ATI Fundamentals Assessment Exam Midterm | Nurselytic

Questions 55

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ATI Fundamentals Assessment Exam Midterm Questions

Question 1 of 5

A Drug Rehabilitation nurse is conducting the health history. When would be the most natural time to ask the client about alcohol use?

Correct Answer: B

Rationale: The correct answer is B: After asking about cigarette smoking. This is the most appropriate time to ask about alcohol use because both alcohol and cigarette smoking are common substances of abuse, and asking about one may prompt the client to disclose information about the other. It is essential to discuss substance use early in the health history to assess the client's overall health risks accurately. Asking about alcohol use after discussing reactions to allergens (
A), reviewing current medications (
C), or asking about previous surgeries (
D) would not be as relevant or conducive to obtaining comprehensive information on substance abuse.

Question 2 of 5

A nurse is assessing a client who has hypothyroidism. Which of the following findings should the nurse expect?

Correct Answer: C

Rationale: The correct answer is C: Weight gain. In hypothyroidism, the thyroid gland does not produce enough thyroid hormones, leading to a slowed metabolism. This metabolic slowdown can result in weight gain. Palpitations (
A) and diaphoresis (
B) are more commonly associated with hyperthyroidism, where there is an excess of thyroid hormones. Exophthalmos (
D) is a bulging of the eyes that is typically seen in individuals with hyperthyroidism, specifically Graves' disease.

Question 3 of 5

The nurse working in the eye doctor's office is completing an assessment on an elderly client. Which of the following would a nurse expect to assess in a client with esotropia?

Correct Answer: D

Rationale: The correct answer is D: Eye turning inward. Esotropia is a condition where one or both eyes turn inward. The nurse would expect to assess for this by observing the alignment of the eyes during the assessment.
Choice A, eye malalignment, is too general and does not specify the direction of misalignment.
Choice B, eye turning outward, is incorrect as it describes exotropia, not esotropia.
Choice C, eye oscillating, refers to nystagmus, a different eye condition.

Question 4 of 5

Prior to completing the physical examination of a patient post motor vehicle crash, the ER nurse determines that the client is awake, alert, and oriented. This information would be important for which part of the general survey?

Correct Answer: B

Rationale: The correct answer is B: Level of consciousness. This information is crucial in the general survey as it provides an immediate assessment of the patient's overall mental status and neurological function. Being awake, alert, and oriented indicates that the patient is conscious and aware of their surroundings, which is a fundamental aspect of assessing their level of consciousness. This information helps the healthcare provider to quickly rule out any immediate life-threatening issues related to neurological impairment.

Choice A (Facial expression) is incorrect because although facial expression can provide valuable information, it does not directly assess the patient's level of consciousness.

Choice C (Posture, gait, motor activity, and speech) is incorrect as these aspects primarily focus on the patient's physical abilities and coordination, not their level of consciousness.

Choice D (Apparent state of health) is also incorrect as it pertains more to the overall appearance and well-being of the patient rather than specifically assessing their level of consciousness.

Question 5 of 5

The nurse assesses a client's submental lymph nodes. In which area of the client's head should the nurse palpate these lymph nodes?

Correct Answer: B

Rationale: The correct answer is B: In the midline, a few centimeters behind the tip of the mandible. The submental lymph nodes are located in the midline, beneath the chin and a few centimeters behind the tip of the mandible. Palpating these lymph nodes in this area allows for accurate assessment of any enlargement or tenderness.


Choice A is incorrect as the lymph nodes in front of the ear are the preauricular lymph nodes.
Choice C is incorrect as the lymph nodes superficial to the sternomastoid are the superficial cervical lymph nodes.
Choice D is incorrect as the lymph nodes at the angle of the mandible are the posterior auricular lymph nodes.

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