ATI RN
ATI Fundamentals Assessment Exam Midterm Questions
Extract:
Question 1 of 5
A client with a history of COPD is being assessed. When the nurse percusses the client's chest, which characteristic sound is expected?
Correct Answer: B
Rationale: COPD causes lung hyperinflation from air trapping, producing a hyperresonant percussion sound. Tympany indicates hollow structures, resonance normal lungs, and dullness fluid or solid masses.
Question 2 of 5
The nurse working in an ophthalmology clinic is preparing to assess a patient's near vision. Which piece of equipment would the nurse use for this assessment?
Correct Answer: C
Rationale: A magazine with varied print sizes is practical for assessing near vision informally, mimicking everyday reading. Ophthalmoscopes examine the retina, Snellen charts test distance vision, and penlights assess pupillary reflexes.
Question 3 of 5
During a comprehensive health history, a client reports coming into the hospital because he 'feels like an elephant is sitting on his chest.' The nurse will document this information in which of the following sections?
Correct Answer: C
Rationale: The Chief Complaint captures the primary reason for the visit in the patient’s words, like 'feels like an elephant is sitting on his chest,' indicating chest pain. Family History covers hereditary diseases, Past Medical History details prior health, and Present Illness elaborates on the complaint.
Question 4 of 5
The clinical nurse is precepting a group of students, and one student questions the nurse, 'What is the primary purpose of health assessment?' What is the most appropriate response by the clinical nurse?
Correct Answer: A
Rationale: Health assessment collects data on a client’s physical, psychological, and social health to inform care plans. It supports diagnosis but doesn’t replace testing, avoids personal bias in management, and assesses lifestyle objectively without judgment.
Question 5 of 5
The nurse is preparing to auscultate the lung sounds of a young adult. Which sound will the nurse expect to hear over most of the client's lungs?
Correct Answer: B
Rationale: Vesicular breath sounds, soft and low-pitched, are normal over most lung fields, reflecting air movement in smaller airways. Tracheal and bronchial sounds are heard over the trachea and manubrium, and bronchovesicular near major bronchi.