ATI RN
ATI RN Fundamentals Exam 2 Questions
Question 1 of 5
The nurse is performing a respiratory assessment on a client. Which of the following findings should the nurse report to the practitioner?
Correct Answer: D
Rationale: The correct answer is D. Visible use of accessory muscles during inhalation indicates respiratory distress, requiring immediate attention. This finding suggests the client is having difficulty breathing efficiently. Reporting this to the practitioner is crucial to address the underlying cause promptly. A: Clear and equal breath sounds bilaterally are normal findings. B: Oxygen saturation of 98% on room air is within the normal range. C: Cough producing clear, thin sputum is indicative of a productive cough, which is a normal response to clear secretions.
Question 2 of 5
The nurse is preparing to assess the visual acuity of an adult client. Which of the following assessment should the nurse use for visual acuity?
Correct Answer: D
Rationale: The correct answer is D: Use the Snellen chart positioned 20 feet away from the patient. This is the correct method for assessing visual acuity in adults. The Snellen chart is a standardized tool used to measure visual acuity by having the patient read rows of letters at a distance of 20 feet. This distance is essential for accurate measurement. The other choices are incorrect because:
A) The confrontation test assesses peripheral vision, not visual acuity;
B) Jaeger card is used for near vision testing, not distance visual acuity;
C) Reading newsprint at a specific distance does not provide standardized measurement like the Snellen chart.
Question 3 of 5
The nurse recognizes that the following statement is true regarding the internal structures of the breast: The breast is made up of:
Correct Answer: B
Rationale: The correct answer is B: Fibrous, glandular, and adipose tissues. The breast is composed of glandular tissue responsible for milk production, fibrous tissue providing structural support, and adipose tissue for cushioning and insulation.
Choice A is incorrect as glandular tissue alone does not support the breast but rather contributes to milk production.
Choice C is incorrect as the breast does not consist primarily of muscle.
Choice D is incorrect as milk ducts are part of the internal structures but not the primary composition of the breast.
Question 4 of 5
The nurse explains the different parts of the ear to a client while teaching the client how to administer eardrops. The nurse pulls the upper ear that consists of movable cartilage and skin up and back and recognizes that this part is called the:
Correct Answer: A
Rationale: The correct answer is A: Auricle. The auricle is the visible part of the ear that consists of movable cartilage and skin. When administering eardrops, pulling the auricle up and back helps straighten the ear canal for proper administration. The other choices are incorrect because the mastoid process (
B) is a bony prominence behind the ear, the outer meatus (
C) is the ear canal, and the concha (
D) is the concave bowl-shaped depression in the central part of the ear. The correct technique of pulling the upper ear up and back specifically refers to the auricle, making it the most suitable answer in this context.
Question 5 of 5
The nurse is discussing the blood flow pattern of the heart. The nurse should recognize which of the following as the accurate blood flow pattern of the heart?
Correct Answer: C
Rationale: The correct blood flow pattern of the heart is C: vena cava→ right atrium-right ventricle-pulmonary artery-lungs-pulmonary vein-left atrium-left ventricle. This sequence accurately reflects the flow of deoxygenated blood from the vena cava into the right atrium, through the tricuspid valve into the right ventricle, then through the pulmonary artery to the lungs for oxygenation, returning as oxygenated blood via the pulmonary veins into the left atrium, passing through the mitral valve into the left ventricle, and finally being pumped out through the aorta to the rest of the body. The other choices either have the sequence of blood flow in the heart mixed up or have incorrect vessels in the sequence, leading to an inaccurate representation of the blood flow pattern in the heart.