ATI Test For Nursing Fundamentals Part I Practice Test
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The most important nursing intervention to correct skin dryness is:
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Ask the physician to refer the patient to a dermatologist, and suggest that the patient wear home-laundered sleepwear.
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Consult the dietitian about increasing the patient’s fat intake, and take necessary measures to prevent infection.
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Encourage the patient to increase his fluid intake, use non-irritating soap when bathing the patient, and apply lotion to the involved areas.
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Avoid bathing the patient until the condition is remedied, and notify the physician.
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Are you preparing for nursing exams? You can take this ATI Test For Nursing Fundamentals to improve your nursing basics. There are several facts that need to be cleared before pursuing the profession. Here we have got 100 questions for you so that you can practice more scenarios and topics to clear the exam. You can choose all the correct answers for a perfect score, whereas if you miss out on something, we will help you. All the best with this and as well as all other exams! You can share this quiz with other nursing aspirants also.
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- 2.
When talking to a child who is seated, the nurse should
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Touch the child
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Stand facing the child
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Stand with a relaxed posture
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Sit at eye level with the child
Correct Answer
A. Sit at eye level with the childExplanation
The nurse should be at the same eye level as the child to facilitate communication. Touching may intimidate the child and bock communication. Standing will prevent the nurse from being at eye level with the child.Rate this question:
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- 3.
Once a nurse has counseled a client about her situational role changes, and she has accepted them, what is the next step in her recovery?
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Apprehension
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Tension
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Resentment
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Adaptation
Correct Answer
A. AdaptationExplanation
A client who has accepted role changes will demonstrate adaptation. Resentment, tension, and apprehension are not behaviors or emotions consistent with acceptance.Rate this question:
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- 4.
A diabetic patient lost his wife 4 months ago. Tearful, he says, "How could you possibly understand what I am going through?" Which of the following would be an appropriate response?
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"It takes time to get over the loss of a loved one."
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"You are right; I cannot really understand. Perhaps you'd like to tell me more about what you're feeling."
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"Why don't you try something to take your mind off your troubles, like watching a funny movie."
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"I might not share your exact situation, but I do know what people go through when they deal with a loss."
Correct Answer
A. "You are right; I cannot really understand. Perhaps you'd like to tell me more about what you're feeling."Explanation
By stating that she is not in his situation, the nurse is using the therapeutic communication technique of validation, whereby she shows sensitivity to the meaning behind his behavior. She is also creating a supportive and nonjudgmental environment, and inviting him to express his frustrations. Telling the patient to try a distraction dismisses the client's feelings and gives common advice instead of expert advice. Saying she knows what clients feel is presumptive and inappropriate.Rate this question:
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- 5.
A patient who had a mastectomy 6 months ago tells the nurse that she has not had much desire for sexual relations since her surgery. "My body is different now." Which of the following is an appropriate response from the nurse?
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"Really, you look just fine to me. There's no need to feel undesirable
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I'm interested in finding out more about how your body feels to you".
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"Consider an afternoon at a spa. A facial will make you feel more attractive"
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"it is still too soon to expect to feel normal. Give it a little more time
Correct Answer
A. I'm interested in finding out more about how your body feels to you".Explanation
Showing interest in a client is a therapeutic communication technique of offering self; asking more about how the client feels is a therapeutic communication technique of encouraging a description of prescription. Telling the client she looks fine is using the nontherapeutic communication technique of giving an opinion. Assuming she feels undesirable is not therapeutic and it is called interpreting. Suggesting a facial is using a nontherapeutic technique of giving advice. Telling her it is too soon to feel normal and to give it more time is belittling the client's feelings and giving false reassurance.Rate this question:
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- 6.
A mother tells a nurse that her 2-year old has temper tantrums. The child says "no" every time the mother tries to help her get dressed. The nurse explains that, developmentally, the child is
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Trying to increase her independence
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Developing a sense of trust
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Manifesting an anger management problem
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Attempting to finish a project she started
Correct Answer
A. Trying to increase her independenceExplanation
Toddlers express independence by opposing those in authority as they attempt to do everything on their own. Developing trust is a task for infants. Finishing a project belongs to school-age children. The behavior that is left is normal for a 2 year old child and is not an expression of anger management problems.Rate this question:
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- 7.
A patient is concerned about the confidentiality of the information she is disclosing during a health history interview. The nurse should provide a response by telling the client.
