ATI RN
ATI RN Fundamentals Exam 2 Questions
Question 1 of 5
The nurse is assessing the heart sounds of a client. The nurse understands that to listen to the pulmonic valve, the stethoscope should be placed where?
Correct Answer: C
Rationale: The pulmonic valve is best auscultated at the second left intercostal space, near the upper left sternal border, as this is where the sound of the pulmonary valve closure is most audible. The other locations correspond to different heart valves: the fifth intercostal space for the mitral valve, the left lower sternal border for the tricuspid valve, and the second right intercostal space for the aortic valve.
Question 2 of 5
The nurse is listening to the breath sounds of young adult client with severe asthma. The nurse recognizes that air passing through narrowed bronchioles would produce which of these adventitious sounds?
Correct Answer: A
Rationale: Wheezes are continuous, high-pitched, whistling lung sounds caused by air moving through narrowed airways, common in asthma due to bronchoconstriction. Whispered pectoriloquy (
Choice
B) indicates lung consolidation, not typical in asthma. Bronchial sounds (
Choice
C) are normal over the trachea but suggest consolidation if heard peripherally, not asthma-related. Bronchophony (
Choice
D) also indicates consolidation, where spoken sounds are clearer, not associated with asthma’s narrowed airways.
Question 3 of 5
The nurse is assessing a client diagnosed with fluid overload. The nurse should implement priority interventions for which of the following assessment findings? (Select all that apply.)
Correct Answer: C,D
Rationale: Blood pressure of 180/100 and respiratory rate of 32 indicate severe fluid overload, potentially leading to hypertension and pulmonary edema, requiring immediate intervention. Increased temperature and hematocrit are not typical, and heart rate of 120 bpm alone is less specific.
Question 4 of 5
The nurse is performing an assessment of the client's mouth. The nurse recognizes that the tissue that connects the tongue to the floor of the mouth is the:
Correct Answer: A
Rationale: The frenulum is the tissue connecting the tongue to the floor of the mouth, aiding tongue movement. The palate is the mouth’s roof, the uvula hangs from the soft palate, and papillae are taste buds on the tongue.
Question 5 of 5
The nurse is teaching a group of clients about modifiable risk factors for cardiovascular disease. Which of the following should the nurse include in the teaching? (Select all that apply)
Correct Answer: B,C,D,E
Rationale: Smoking (
Choice
B) is a significant modifiable risk factor for cardiovascular disease, as it damages heart and blood vessels, leading to atherosclerosis. Hypertension (
Choice
C) can be managed with lifestyle changes and medication, making it modifiable, and it damages arteries over time. Diabetes (
Choice
D) is modifiable through blood sugar control, as high glucose levels harm blood vessels. High cholesterol (
Choice E) is modifiable through diet, exercise, and medication, as it contributes to plaque buildup. Age (
Choice
A) is a risk factor but not modifiable, as individuals cannot change their age.