ATI RN
ATI Fundamentals Assessment Exam Midterm Questions
Extract:
Question 1 of 5
A 45-year-old African-American client comes to the clinic complaining of fatigue, thirst, and frequent urination. During the physical exam, the nurse notices areas of linear hyperpigmentation around the neck and in the axillae (Acanthosis Nigricans). What would the nurse do next?
Correct Answer: A
Rationale: Acanthosis Nigricans with fatigue, thirst, and frequent urination suggests insulin resistance and possible diabetes, warranting medical follow-up for comprehensive evaluation, including blood sugar testing. Cancer history is less urgent, the findings are not benign without investigation, and a random blood sugar test is part of follow-up but not the immediate next step.
Question 2 of 5
The nurse is using the finger pads of the hand to palpate a body part. Which finding would the nurse be best able to detect?
Correct Answer: C
Rationale: Finger pads, densely innervated, are ideal for detecting subtle pulses due to their sensitivity. Temperature is better assessed with the dorsal hand, and vibrations or fremitus with the ulnar edge or palm.
Question 3 of 5
A client has been receiving intravenous antibiotics (ototoxic) for several weeks. Which prevention strategy would be best for the nurse to recommend for this client?
Correct Answer: A
Rationale: Formal hearing tests (audiometry) comprehensively detect ototoxicity-related hearing loss across frequencies, enabling early intervention. Rubbing fingers, tuning fork, and whisper tests are less sensitive and specific, missing subtle changes.
Question 4 of 5
A nurse is assessing a 64-year-old African-American client who has jaundice. The patient has a past medical history of alcoholism and liver cirrhosis. Which of the following areas is the most reliable for the nurse to inspect for jaundice?
Correct Answer: B
Rationale: The sclera’s white background clearly shows yellowing (scleral icterus), making it the most reliable for jaundice, especially in darker skin. Conjunctiva, neck, and palms are less consistent due to external factors or pigmentation.
Question 5 of 5
The nurse is preparing to examine a client's mouth floor. To move the tongue to one side for this examination, which tool should the nurse use?
Correct Answer: C
Rationale: A gauze pad provides grip to safely move the tongue laterally for mouth floor examination. Penlights illuminate, gloves ensure hygiene, and tongue blades depress the tongue for throat inspection.