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Exactly with whom the information will be shared
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That it is required for her to give any information that is requested
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A confidential piece of information about herself
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Her family members will be informed of necessary information
Correct Answer
A. Exactly with whom the information will be sharedExplanation
The client has a right to confidentiality and the right to know with whom her information will be shared. The client has the right to refuse to reveal information if she chooses. The nurse telling the client confidential information about herself is not professional. Giving information to family members is a violation of confidentialityRate this question:
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- 8.
Assessment of an older adult reveals significant skin tenting over the forearm. Why?
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Loss of adipose tissue and elasticity
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Parchment-like skin
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Significant flaking and dryness
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Skin tags
Correct Answer
A. Loss of adipose tissue and elasticityExplanation
Tenting is a result of loss of adipose tissue and elasticity of the skin. Thin, parchment-like skin,dryness, and skin tags do not cause tentingRate this question:
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- 9.
Which of the following factors positively affect self-concept? Select all that apply
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Diabetes mellitus
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Parental approval
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Success at school
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Receiving a promotion at work
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Excessive use of alcohol
Correct Answer(s)
A. Parental approval
A. Success at school
A. Receiving a promotion at workExplanation
Parental approval, success at school, and receiving a promotion at work will have a positive impact on the individual's self-concept, as these situations promote good feelings about self-concept. A chronic illness usually have a negative impact on self-concept, as the client is required to adapt to the changes. Excessive use of alcohol is a symptom of a poor self-concptRate this question:
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- 10.
What is the right sequence when performing an abdominal assessment?
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Inspection, palpation, percussion, auscultation
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Auscultation, inspection, palpation, and percussion
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Percussion, inspection, auscultation and palpation
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Inspection, auscultation, percussion and palpation
Correct Answer
A. Inspection, auscultation, percussion and palpationExplanation
This sequence allows the client's bowel sounds to be heard without being disturbed or distorted by percussion or palpation assessmentsRate this question:
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- 11.
Which of the following developmental tasks is appropriate for a preschool child?
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Using a knife to cut meat at mealtime
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Dressing independently
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Following several directions at once
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Comprehending satire
Correct Answer
A. Dressing independentlyExplanation
Preschoolers should be able to dress themselves with occasional help in tying shoes or fastening complex buckles or closures. Using a knife to cut meat at mealtime, following several directions at once, and comprehending satire are developmental tasks of school-age children.Rate this question:
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- 12.
A nurse is checking the vital signs of a 92-year old patient. The patient's radial pulse has an irregular beat about every 5th or 6th beat. The rate is 92/min. The patient is asymptomatic. What should be the first intervention?
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Report the findings to the physician immediately.
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Obtain an electrocardiogram
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Check an apical pulse for 60 seconds and note any pulse deficits
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Place the patient on telemetry
Correct Answer
A. Check an apical pulse for 60 seconds and note any pulse deficitsExplanation
This radial pulse does not require immediate medical treatment; therefore, the nurse should next measure the client's apical pulse to assess the client's status further. The nurse should then report the findings to the provider, who will then decide if the client requires telemetry and an electrocardiogramRate this question:
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- 13.
When assessing a skin temperature, which side of the hand should be used?
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Fingertips
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Dorsal surface
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Palmar surface
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Base of the hand
Correct Answer
A. Dorsal surfaceExplanation
The dorsal surface of the hand is the most sensitive to temperature changes.Rate this question:
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- 14.
A nurse is teaching a class on accident prevention to a group of parents with their toddlers. Which of the following should be included in the teaching? Select all that apply:
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Keep toxic agents in locked cabinets
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Keep toilet seats up
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Turn pot handles toward the back of the stove
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Place safety gates across stairway
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Raise the setting on the hot water heater
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Place fences around swimming pools
Correct Answer(s)
A. Keep toxic agents in locked cabinets
A. Turn pot handles toward the back of the stove
A. Place safety gates across stairway
A. Place fences around swimming poolsExplanation
Keeping toxic agents out of reach, turning pot handles to the back of the stove, and placing safety gates across stairways and fences around pools are ways to prevent accidents. Toilet seat should be kept down to prevent drowning and the temperature on the hot water heater should be lowered to prevent burns.Rate this question:
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- 15.
