ATI RN
ATI Nurse 142 Final Questions
Extract:
Question 1 of 5
A 70-year-old male complains of ringing in the ears. The nurse describes this as:
Correct Answer: A
Rationale: Tinnitus is the perception of sound, such as ringing, in the ears when no external sound is present. It can be caused by age-related hearing loss, loud noise exposure, ear infections, or other medical conditions. Xerostomia is dry mouth, myopia is nearsightedness, and anosmia is loss of smell.
Question 2 of 5
To evaluate the patient's level of consciousness (LOC), the nurse will:
Correct Answer: C
Rationale: Level of consciousness (LO
C) is assessed by observing the patient's wakefulness, awareness, and responsiveness to stimuli, indicating neurological function. Checking turgor assesses dehydration, pupillary response evaluates brainstem function, and auscultating the temporal artery is unrelated to LOC.
Question 3 of 5
A 58-year-old patient is going home today. The nurse does her final assessment of the patient. Which of the following would be considered a normal finding?
Correct Answer: C
Rationale: A respiratory rate of 25 is slightly above the normal range (12-20 breaths per minute) but can be normal for some individuals. Bowel sounds of 5-30 per minute are normal but not sufficient alone for discharge. Capillary refill >3 seconds and a heart rate of 10 are abnormal, indicating poor perfusion and severe bradycardia, respectively.
Question 4 of 5
When assessing the breast, the nurse would teach the patient to palpate which of the following areas?
Correct Answer: A,B,C
Rationale: The nurse should teach the patient to palpate all four quadrants of the breast (upper outer, lower inner, upper inner) and the tail of Spence, the extension of breast tissue into the axilla. This ensures a comprehensive self-examination to detect any abnormalities.
Question 5 of 5
When assessing the anus, the nurse should inspect for: (Select all that apply)
Correct Answer: A,B,C
Rationale: When assessing the anus, the nurse should inspect for bleeding, hemorrhoids, and pain, as these are directly observable or reportable during an anal examination. Prostate enlargement is not directly assessed through an anal examination, as it requires a digital rectal exam, typically performed by a healthcare provider.