ATI RN ADULT MEDICAL SURGICAL 2025
Question: A nurse is performing a cranial nerve assessment on a client following a head injury.
Which of the following findings should the nurse expect if the client has impaired function of the
vestibulocochlear nerve (cranial nerve VIII)?
Choices:
• Deviation of the tongue from midline
• (The other choices are not visible in the image.)
Based on the question, the correct answer would be related to hearing or balance, as these are the
functions of the vestibulocochlear nerve. The choice provided, "Deviation of the tongue from
midline," is incorrect as it relates to the hypoglossal nerve (cranial nerve XII). The image only shows
one of the options.
,Question: A nurse is performing chest percussion on a client who has severe COPD. Which of the
following actions should the nurse take?
Choices:
• Place a towel over the area to be percussed.
• Maintain client positioning for 45 min.
• Percuss over each area for 10 min.
• Ask the client to take shallow, rapid breaths.
Correct Answer: Place a towel over the area to be percussed
,Question: A nurse is providing care to a client who has [blisters on their skin]. Which of the
following actions should the nurse take? (The rest of the question is illegible.)
Choices (as best as can be read):
• Apply cool water over the affected area.
• Apply ice to the larger blisters.
• Administer ibuprofen for pain.
• Allow the affected area to remain open to air.
• Maintain skin integrity over the blisters.
Most Likely Correct Answer: Maintain skin integrity over the blisters.
, Question: A nurse is caring for a client following a total knee arthroplasty. The client reports a pain
level of 6 on a pain scale of 0 to 10. Which of the following interventions should the nurse take?
Choices:
• Perform range-of-motion exercises to the client's knee.
• Gently massage the area around the client's incision.
• Apply an ice pack to the client's knee.
• Place pillows under the client's knee.
Correct Answer: Apply an ice pack to the client's knee.
Question: A nurse is performing a cranial nerve assessment on a client following a head injury.
Which of the following findings should the nurse expect if the client has impaired function of the
vestibulocochlear nerve (cranial nerve VIII)?
Choices:
• Deviation of the tongue from midline
• (The other choices are not visible in the image.)
Based on the question, the correct answer would be related to hearing or balance, as these are the
functions of the vestibulocochlear nerve. The choice provided, "Deviation of the tongue from
midline," is incorrect as it relates to the hypoglossal nerve (cranial nerve XII). The image only shows
one of the options.
,Question: A nurse is performing chest percussion on a client who has severe COPD. Which of the
following actions should the nurse take?
Choices:
• Place a towel over the area to be percussed.
• Maintain client positioning for 45 min.
• Percuss over each area for 10 min.
• Ask the client to take shallow, rapid breaths.
Correct Answer: Place a towel over the area to be percussed
,Question: A nurse is providing care to a client who has [blisters on their skin]. Which of the
following actions should the nurse take? (The rest of the question is illegible.)
Choices (as best as can be read):
• Apply cool water over the affected area.
• Apply ice to the larger blisters.
• Administer ibuprofen for pain.
• Allow the affected area to remain open to air.
• Maintain skin integrity over the blisters.
Most Likely Correct Answer: Maintain skin integrity over the blisters.
, Question: A nurse is caring for a client following a total knee arthroplasty. The client reports a pain
level of 6 on a pain scale of 0 to 10. Which of the following interventions should the nurse take?
Choices:
• Perform range-of-motion exercises to the client's knee.
• Gently massage the area around the client's incision.
• Apply an ice pack to the client's knee.
• Place pillows under the client's knee.
Correct Answer: Apply an ice pack to the client's knee.
