ATI RN
ATI Fundamentals Assessment Exam Midterm Questions
Extract:
Question 1 of 5
Which of the following should the nurse do before conducting a physical examination of a client? (Select all that apply)
Correct Answer: A,C,D
Rationale: Checking equipment ensures efficiency, ensuring privacy respects dignity, and hand-washing prevents infection. Music may interfere with auscultation, and dim lighting hinders inspection.
Question 2 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 3 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 4 of 5
A middle-aged school teacher complains of excessive tearing of the eyes every morning. Which assessment should the nurse perform next?
Correct Answer: A
Rationale: Excessive tearing (epiphora) suggests nasolacrimal sac obstruction, requiring assessment for blockage. Conjunctival inspection is relevant for pain or foreign bodies, pupillary testing for neurological issues, and eye positions for muscle problems, none primary here.
Question 5 of 5
While conducting the health assessment, the nurse instructs the client about secondary prevention activities. What information did the nurse most likely provide to this client?
Correct Answer: B
Rationale: Secondary prevention involves early detection, like regular mammogram screenings to identify breast cancer early. Immunizations and seat belts are primary prevention, and vision exams are less specific unless detecting early disease.