ATI RN
ATI Fundamentals Assessment Exam Midterm Questions
Extract:
Question 1 of 5
A nurse is performing a respiratory physical examination on a healthy patient. When performing the percussion physical assessment technique, the lung percussion note should be:
Correct Answer: A
Rationale: Resonance is the normal percussion note over healthy, air-filled lungs, indicating air transmission. Tympanic notes suggest hollow structures, flat notes dense tissues, and dullness fluid or solid masses.
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 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 4 of 5
A nurse prepares an educational session on the importance of oral hygiene. Which teaching tip should be included in the section about preventing gingivitis?
Correct Answer: C
Rationale: Well-fitted dental restorations prevent plaque and bacteria buildup, reducing gingivitis risk. Firm toothbrushes damage gums, frequent gentle brushing is safe, and flossing despite bleeding removes plaque causing inflammation.
Question 5 of 5
When planning care for a client with an inner ear infection, the nurse will need to include interventions for which of the following potential problems?
Correct Answer: A
Rationale: Inner ear infections (e.g., labyrinthitis) disrupt balance, causing vertigo, requiring interventions like medications and fall precautions. Rhinorrhea, fever, and headaches are less specific or secondary.