ATI RN
ATI Fundamentals Assessment Exam Midterm Questions
Extract:
Question 1 of 5
When planning care for a client with an inner ear infection, the nurse will need to include interventions for which of the following potential problems?
Correct Answer: A
Rationale: Inner ear infections (e.g., labyrinthitis) disrupt balance, causing vertigo, requiring interventions like medications and fall precautions. Rhinorrhea, fever, and headaches are less specific or secondary.
Question 2 of 5
What eye function is the nurse preparing to assess when the client is asked to stand 20 feet from a specific chart that is mounted on the examination room wall?
Correct Answer: C
Rationale: Standing 20 feet from a Snellen chart assesses distant vision, measuring visual acuity for far objects. Peripheral vision uses confrontation testing, external structures require close inspection, and near vision uses charts at 14 inches.
Question 3 of 5
Prior to completing the physical examination of a patient post motor vehicle crash, the ER nurse determines that the client is awake, alert, and oriented. This information would be important for which part of the general survey?
Correct Answer: B
Rationale: Being awake, alert, and oriented assesses level of consciousness, critical post-trauma to establish cognitive function and detect neurological changes. Facial expression, posture/gait, and health state assess other survey components.
Question 4 of 5
What cranial nerve is responsible for the taste sensation of the posterior third of the tongue?
Correct Answer: C
Rationale: The glossopharyngeal nerve (IX) provides taste sensation to the posterior third of the tongue. The facial nerve (VII) covers the anterior two-thirds, abducens (VI) controls eye movement, and hypoglossal (XII) controls tongue movement.
Question 5 of 5
Which risk factor for traumatic brain injury (TBI) should a nurse include in a discussion about prevention for a group of adolescents?
Correct Answer: C
Rationale: Concussions from sports and motor vehicle accidents are the leading TBI causes in adolescents due to high-impact activities. Falls are more common in younger children, males have higher risk, and firearm incidents are less frequent.