ATI RN
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ATI Fundamentals Assessment Exam Midterm Questions
Extract:
Question
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1 of 5
A client reports experiencing chronic headaches after a recent upper respiratory tract infection. On physical examination, the nurse notes tenderness when palpating over the sinuses. Which condition is likely?
Correct Answer: B
Rationale: Acute bacterial sinusitis, often following a viral infection, causes sinus tenderness and headaches due to inflammation and mucus buildup. Rhinitis medicamentosa involves nasal congestion, epistaxis is nosebleeds, and allergic rhinitis causes sneezing and itching, not primarily sinus tenderness.
Question 2 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.
Question 3 of 5
The nurse read the patient's health history and noted cranial nerve III oculomotor paralysis. Which of the following would the nurse expect?
Correct Answer: C
Rationale: Oculomotor nerve (III) paralysis causes ptosis (eyelid drooping) and absent pupillary constriction due to loss of levator palpebrae and iris muscle control. Lateral eye movement is controlled by cranial nerve VI, myopia is a refractive error, and normal movement is impossible.
Question 4 of 5
A nurse educator is presenting at a continuing education seminar for nurses. As part of his presentation, he is emphasizing the prevention of skin breakdown in immobile patients who have suffered from a stroke. The level of prevention being discussed by the nurse educator is:
Correct Answer: B
Rationale: Tertiary prevention manages existing conditions like stroke to prevent complications such as skin breakdown through repositioning and skin care. Educational prevention isn’t a category, secondary involves early detection, and primary prevents stroke onset.
Question 5 of 5
The nurse is preparing to percuss a client's anterior chest area. Which approach will the nurse use for this assessment?
Correct Answer: A
Rationale: Starting above the right clavicle and comparing right and left chest sections ensures systematic assessment and detects asymmetry (e.g., pleural effusion). Other methods lack immediate side-to-side comparison or include non-standard steps like upward percussion from the liver.