Practice Question
A nurse is caring for a client who has been recently hospitalized. The nurse should identify that which of the following findings indicates that the client is experiencing stress?
Answer Choices:
Correct Answer:
Dilated pupils
Rationale:
◈ Pupil dilation is a classic sign of sympathetic nervous system activation during stress.
◈ The body responds with fight or flight mechanisms, including mydriasis.
◈ Stress hormones like epinephrine elevate vitals and heighten sensory alertness.
◈ Dry skin and increased urination are not hallmark stress signs.
◈ Pupillary response is often nonverbal clue of acute stress in clinical settings.
Want to practice more questions like this?
This question is from RN Capstone Fundamentals Exam II which contains 45 questions.
More Questions from This Exam
A nurse is reviewing the laboratory report of a client who has been experiencing a fever for the last 3 days. Which of the following laboratory results indicates the client is experiencing fluid volume deficit?
Answer Choices:
A. Decreased blood urea nitrogen (BUN)
B. Increased hematocrit
C. Decreased urine specific gravity
D. Increased calcium level
A community health nurse is teaching a group of clients about first aid for different types of wounds. Which of the following client statements Indicates an understanding of the teaching?
Answer Choices:
A. "I should apply clean dressings over the top of blood saturated dressings and hold pressure."
B. "I can clean wounds with hydrogen peroxide."
C. "I can carefully remove the object from a penetrating wound."
D. "I should place the affected area in a dependent position."
A nurse is assisting with meal planning for a client who has been prescribed a mechanical soft diet. The nurse should instruct the client to avoid which of the following foods?
Answer Choices:
A. Orange slices
B. Ground hamburger
C. Cooked green beans
D. Canned peaches
A nurse is caring for a client in the emergency department.
Answer Choices:
A. 1200:
client re-evaluated following nebulizer treatment. Client appears anxious, hand tremor present. Mucous membrane cyanotic, clear rhinorrhea visible. DiTemperature 370 C (9860 F)
Heart rate 981min
Respiratory rate 27/min
Blood pressure 168/90 mm Hg
Oxygen saturation 84% on 3L nasal cannula ffuse wheezing auscultated roughout lung fields. S1, S2 auscultated, no murmur. Skin arm and dry.
A nurse is preparing to transfer a client from a chair to the client's bed. The client can bear partial weight and has upper body strength. Which of the following devices should the nurse use to transfer the client?
Answer Choices:
A. A stand assist lift
B. A footboard
C. A slide board
D. A mechanical lift with a full body sling
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Capstone Exam(s)
- Answer Choices: 4