Which of the following therapeutic techniques is used to provide a comfortable environment for performing a health assessment? Select all that apply:
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Provide privacy
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Examine sensitive areas first
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Reduce environmental noises
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Explain various techniques before performing them
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Use medical terminology for accuracy
Correct Answer(s)
A. Provide privacy
A. Reduce environmental noises
A. Explain various techniques before performing themExplanation
Providing privacy, reducing environmental noise and explaining techniques to be used will establish trust and rapport. Sensitive areas should be examined after the client has developed some trust and feels more comfortable Medical terminology may confuse the client and lead to misunderstanding of the intended message.Rate this question:
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- 16.
A nurse is providing postoperative teaching for a client who is scheduled for a mastectomy the next day. Which of the following client statements indicates that the client is ready to learn?
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"I don't want my spouse to see my incision."
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"Will you be able to give me pain medicine after surgery?"
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"Can you tell me about how long the surgery will take?"
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"My room mate listens to everything I say."
Correct Answer
A. "Can you tell me about how long the surgery will take?"Explanation
Asking a concrete question about the surgery indicates that the client is ready to discuss the surgery. The client's new diagnosis of cancer may cause anxiety, fear, or depression, all of which can interfere with the learning process. The client's concern about her spouse seeing the incision may indicate anxiety or depression. The client's request for pain medicine may indicate fear and anxiety. The lack of privacy due to the presence of a roommate may be a barrier to learning.Rate this question:
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- 17.
Which of the following approaches should be used when working with a family using an open structure for coping with crisis?
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Prescribing tasks unilaterally
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Convening a family meeting
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Delegating care to one member
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Speaking to the primary client privately
Correct Answer
A. Convening a family meetingExplanation
An open structure is loose, and convening a family meeting would give all family members input and an opportunity to express their feelings. Prescribing tasks and delegating care are too rigid for acceptance by a family with an open structure. Speaking to the primary client privately excludes the family.Rate this question:
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- 18.
Which of the following should a nurse teach regarding the discipline of toddlers?
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Establish consistent boundaries
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Place the child in a room with the door closed
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Have the child learn by trial and error
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Use favorite snacks as reward
Correct Answer
A. Establish consistent boundariesExplanation
Toddlers need to have consistent boundaries for discipline to be effective. Placing the child in a room with the door closed may cause anxiety and fear to develop. Trial and error lacks consistent boundaries and may allow the toddler to experience unhealthy consequences. Using favorite foods as rewards may promote unhealthy eating habits.Rate this question:
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- 19.
Which of the following is a situational role change?
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A young adult getting married for the first time
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A toddler learning to control elimination
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An adolescent experiencing puberty
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A middle adult experiencing menopause
Correct Answer
A. A young adult getting married for the first timeExplanation
Marriage adds the role of spouse. Puberty, menopause and elimination control are expected physiological growth and development phases and are not considered situational role changes.Rate this question:
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- 20.
A 19-year old female client has come to the college health clinic for a Pap test. It is her first visit. Which of the following interventions should the nurse perform first to determine the client's need for health promotion and disease prevention?
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Measure the client's vital signs
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Encourage the client to be screened for HIV
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Determine the client's risk factors
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Instruct the client to use condoms for birth control
Correct Answer
A. Determine the client's risk factorsExplanation
Under the nursing process, the first action the nurse should take is to assess the client. Assessment of risk factors must occur first before health promotion or disease prevention interventions are developed. The nurse should conduct an interview with the client before performing any physical exam. This allows the nurse time to establish rapport with the client prior to any invasive procedures. Stressing the need for HIV screening and instructing the client in the use of birth control may be necessary if the assessment reveals any related risk factors.Rate this question:
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- 21.
A nurse recognizes that a helping relationship is established with a patient if the communication.
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Occurs spontaneously throughout the nurse-client relationship
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Has no time limits
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Is equally reciprocal between the nurse and the patient.
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Encourages the patient to express his thoughts and feelings
Correct Answer
A. Encourages the patient to express his thoughts and feelingsExplanation
Therapeutic communication facilitates a helping relationship that maximizes the client's ability to openly express his thoughts and feelings. The communication is not reciprocal but client-focused. Therapeutic communication is limited to the boundaries of the therapeutic relationship. Therapeutic communication is planned by a health care professional.Rate this question:
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- 22.
