ATI RN
ATI Fundamentals Assessment Exam Midterm Questions
Extract:
Question 1 of 5
A middle-aged school teacher complains of excessive tearing of the eyes every morning. Which assessment should the nurse perform next?
Correct Answer: A
Rationale: Excessive tearing (epiphora) suggests nasolacrimal sac obstruction, requiring assessment for blockage. Conjunctival inspection is relevant for pain or foreign bodies, pupillary testing for neurological issues, and eye positions for muscle problems, none primary here.
Question 2 of 5
A nurse is performing a respiratory physical examination on a healthy patient. When performing the percussion physical assessment technique, the lung percussion note should be:
Correct Answer: A
Rationale: Resonance is the normal percussion note over healthy, air-filled lungs, indicating air transmission. Tympanic notes suggest hollow structures, flat notes dense tissues, and dullness fluid or solid masses.
Question 3 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 4 of 5
While examining a client, the nurse observes the client's chest to be barrel-shaped. The nurse would interpret this as indicating which of the following?
Correct Answer: D
Rationale: A barrel-shaped chest results from chronic lung hyperinflation in COPD, expanding the rib cage. Pigeon chest (pectus carinatum) protrudes, funnel chest (pectus excavatum) depresses, and pneumonia causes consolidation, not this shape.
Question 5 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.