ATI RN
Introduction to Professional Nursing Questions
Question 1 of 5
Which assessment data suggest increasing intracranial pressure in a male client several hours after a motor vehicle accident?
Correct Answer: A
Rationale: The correct answer is A because a decrease in blood pressure from 160/90 to 110/70 suggests increasing intracranial pressure due to the body's compensatory mechanisms to maintain cerebral perfusion. Choice B is incorrect as an increased pulse with occasional skipped beats may indicate cardiac issues, not necessarily intracranial pressure. Choice C is incorrect because being oriented when aroused from sleep is a normal response and does not specifically indicate increasing intracranial pressure. Choice D is also incorrect as refusing dinner due to anorexia is not a direct indicator of increasing intracranial pressure.
Question 2 of 5
Which client entering the clinic is most likely to have tuberculosis (TB)?
Correct Answer: C
Rationale: The correct answer is C, the 43-year-old homeless man with a history of alcoholism. This population is at higher risk for TB due to weakened immune systems from alcoholism and living conditions. Homelessness increases exposure risk. The other choices are less likely - A, a young student, is less likely due to age and environment; B, a day-care worker, is less likely as TB transmission in day-care settings is rare; D, a businessman, is less likely unless there are specific risk factors.
Question 3 of 5
What assessment finding would concern the nurse most in a client with crepitus and decreased breath sounds after a motor vehicle accident?
Correct Answer: C
Rationale: The correct answer is C: Trachea deviating to the right. This finding indicates a tension pneumothorax, a life-threatening condition that requires immediate intervention. Crepitus and decreased breath sounds suggest air in the pleural space, causing the lung to collapse. Tracheal deviation to the unaffected side is a critical sign of tension pneumothorax, indicating a shift of mediastinal structures. Choices A, B, and D do not address the immediate concern of tracheal deviation and the potential for a tension pneumothorax in this scenario.
Question 4 of 5
What is not done to assess the scrotum?
Correct Answer: B
Rationale: The correct answer is B: Auscultation. Auscultation is not typically done to assess the scrotum as it involves listening for sounds within the body using a stethoscope, which is not relevant for evaluating the scrotum. Palpation is the primary method used to feel for abnormalities in the scrotum. Inspection involves visually examining the scrotum for any visible signs of issues. Percussion is a technique where the area is tapped to assess the density of underlying structures, but it is not commonly used for scrotum assessment. Therefore, auscultation is the odd one out in this context.
Question 5 of 5
Where should the aortic valve be assessed?
Correct Answer: B
Rationale: The correct answer is B: 2nd ICS to the right. The aortic valve is best assessed at the 2nd intercostal space (ICS) to the right of the sternum. This is where the aortic valve can be auscultated most accurately due to its anatomical positioning. Assessing at the 3rd ICS to the left (choice A) would be incorrect as it is more indicative of the pulmonic valve. Choices C and D are also incorrect as they do not align with the accurate anatomical location of the aortic valve.