Assessment of the musculoskeletal system should start with
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Measuring limb length
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Testing range of motion
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Inspecting for symmetry and posture
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Assessing of muscle strength
Correct Answer
A. Inspecting for symmetry and postureExplanation
Assessment of the musculoskeletal system should start with inspection of the skeleton. Measuring limb length, testing range of motion and muscle strength are performed after inspection.Rate this question:
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- 23.
A nurse witnesses assistive personnel (AP) under her supervision reprimanding a client for not using the urinal properly. The AP threatens to put a diaper on the client if he does not use the urinal more carefully next time. Which of the following torts is the AP committing?
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Assault
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Battery
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False imprisonment
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Invasion of privacy
Correct Answer
A. AssaultExplanation
By threatening the client, the AP is committing assault. Her threats could make the client become fearful and apprehensive. Since the AP has only verbally threatened the client, battery has not occurred. False imprisonment and invasion of privacy have not been committed.Rate this question:
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- 24.
What is the most appropriate way to auscultate breathe sounds?
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Listen to the top of the anterior chest and then the top of the posterior chest
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Compare side to side proceeding from top to bottom
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Listen only to the posterior chest
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Complete one side of the chest before proceeding to the other side
Correct Answer
A. Compare side to side proceeding from top to bottomExplanation
Comparing side to side breath sounds is the correct technique to use. This allows the nurse to make comparisons between right and left lungs in a systematic way. The nurse should listen to the anterior and posterior aspects of the chest in a consistent manner.Rate this question:
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- 25.
Which of the following should be included in a transfer report?
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The client is alert and oriented
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The client does not like Spinach
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The client has an allergy to shellfish
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The client needs morphine every 4 hours
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The client has two cats at home
Correct Answer(s)
A. The client is alert and oriented
A. The client has an allergy to shellfish
A. The client needs morphine every 4 hoursExplanation
The client's level of consciousness, allergies, and need for pain medication are relevant to evaluating the client's health status and maintaining safety and comfort. Personal preferences such as the client not liking spinach and keeping cats as pets, may sometimes be helpful but neither is clinically significant for a transfer report.Rate this question:
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- 26.
A nurse is checking the vital signs of a newly admitted patient who has a femur fracture. The patient's blood pressure is 140/94 mm Hg. The client denies any history of hypertension. What should the nurse do next?
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Ask the patient if she is having pain
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Report the elevated BP to the physician
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Return within 30 minutes to check the blood pressure
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Check orthostatic blood pressure
Correct Answer
A. Ask the patient if she is having painExplanation
The patient has a broken femur and her blood pressure is elevated due to pain. The nurse should ask if she is having pain and continue a full pain assessment. If the patient's BP is still elevated after pain intervention. the nurse should report this finding to the physician. This client needs further assessment at this time, so returning in 30 minutes is not appropriate. There is no indication for orthostatic pressure, and it might be difficult to have the client sit or stand with a fractured femurRate this question:
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- 27.
Which of the following is an effective technique to use when interviewing a client?
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Start interview with nonthreatening topics
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Use only non-directive questions
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Have the client fill out a printed history form
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Ask questions word for word from the history form
Correct Answer
A. Start interview with nonthreatening topicsExplanation
A nonthreatening topic will establish rapport and trust between client and nurse. Nondirective questions may make the client feel comfortable, but may allow the client to avoid discussing important details. Having the client fill out a history form and asking questions word for word may discourage the establishment of a therapeutic relationship with client.Rate this question:
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- 28.
A home health nurse performs a 3-day postpartum visit for a first-time mother. The household includes her husband, her mother, and her father. What type of family form is represented here?
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Nuclear
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Extended
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Blended
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Alternative
Correct Answer
A. ExtendedExplanation
In an extended family, in an addition to the nuclear members, grandparents and other family members may live in the same household. A blended family includes step children in addition to the nuclear members. An alternative family can have single adults, cohabiting partners, or same-gender partners.Rate this question:
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- 29.
Asking the client to tip her head to one side and slightly forward, palpating either side of the trachea at the lower half of the neck, and then asking the client to swallow is the correct technique for examining what?
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Lymph nodes
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ROM of the neck
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Symmetry of the skull
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Thyroid gland
Correct Answer
A. Thyroid glandExplanation
This is the correct technique in assessing the thyroid gland.Rate this question:
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- 30.
