ATI RN
ATI RN Fundamentals Exam 2 Questions
Extract:
Question 1 of 5
A client was recently diagnosed with a heart murmur and is asking the nurse for more information. The nurse will educate the client that a heart murmur:
Correct Answer: A
Rationale: A heart murmur indicates turbulent blood flow through a valve, often due to valve disorders or structural issues. Itβs not specifically due to inflexible chambers, inflammation, or always high-pitched from narrow valves.
Question 2 of 5
A group of nursing students are studying the conduction system of the heart. The nursing students should recognize that the pacemaker of the heart is known as
Correct Answer: A
Rationale: The sinoatrial (S
A) node is the heart's natural pacemaker, located in the right atrium. It generates electrical impulses that initiate each heartbeat and set the rhythm for the entire heart. This is a fundamental concept in cardiac physiology.
Question 3 of 5
The nurse is preparing to assess the heart rate on an adult female client. The nurse recognizes that the apical pulse can be assessed in an adult female at which of the following anatomical position?
Correct Answer: A
Rationale: The apical pulse is located at the fifth left intercostal space at the midclavicular line, where the heartbeat is most audible. The other locations are not precise for assessing the apical pulse.
Question 4 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 5 of 5
The nurse is examining a client for tactile fremitus. The nurse recognizes that when examining for tactile fremitus it is important to:
Correct Answer: B
Rationale: Tactile fremitus is assessed by symmetrically palpating the chest while the client speaks, detecting vibrations. Breathing quickly, coughing, or using a stethoscope are not part of this technique.