ATI RN
ATI RN Fundamentals Exam 2 Questions
Extract:
Question 1 of 5
A nurse is reviewing the anatomy and physiologic functioning of the heart. The nurse should recognize that which statement best describes the atrial kick?
Correct Answer: A
Rationale: The atrial kick refers to atrial contraction late in diastole, pushing additional blood into the ventricles before systole. It does not occur during systole, is not ventricular pressure, and is not typically felt as a palpitation.
Question 2 of 5
The nurse is testing a client's visual accommodation. Which of the following should the nurse recognize as an assessment finding from visual accommodation?
Correct Answer: A
Rationale: Visual accommodation involves pupil constriction when focusing on a near object, like a finger moving toward the nose, to adjust focus. Blinking is a light reflex, peripheral vision is unrelated, and dilation is incorrect.
Question 3 of 5
A client comes into the clinic complaining of facial pain, fever, and malaise. On examination, the nurse notes swollen turbinates and purulent discharge from the nose. The client also complains of dull, throbbing pain in his cheeks and teeth on the right side and pain when the nurse palpates the areas. The nurse recognizes that this client has manifestations of:
Correct Answer: A
Rationale: The symptoms of facial pain, fever, malaise, swollen turbinates, purulent nasal discharge, and pain in the cheeks and teeth suggest maxillary sinusitis, an inflammation of the maxillary sinuses. Nasal polyps cause congestion, frontal sinusitis causes forehead pain, and posterior epistaxis involves nosebleeds, not these symptoms.
Question 4 of 5
The nurse is caring for an older adult client who has recently had a stroke. The nurse assesses that the right side of the client's face is drooping. The nurse might also expect which of the following assessment findings?
Correct Answer: C
Rationale: Dysphagia, or difficulty swallowing, is commonly associated with stroke due to muscle weakness, including facial muscles. Facial drooping on one side, as seen in this client, indicates neurological impairment that can affect swallowing muscles. Xerostomia (dry mouth), epistaxis (nosebleed), and rhinorrhea (runny nose) are not directly related to stroke-induced facial drooping.
Question 5 of 5
The nurse is auscultating heart sounds on a client and hears an extra sound late in diastole, just before the S1. How should the nurse document this finding?
Correct Answer: A
Rationale: An extra sound late in diastole before S1 is the third heart sound (S3), often associated with heart failure due to rapid ventricular filling. S4 occurs earlier, friction rubs are pericardial, and split S2 involves valve closure timing.