist. Assessing these movements evaluates the coordination and integrity of the motor system, including muscles, nerves, and brain function.

Question 2 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.

Question 3 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 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 conducting a psychosocial assessment. Which of the following would be included in this assessment? (Select all that apply)

Correct Answer: C,D

Rationale: The Mini-Mental Status Exam assesses cognitive function, and the Activities of Daily Living
Tool evaluates the patient's ability to perform daily tasks, both of which are components of a psychosocial assessment. The CAGE assessment is specific to alcohol use, and the Heinrich Fall Scale is related to fall risk, not psychosocial assessment.

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