ATI Fundamentals 2024 Exam -Nurselytic

Questions 51

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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 is the correct physical assessment technique because proper cuff placement is essential for accurate blood pressure measurement. Placing the cuff around 50% of the arm circumference ensures that the blood pressure reading is not falsely elevated or decreased. Incorrect choices: A: Using the FLACC pain rating scale is relevant for pain assessment, but not a physical assessment technique. C: Obtaining an apical heart rate by auscultating at the third intercostal space left of the sternum is incorrect as the fifth intercostal space at the midclavicular line is the correct location. D: Palpating the client's abdomen before auscultating bowel sounds is incorrect as bowel sounds should be auscultated first to prevent stimulating peristalsis.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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