ATI RN
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ATI Fundamentals Assessment Exam Midterm Questions
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Question
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1 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 isnβt a category, secondary involves early detection, and primary prevents stroke onset.
Question 2 of 5
A nurse is assessing a client who has a pressure ulcer. The nurse should recognize which of the following findings is a manifestation of a stage 3 pressure ulcer?
Correct Answer: B
Rationale: Stage 3 pressure ulcers involve full-thickness skin loss into subcutaneous tissue, forming a deep crater, possibly with slough. Stage 1 is reddened intact skin, Stage 2 affects the dermis, and Stage 4 exposes bone or muscle.
Question 3 of 5
While conducting the health assessment, the nurse instructs the client about secondary prevention activities. What information did the nurse most likely provide to this client?
Correct Answer: B
Rationale: Secondary prevention involves early detection, like regular mammogram screenings to identify breast cancer early. Immunizations and seat belts are primary prevention, and vision exams are less specific unless detecting early disease.
Question 4 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.
Question 5 of 5
A 45-year-old African-American client comes to the clinic complaining of fatigue, thirst, and frequent urination. During the physical exam, the nurse notices areas of linear hyperpigmentation around the neck and in the axillae (Acanthosis Nigricans). What would the nurse do next?
Correct Answer: A
Rationale: Acanthosis Nigricans with fatigue, thirst, and frequent urination suggests insulin resistance and possible diabetes, warranting medical follow-up for comprehensive evaluation, including blood sugar testing. Cancer history is less urgent, the findings are not benign without investigation, and a random blood sugar test is part of follow-up but not the immediate next step.