ATI RN
ATI Fundamentals Assessment Exam Midterm Questions
Extract:
Question 1 of 5
A nurse is assessing a 64-year-old African-American client who has jaundice. The patient has a past medical history of alcoholism and liver cirrhosis. Which of the following areas is the most reliable for the nurse to inspect for jaundice?
Correct Answer: B
Rationale: The sclera’s white background clearly shows yellowing (scleral icterus), making it the most reliable for jaundice, especially in darker skin. Conjunctiva, neck, and palms are less consistent due to external factors or pigmentation.
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
A nurse is assessing a client who has asthma. Which of the following areas should the nurse evaluate as the most reliable indicator of central cyanosis?
Correct Answer: A
Rationale: Oral mucosa, with high blood flow and thin skin, reliably shows central cyanosis, reflecting arterial hypoxemia. Ear lobes and soles are prone to peripheral cyanosis, and conjunctivae are less accurate due to environmental factors.
Question 4 of 5
A nurse is assessing a client who has hypothyroidism. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Hypothyroidism causes lethargy due to slowed metabolism from low thyroid hormone levels. Exophthalmos and weight loss are linked to hyperthyroidism, and photophobia is unrelated.
Question 5 of 5
Which risk factor for traumatic brain injury (TBI) should a nurse include in a discussion about prevention for a group of adolescents?
Correct Answer: C
Rationale: Concussions from sports and motor vehicle accidents are the leading TBI causes in adolescents due to high-impact activities. Falls are more common in younger children, males have higher risk, and firearm incidents are less frequent.