ATI RN
ATI Fundamentals Assessment Exam Midterm Questions
Extract:
Question 1 of 5
A 17-year-old male patient presents to the Emergency Department (ED) after a skydiving accident and tells the nurse that he is very anxious, is nauseated, and feels hot. These types of data would be:
Correct Answer: C
Rationale: Subjective data are patient-reported symptoms like anxiety, nausea, and feeling hot, based on personal experience. Objective data are measurable (e.g., vital signs), introspective and reflective are not standard healthcare terms.
Question 2 of 5
During the physical examination of the mouth, the nurse identifies vesicular eruptions along the client's lips and surrounding skin. Which problem should the nurse document?
Correct Answer: B
Rationale: Herpes simplex virus (HSV) causes vesicular eruptions (cold sores) around the lips. Angular cheilitis involves corner-of-mouth inflammation, and angioedema causes swelling, not vesicles.
Question 3 of 5
A client with a history of COPD is being assessed. When the nurse percusses the client's chest, which characteristic sound is expected?
Correct Answer: B
Rationale: COPD causes lung hyperinflation from air trapping, producing a hyperresonant percussion sound. Tympany indicates hollow structures, resonance normal lungs, and dullness fluid or solid masses.
Question 4 of 5
The nurse knows the importance of assessing vital signs is to:
Correct Answer: A,C,D
Rationale: Assessing vital signs evaluates treatment responses (e.g., fever reduction post-antipyretics), monitors health risks (e.g., rising temperature indicating infection), and establishes a baseline for comparison. Carrying out orders is a secondary function, not the primary purpose.
Question 5 of 5
When planning care for a client with an inner ear infection, the nurse will need to include interventions for which of the following potential problems?
Correct Answer: A
Rationale: Inner ear infections (e.g., labyrinthitis) disrupt balance, causing vertigo, requiring interventions like medications and fall precautions. Rhinorrhea, fever, and headaches are less specific or secondary.