Practice Question
A nurse is caring for a patient who is pregnant. Check the name tag.
Answer Choices:
Correct Answer:
Pupil dilation
Rationale:
📌Pupil dilation may be noted in clients experiencing neurologic symptoms or complications during pregnancy such as eclampsia or toxemia, where increased intracranial pressure or neurological involvement may be present.
📌 Dilation of the pupils is a critical neurologic sign that nurses assess as part of routine evaluations, especially when caring for pregnant patients who are at risk of preeclampsia or other CNS involvement.
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This question is from RN N103 Fundamentals Final exam which contains 78 questions.
More Questions from This Exam
A client asks the nurse about a prescription for the antihistamine, diphenhydramine (Benadryl). The nurse should teach the client that this medication is contraindicated in clients who have a history of which condition?
Answer Choices:
A. Asthma
B. Hypertension
C. Glaucoma
D. Depression
A nurse is caring for a client who has a Jackson-Pratt (JP) drain in place after surgery for an abdominal wound. The nurse should understand that the JP drain was placed for which purpose?
Answer Choices:
A. To provide a means for medication administration
B. To eliminate the need for wound dressings
C. To limit the amount of bleeding from the surgical site
D. To prevent fluid from accumulating in the wound
A nurse is assessing a client's wound and notes there is slough present. What would be an appropriate intervention for this wound?
Answer Choices:
A. Cover
B. Clean
C. Debride
D. Leave alone
A nurse is giving preoperative instructions to a patient scheduled for surgery. The patient tells the nurse, "l will prepare my advance directives before I come to the hospital." Which statement shows the client understands advance directives?
Answer Choices:
A. I will get my regular doctor to approve my plan before I hand it in to the hospital_
B. I know they won't go ahead with the surgery unless I prepare these forms.
C. I plan to write that I do not want them to keep me on a breathing machine.
D. I would rather have my brother make decisions for me, but I know he has to be my wife-
A nurse is preparing to perform hand hygiene. Which action should the nurse take for hand hygiene to be effective?
Answer Choices:
A. Rub soap on hands for 20 seconds-
B. Allow hands and arms to dry.
C. Hold the hands higher than the elbows.
D. Adjust the water temperature to feel hot_
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Fundamentals of Nursing
- Answer Choices: 4