ATI RN
ATI Fundamentals Assessment Exam Midterm Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has myxedema. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Myxedema, severe hypothyroidism, causes facial edema due to mucopolysaccharide deposition in skin, especially around the eyes. Tachycardia, diarrhea, and heat intolerance are associated with hyperthyroidism.
Question 2 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 3 of 5
The nurse working in the eye doctor's office is completing an assessment on an elderly client. Which of the following would a nurse expect to assess in a client with esotropia?
Correct Answer: D
Rationale: Esotropia is characterized by inward eye turning toward the nose, often due to muscle imbalance. Outward turning is exotropia, oscillating is nystagmus, and malalignment is a general term, not specific.
Question 4 of 5
When asked to assess an area of broken skin on an older adult client in a long-term care facility, the nurse notes a break in the skin with erythema and a small amount of serosanguineous drainage over the sacrum. The area appears blister-like. The nurse would interpret this finding as indicating which stage of pressure ulcer?
Correct Answer: D
Rationale: Stage II pressure ulcers involve partial-thickness skin loss, presenting as a shallow ulcer or blister with a red-pink wound bed, matching the description of erythema, serosanguineous drainage, and a blister-like appearance. Stage I has intact skin with non-blanchable redness, Stage III extends to subcutaneous tissue with a crater-like appearance, and Stage IV involves full-thickness loss with exposed bone or muscle.
Question 5 of 5
A nurse is assessing a client who has myxedema. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Myxedema, severe hypothyroidism, causes facial edema due to mucopolysaccharide deposition in skin, especially around the eyes. Tachycardia, diarrhea, and heat intolerance are associated with hyperthyroidism.