A 17-year old male patient was hospitalized because of a fractured femur. Which of the following are age-appropriate interventions?
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Suggest that his parents room in with him
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Provide a television and DVDs for him to watch
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Restrict visitors
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Encourage him to get enough rest
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Allow him to perform his own morning care
Correct Answer(s)
A. Provide a television and DVDs for him to watch
A. Encourage him to get enough rest
A. Allow him to perform his own morning careExplanation
DVDs are appropriate diversional activities for an adolescent. It is important for him to get adequate rest, and allowing him to perform his own morning care will provide a sense of independence. Rooming in is most appropriate for an infant, toddler, preschooler, and school-age child. There is no reason to restrict visitors and allowing his friends to visit can prevent feelings of isolation.Rate this question:
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- 31.
During palpation of the breast, the client is instructed to extend an arm over her head, and a small pillow or folded towel is placed under her shoulder. What for?
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Spread tissue more evenly over the chest wall for easier palpation
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Keep client from guarding during the exam
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Expose the tail of Spence for eaisier inspection
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Determine whether or not a breast mass is consistently irregular when palpating a nodule.
Correct Answer
A. Spread tissue more evenly over the chest wall for easier palpationExplanation
This position spreads the tissue more evenly over the chest wall for easier palpation. It does not keep the client from guarding, exposing the tail of Spence, or determining the irregularity of breast mass.Rate this question:
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- 32.
A nurse employed by a large hospital is serving on a committee updating its disaster plan. In case of a mass casualty event, which of the following clients will receive the highest priority?
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A client who received crush injuries to the chest and abdomen and is expected to die
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A client who has a 4-in laceration to the head
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A client who has partial thickness and full thickness burns to his face, neck and chest.
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A client who has a fractured fibula and tibia.
Correct Answer
A. A client who has partial thickness and full thickness burns to his face, neck and chest.Explanation
The client who has the greatest chance of survival with prompt intervention should be given priority in a mass casualty event. If not treated immediately, a client who has burns to his face, neck, and chest is at risk for airway obstruction, but is still expected to live. Therefore, this client is the highest priority (Emergent category - Class I). A client with major fractures would be the second priority (Urgent category - class II). A client with a minor injury that is not life threatening, such as a laceration to the head, would have the third priority (Nonurgent category - Class III). The lowest priority would be given to a client who is not expected to live. Comfort measures would be provided for this client (Expectant category - Class IV).Rate this question:
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- 33.
A patient told you that the results of her Snellen eye test were that the acuity for both of her eyes was 20/30. What does this mean
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Patient sees at 20 ft what the normal sighted person sees at 30 ft.
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Patient sees at 30 ft what the normal sighted person sees at 20 ft.
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Patient sees at 10 ft what the normal sighted person sees at 50 ft.
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Patient sees at 50 ft what the normal sighted person sees at 20 ft
Correct Answer
A. Patient sees at 20 ft what the normal sighted person sees at 30 ft.Explanation
The first number indicates the number of feet from the Snellen eye chart that the client is standing, and the second number is the distance at which a normal-sighted person can read the line of the Snellen eye chart.Rate this question:
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- 34.
Dorsiflexion of the feet is assessed by instructing the client to
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Point the toes toward the head
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Point the toes toward the floor
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Turn the soles of the feet outward
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Turn the soles of the feet inward
Correct Answer
A. Point the toes toward the headExplanation
Pointing the toes toward the head is dorsiflexion. Point the toes toward the floor results in plantar flexion.Turn the soles of the feet outward results in eversion, and turning the soles of the feet inward results in inversion.Rate this question:
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- 35.
Which of the following are normal aging changes in the musculoskeletal system? Select all that apply;
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Wider stance resulting in posture changes
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Loss of height
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Increased range of motion
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Increased muscle bulk
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Thinning intervertebral discs
Correct Answer(s)
A. Wider stance resulting in posture changes
A. Loss of height
A. Thinning intervertebral discsExplanation
Normal aging changes of the musculoskeletal system includes posture changes, loss of height, and thinning intervertebral discs. Range of motion and muscle size also decreaseRate this question:
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- 36.
Which of the following developmental tasks should adolescents be expected to accomplish?
