ATI PRACTICE QUESTIONS

A nurse is assessing a client's pulses of the lower extremities. The nurse should identify which of the following as the location of the most distal pulse? A) popliteal B) posterior tibial C) dorsalis pedis D) femoral

dorsalis pedis

A nurse is caring for a client who requires ventilatory assistance with breathing following a motor vehicle crash. The nurse should suspect an injury to which of the following parts of the brain? A) Hypothalamus B) Cerebral cortex C) Brainstem D) Cerebellum

Brainstem

A nurse is performing a neuro assessment for a client. By asking the client to clench his teeth and palpating the masseter muscles for contraction, which of the following cranial nerves is the nurse testing? A) CN XII B) CN X C) CN VIII D) CN V

CN V

A nurse is performing a neuro assessment for a client. By using the Rinne and Weber tests and asking the client if he can hear a whisper., which of the following cranial nerves is the nurse testing? A) CN XII B) CN X C) CN VIII D) CN V

CN VIII

A nurse is performing a neuro assessment for a client. By asking the client to vocalize, which of the following cranial nerves is the nurse testing? A) CN XII B) CN X C) CN VIII D) CN V

CN X

A nurse is preparing to assess the function of the client's olfactory nerve (cranial nerve I). Which of the following items should the nurse gather for the test? A) Sugar B) Coffee C) Cotton wisps D) Snellen chart

Coffee

A nurse is preparing to assess the function of the client's trigeminal nerve (cranial nerve V). Which of the following items should the nurse gather for the test? A) Sugar B) Coffee C) Cotton wisps D) Snellen chart

Cotton wisps

A nurse is performing a physical assessment of a client. The nurse should recognize that which of the following findings places he client at risk of impaired skin integrity? A) 3+ Achilles reflex B) Faint pedal pulses C) Feet warm to the touch bilaterally D) Capillary refill of <2 sec

Faint pedal pulses

A nurse is preparing to test the function of cranial nerve X. Which of the following assessment procedures should the nurse use? A) Have the client open his mouth and say, "aah" B) Ask the client to identify the scent of coffee C) Use a tongue blade to provoke a gag reflex D) Have the client smile and raise his eyebrows

Have the client open his mouth and say, "aah"

A nurse is performing a neurological assessment of a client. To promote safety during the examination, the nurse stands nearby as the client follows the instruction for which of the following tests? A) Romberg B) Kinesthetic sensation C) 2-point discrimination D) Weber

Romberg

A nurse is performing a neurological assessment for a client. Which of the following examinations should the nurse use to check the client's balance? A) 2-point discrimination test B) Glasgow coma scale C) Babinski reflex D) Romberg test

Romberg test

A nurse is preparing to assess the function of the client's optic nerve (cranial nerve II). Which of the following items should the nurse gather for the test? A) Sugar B) Coffee C) Cotton wisps D) Snellen chart

Snellen chart

As a part of a neurological examination, a nurse instructs a client to keep his eyes closed, places an object in his hand, and asks him to identify the object. Which of the following abilities is the nurse evaluating with this technique? A) Gustation B) Stereognosis C) Proprioception D) Kinesthesia

Stereognosis

A nurse is preparing to assess the function of the client's facial nerve (cranial nerve VII). Which of the following items should the nurse gather for the test? A) Sugar B) Coffee C) Cotton wisps D) Snellen chart

Sugar

A nurse is caring for a client who states that she does not want to get out of bed due to pain from arthritis. Which of the following actions should the nurse take? A) tell the client the provider does not want her to remain in bed B) allow the client to remain in bed until her pain subsides C) instruct the family to perform ADLs for the client D) advise the client to perform range-of-motion exercises while in bed

advise the client to perform range-of-motion exercises while in bed

A nurse is assessing an 85-year-old client. Which of the following findings should the nurse report to the provider? A) widened anterior-posterior chest diamete B) presence of an S4 heart sound C) differences in pulse strength between lower extremities D) post-void residual of 75 mL

differences in pulse strength between lower extremities

A nurse is assessing a client who has a head injury with a possible skull fracture. Which of the following findings should the nurse identify as an indication that the client might have a complication involving the eighth cranial nerve (CN VIII)? A) dizziness and hearing loss B) weakness of a side of the tongue C) facial droop and asymmetrical smile D) loss of the same visual field in both eyes

dizziness and hearing loss

A nurse is performing a neurological assessment for a client who has a brain tumor. Which of the following findings should indicated cranial nerve involvement? A) dysphagia B) positive Babinski sign C) decreased deep-tendon reflexes D) ataxia

dysphagia

A nurse in a provider's office is measuring a client and notes a loss in height from the previous year. The nurse should identify this finding as a manifestation of which of the following musculoskeletal system disorders? A) osteoporosis B) scoliosis C) kyphosis D) lordosis

osteoporosis

A nurse is caring for a client who has an impairment of cranial nerve II. Which of the following actions should the nurse perform to promote the client's safety? A) initiate seizure precautions B) ensure the client receives a soft diet C) provide an obstacle-free path for ambulation D) instruct the client to use lukewarm water when showering

provide an obstacle-free path for ambulation

A nurse is screening a client who has an S-shaped spinal column with unequal shoulder heights. The nurse should identify these findings as manifestations of which of the following abnormalities? A) scoliosis B) lordosis C) torticollis D) kyphosis

scoliosis

A community health nurse is conducting a class about body mechanics for county office workers. Which of the following instructions should the nurse include? (Select all that apply) A) sit with your back supported B) keep your knees at hip level C) use an ergonomically designed computer keyboard D) keep your elbows away from your body E) adjust the monitor screen so that you have to tilt your head slightly to look at it

sit with your back supported, keep your knees at hip level, use an ergonomically designed computer keyboard

A nurse is caring for a client who is postoperative and has paralytic ileus. Which of the following abdominal assessments should the nurse expect? A) Frequent bowel sounds with flatus B) Absent bowel sounds with distention C) Hyperactive bowel sounds with diarrhea D) Normal bowel sounds with increased peristalsis

Absent bowel sounds with distention

A nurse rates a client's biceps reflex as 2+. Which of the following characteristics should the nurse document about the client's reflexes? A) Diminished B) Average C) Brisk D) Hyperactive

Average

A nurse is performing a neurological assessment for a client. By asking the client to stick out his tongue, which of the following cranial nerves is the nurse testing? A) Cranial nerve XII B) Cranial nerve X C) Cranial nerve VIII D) Cranial nerve V

Cranial nerve XII