ATI RN
ATI RN Fundamentals Exam 2 Questions
Extract:
Question 1 of 5
A client comes into the clinic complaining of facial pain, fever, and malaise. On examination, the nurse notes swollen turbinates and purulent discharge from the nose. The client also complains of dull, throbbing pain in his cheeks and teeth on the right side and pain when the nurse palpates the areas. The nurse recognizes that this client has manifestations of:
Correct Answer: A
Rationale: The symptoms of facial pain, fever, malaise, swollen turbinates, purulent nasal discharge, and pain in the cheeks and teeth suggest maxillary sinusitis, an inflammation of the maxillary sinuses. Nasal polyps cause congestion, frontal sinusitis causes forehead pain, and posterior epistaxis involves nosebleeds, not these symptoms.
Question 2 of 5
The nurse is preparing to assess the visual acuity of an adult patient, which of the following assessment should the nurse use for visual acuity
Correct Answer: D
Rationale: The Snellen chart at 20 feet is the standardized method for assessing distance visual acuity. The confrontation test evaluates peripheral vision, while Jaeger cards and newsprint assess near vision, not the primary focus of visual acuity testing.
Question 3 of 5
The nurse is performing a breast exam on a client. The client asks the nurse why the left breast is slightly larger than the right breast. Which of the following should be the appropriate response by the nurse?
Correct Answer: A
Rationale: Slight asymmetry in breast size is a normal variation in many women and is not typically a cause for concern. Breastfeeding may cause temporary asymmetry, but not all asymmetry is due to this. Sudden uneven increases in size are not normal and require investigation, and perfect symmetry is rare.
Question 4 of 5
The nurse is assessing a client diagnosed with fluid overload. The nurse should implement priority interventions for which of the following assessment findings? (Select all that apply.)
Correct Answer: C,D
Rationale: Blood pressure of 180/100 and respiratory rate of 32 indicate severe fluid overload, potentially leading to hypertension and pulmonary edema, requiring immediate intervention. Increased temperature and hematocrit are not typical, and heart rate of 120 bpm alone is less specific.
Question 5 of 5
The nurse is auscultating the lungs of an adult client. The nurse hears low-pitched, soft breath sounds over the posterior lower lobes and inspiration that is longer than expiration. The nurse recognizes that these breath sounds are:
Correct Answer: C
Rationale: Vesicular breath sounds are low-pitched, soft sounds heard over most of the lungs during inspiration, longer on inspiration than expiration, and are considered normal in the peripheral lung fields like the posterior lower lobes. Bronchovesicular sounds (
Choice
A) are medium-pitched and typically heard over major bronchi, not peripheral lobes. Tracheal sounds (
Choice
B) are harsh and high-pitched, normal over the trachea but not in the lung periphery. Bronchial sounds (
Choice
D) are high-pitched and loud, normal over the trachea, but indicate abnormality if heard in peripheral lung fields.