ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Extract:
Question 1 of 5
A nurse is assessing four adult clients. Which of the following physical assessment techniques should the nurse use?
Correct Answer: B
Rationale: The correct answer is B: Ensure the bladder or the blood pressure cuff surrounds 50% of the client's arm. This technique is essential for obtaining an accurate blood pressure measurement. Placing the cuff around only 50% of the arm circumference ensures the appropriate pressure on the brachial artery, leading to an accurate reading. If the cuff is too small, the reading will be falsely elevated, and if it's too large, the reading will be falsely low. This step is crucial in preventing errors in blood pressure assessment.
Choice A is incorrect as the FLACC pain rating scale is used for assessing pain in nonverbal patients, not for physical assessment techniques.
Choice C is incorrect as the apical heart rate is obtained by auscultating at the fifth intercostal space, not the third.
Choice D is incorrect because palpating the abdomen before auscultating bowel sounds can lead to altered bowel sounds due to manipulation of the abdomen.
Question 2 of 5
A nurse is performing a skin assessment for a client who expresses concern about skin cancer. Which of the following findings should the nurse identify as a potential indication of a skin malignancy?
Correct Answer: C
Rationale: The correct answer is C: A mole with an asymmetrical appearance. The nurse should identify this as a potential indication of skin malignancy because asymmetry is a key characteristic of melanoma, a type of skin cancer. In melanoma, one half of the mole does not match the other half. Other choices are incorrect because: A: A lesion with uniform pigmentation is less likely to be malignant as skin cancer lesions often have irregular borders and uneven colors. B: Petechiae are tiny red or purple spots on the skin caused by bleeding under the skin and are not typically associated with skin cancer. D: The presence of a papule alone is not specific to skin cancer and could be indicative of various skin conditions.
Extract:
Vital signs:Temperature 36.2° C (97.2° F) Pulse rate 116/min Respiratory rate 24/min BP 102/68 mm Hg Oxygen saturation 95% Weight 52.2 kg (115 Ib
Question 3 of 5
A nurse in a provider's clinic is caring for a client who has diarrhea. The nurse is providing teaching for the client. Select the 4 instructions the nurse should include in the teaching.
Correct Answer: B, C, F, G
Rationale: The correct instructions are B, C, F, and G. Probiotic foods like yogurt can help restore gut flora. Avoiding alcohol and caffeine is important as they can worsen diarrhea. Drinking lots of fluids is crucial to prevent dehydration. High-calcium foods (
A) are not directly related to managing diarrhea. Eating raw vegetables (
D) may be hard to digest. Eating three large meals a day (E) may be too heavy on the digestive system.
Extract:
Nurses’ Notes 1000: Client admitted with a productive cough with thick yellow sputum. Breath sounds with crackies heard n left upper lobe and decraased braath sounds at bases bilaterally. 0 Heartate
s
Question 4 of 5
A nurse is caring for 3 clients who have COPD. Select the 3 findings that require follow-up. Nurses' Notes: Temperature 100°F, oxygen saturation 88%, blood pressure 130/80 mmHg. Client admitted with a productive cough with thick yellow sputum. Breath sounds with crackles heard in the left upper lobe and decreased breath sounds at bases bilaterally. Heart rate 98 beats/min.
Correct Answer: A, B, D
Rationale: The correct answers are A, B, and D. A temperature of 100°F indicates possible infection or inflammation, requiring follow-up. Oxygen saturation of 88% is below the normal range (95-100%), indicating hypoxemia. A heart rate of 98 beats/min is elevated, possibly due to hypoxemia or increased work of breathing. Blood pressure of 130/80 mmHg is within normal limits. Crackles in the left upper lobe and decreased breath sounds suggest lung pathology but do not require immediate follow-up.
Extract:
Question 5 of 5
A nurse is assessing four adult clients. Which of the following physical assessment techniques should the nurse use?
Correct Answer: B
Rationale: The correct answer is B: Ensure the bladder or the blood pressure cuff surrounds 50% of the client's arm. This technique is essential for obtaining an accurate blood pressure measurement. Placing the cuff around only 50% of the arm circumference ensures the appropriate pressure on the brachial artery, leading to an accurate reading. If the cuff is too small, the reading will be falsely elevated, and if it's too large, the reading will be falsely low. This step is crucial in preventing errors in blood pressure assessment.
Choice A is incorrect as the FLACC pain rating scale is used for assessing pain in nonverbal patients, not for physical assessment techniques.
Choice C is incorrect as the apical heart rate is obtained by auscultating at the fifth intercostal space, not the third.
Choice D is incorrect because palpating the abdomen before auscultating bowel sounds can lead to altered bowel sounds due to manipulation of the abdomen.