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Identity vs role confusion
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Autonomy vs shame
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Initiative vs guilt
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Industry vs inferiority
Correct Answer
A. Identity vs role confusionExplanation
The developmental task of achieving identity vs role confusion should be accomplished by an adolescent. The developmental task of autonomy vs. shame should be accomplished during the toddler years. The developmental task of initiative vs guilt should be accomplished during the preschool years. The developmental task of industry vs inferiority should be accomplished during the school-age years.Rate this question:
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- 37.
Which of the following decreases respiratory rate? Select all that apply:
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Morphine
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Caffeine
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Jogging in the park
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General anesthesia during surgery
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Smoking
Correct Answer(s)
A. Morphine
A. General anesthesia during surgeryExplanation
Morphine is a potent analgesic and sedative that can decrease respiratory rate by depressing the central nervous system. General anesthesia during surgery also decreases respiratory rate as it involves the use of medications that suppress the respiratory drive. Caffeine, jogging in the park, and smoking, on the other hand, do not decrease respiratory rate. Caffeine is a stimulant that can actually increase respiratory rate, while jogging in the park and smoking may have variable effects on respiratory rate but are generally not known to decrease it.Rate this question:
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- 38.
Unilateral hypertrophy of the arm muscles is most likely seen in an individual who regularly
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Lifts weights
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Plays soccer
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Moves furniture
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Plays tennis
Correct Answer
A. Plays tennisExplanation
A tennis player will use one arm primarily and unilateral hypertrophy will most likely result. Lifting weights, moving furniture and playing soccer will most likely result in bilateral muscle hypertrophyRate this question:
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- 39.
When the triceps tendon is hit with a reflex hammer, the expected response is for the elbow to
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Flex
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Extend
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Internally rotate
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Pronate
Correct Answer
A. ExtendExplanation
Striking the triceps tendon with a hammer results in extension of the elbow. The elbow does not flex, internally rotate, or pronate.Rate this question:
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- 40.
To evaluate STEREOGNOSIS, the nurse should ask the client to close his eyes and identify
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A number drawn in the palm of his hand
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A word whispered 30 cm from the ear
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A familiar object placed in his hand
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The vibration of a tuning fork placed on his foot
Correct Answer
A. A familiar object placed in his handExplanation
Identifying a familiar object placed in the hand assesses for sterognosis. Graphesthesia is identifying a number drawn in the palm of the hand. Hearing whispered words tests CN VIII. Identifying a tuning fork tests the vibratory sense.Rate this question:
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- 41.
In which of the following scenarios would a simultaneous use of apical and radial sites be used to assess the pulse rate?
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A 2-month old infant during a routing check-up
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A 16-year old patient who has been stable for 3 hours following an appendectomy
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A 76-year old client showing a tachycardia and an irregular rhythm on the cardiac monitor
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A 56-year old patient with an order to receive a stat dose of Digoxin
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A 20-yeard patient in the ER with a hand laceration
Correct Answer
A. A 76-year old client showing a tachycardia and an irregular rhythm on the cardiac monitorExplanation
A simultaneous use of apical and radial sites would be used to assess the pulse rate in a 76-year old client showing a tachycardia and an irregular rhythm on the cardiac monitor. This is because in this scenario, the client's heart rate and rhythm are abnormal, and it is important to accurately assess the pulse rate from both the apical (heard with a stethoscope) and radial (felt at the wrist) sites to determine the severity and nature of the irregularities. By comparing the pulse rates from both sites, healthcare professionals can gather more comprehensive information about the client's cardiovascular status and make appropriate interventions.Rate this question:
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- 42.
A 4-year-old child was brought to a clinic by her father. According to the father, she goes to bed at 8:30 pm every night and wakes up at about 7:30 in the morning, but she often lays in bed talking to herself or gets up a couple of times before falling asleep 40 minutes later. In the pre-school where she goes, children take a 2-hour afternoon nap. Which of the following could help improve the child's sleep behavior?
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Offer the child a snack of her favorite treat right before bedtime
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Allow the child to watch an extra 30 min of TV in the evening
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Change the child's bedtime to 9 pm on days she takes an afternoon nap
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Request the pre-school to limit her nap to 1 hour.
