ATI RN
ATI RN Fundamentals Exam 2 Questions
Extract:
Question 1 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 2 of 5
The nurse is listening to the breath sounds of young adult client with severe asthma. The nurse recognizes that air passing through narrowed bronchioles would produce which of these adventitious sounds?
Correct Answer: A
Rationale: Wheezes are continuous, high-pitched, whistling lung sounds caused by air moving through narrowed airways, common in asthma due to bronchoconstriction. Whispered pectoriloquy (
Choice
B) indicates lung consolidation, not typical in asthma. Bronchial sounds (
Choice
C) are normal over the trachea but suggest consolidation if heard peripherally, not asthma-related. Bronchophony (
Choice
D) also indicates consolidation, where spoken sounds are clearer, not associated with asthma’s narrowed airways.
Question 3 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 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
A client diagnosed with pleuritis has been admitted to the hospital and complains of pain with breathing. Which of the following assessment findings should the nurse expect when auscultating a client with pleuritis?
Correct Answer: B
Rationale: Pleuritis causes a friction rub due to inflamed pleural layers rubbing during breathing. Wheezing, stridor, and crackles are associated with other conditions like asthma, upper airway obstruction, and fluid in the lungs, respectively.