ATI RN
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ATI Fundamentals Assessment Exam Midterm Questions
Extract:
Question
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1 of 5
A nurse is performing a respiratory system physical examination. To assess the resonance of voice sounds heard during auscultation of the lungs, the nurse instructs the patient to say 'ee,' and if the sound is heard as 'ay,' this is known as:
Correct Answer: D
Rationale: Egophony occurs when 'ee' is heard as 'ay' during auscultation, indicating lung consolidation (e.g., pneumonia). Bronchovesicular sounds are normal, bronchophony involves louder voice sounds, and normal resonance is muffled.
Question 2 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 3 of 5
Which of the following should the nurse do before conducting a physical examination of a client? (Select all that apply)
Correct Answer: A,C,D
Rationale: Checking equipment ensures efficiency, ensuring privacy respects dignity, and hand-washing prevents infection. Music may interfere with auscultation, and dim lighting hinders inspection.
Question 4 of 5
A nurse is performing a respiratory system physical examination. To assess the resonance of voice sounds heard during auscultation of the lungs, the nurse instructs the patient to say 'ee,' and if the sound is heard as 'ay,' this is known as:
Correct Answer: D
Rationale: Egophony occurs when 'ee' is heard as 'ay' during auscultation, indicating lung consolidation (e.g., pneumonia). Bronchovesicular sounds are normal, bronchophony involves louder voice sounds, and normal resonance is muffled.
Question 5 of 5
The nurse read the patient's health history and noted cranial nerve III oculomotor paralysis. Which of the following would the nurse expect?
Correct Answer: C
Rationale: Oculomotor nerve (III) paralysis causes ptosis (eyelid drooping) and absent pupillary constriction due to loss of levator palpebrae and iris muscle control. Lateral eye movement is controlled by cranial nerve VI, myopia is a refractive error, and normal movement is impossible.