Correct Answer
A. Change the child's bedtime to 9 pm on days she takes an afternoon napExplanation
A preschool age child may start to need less sleep, so putting the child to bed 30 minutes later will be the least disruptive way to improve the child's behavior. Eating a snack, especially one with a high sugar content, and watching TV will provide stimulation that will make it more difficult for the child to fall asleep. It is impractical to ask the preschool to limit the child's nap as this may be disruptive as all of the children are probably required to nap for that amount of time. Also, if the child is napping for that amount of time, it is most likely the child needs that rest during the day.Rate this question:
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- 43.
During an assessment, the client reports pain in the internal rotation of her right shoulder. This will most likely affect which of the following activities?.
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Brushing the back of her hair
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Fastening her bra behind her back
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Reaching for something in a cabinet above the sink
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Mopping the floor
Correct Answer
A. Fastening her bra behind her backExplanation
Fastening a bra from behind requires internal rotation of the shoulder. Brushing the back of the hair and reaching for something up high require external rotation of the shoulder. Mopping the floor requires flexion and extension of the shoulderRate this question:
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- 44.
Which of the following should be asked to assess a patient's cerebral function during a health history?
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"Do your fingers feel numb and tingly?"
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"Do you have difficulty remembering things?"
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"Do you have any problems keeping your balance?"
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"Do you have nay difficulties with your sense of taste?"
Correct Answer
A. "Do you have difficulty remembering things?"Explanation
Memory is tested during the mental status examination, which evaluates cerebral function. Numbness and tingling are abnormal findings of the sensory system. Balance is a test for muscle function, and the sense of taste is controlled by cranial nerves VII and IX.Rate this question:
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- 45.
When performing percussion, which of the following sounds should be heard over most of the abdomen?
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Dullness
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Tympany
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Grating
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Gurgling
Correct Answer
A. TympanyExplanation
The abdomen is primarily filled with air, and tympany is the sound that will predominate. Dullness is heard over the liver or a distended bladder. A grating sound may indicate a friction rub. Gurgling sounds are heard through a stethoscope and indicate peristalsis.Rate this question:
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- 46.
A 21-year old male client comes to a health clinic with a sore throat. The client tells the nurse he did not see a doctor more than 4 years ago. Which of the following health screenings should the nurse anticipate will be performed for this client?
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Testicular cancer
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Blood glucose
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Fecal occult blood
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Prostate specific antigen (PSA)
Correct Answer
A. Testicular cancerExplanation
The nurse can expect that the client will be screened for testicular cancer. The nurse can also anticipate that the client's blood pressure will be checked along with his BMI and blood cholesterol. Blood glucose testing begins at 45, and testing for fecal occult blood and prostate specific antigen usually begins at age 50.Rate this question:
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- 47.
What part of the eye examination should occur first?
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Extraocular movements
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Internal structures
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Visual acuity
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Visual fields
Correct Answer
A. Visual acuityExplanation
Visual acuity should be assessed first during an eye examination. Assessing extraocular movements, internal structures and visual fields may interfere with the ability of the client to read and demonstrate accurate visual acuityRate this question:
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- 48.
A nurse is teaching a new mother about infant safety. Which of the following statements by the mother indicates an understanding of safety for the infant?
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"My baby loved to play with his crib gym but I took it away from him
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"I just bought a soft mattress so my baby will sleep better."
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"My baby really likes riding in the car now that he can sit facing forward."
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"I just bought a child-safety gate that folds like an accordion
Correct Answer
A. "My baby loved to play with his crib gym but I took it away from himExplanation
Crib gyms and mobiles should be removed by 4 months, as injury can occur from choking or strangulation. The infant's crib mattress should be firm and fit tightly to prevent suffocation. The infant needs to remain in the backwards facing position until 1 year of age and weight 20 lb. Child safety gates should expand by a horizontal mechanism and not like an accordion to prevent injury to hands and arms.Rate this question:
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- 49.
The proper placement of a stethoscope for auscultating the aortic valve is the
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Second ICS just left of the sternum
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Second ICS just right of the sternum
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Fourth ICS just left of the sternum
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Fourth ICS just right of the sternum
Correct Answer
A. Second ICS just right of the sternumExplanation
The aortic valve is best auscultated at the second intercostal space (ICS) just right of the sternum. This is because the aortic valve is located in the second intercostal space on the right side of the sternum. Placing the stethoscope at this location allows for optimal sound transmission and detection of any abnormalities or murmurs associated with the aortic valve.Rate this question:
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Current Version
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Jun 28, 2024Quiz Edited by
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Jun 24, 2013Quiz Created by
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