ATI RN
ATI RN Fundamentals Exam 2 Questions
Extract:
Question 1 of 5
A nurse is teaching a client's partner about how to obtain a blood pressure reading. Which of the following actions by the partner indicates a need for further instruction?
Correct Answer: C
Rationale: Placing the arm above heart level can falsely lower the blood pressure reading. The arm should be at heart level. Checking the gauge, centering the cuff, and wrapping it firmly are correct actions.
Question 2 of 5
The nurse is auscultating a client's chest for breath sounds. In which situation should the nurse expect to auscultate increased breath sounds?
Correct Answer: D
Rationale: Increased breath sounds, like wheezing or rhonchi, occur when the bronchial tree is obstructed by secretions, causing turbulent airflow. Bronchial sounds in the trachea are normal, sneezing doesn’t increase lung sounds, and resting clients have normal sounds.
Question 3 of 5
A group of nursing students are studying the conduction system of the heart. The nursing students should recognize that the pacemaker of the heart is known as
Correct Answer: A
Rationale: The sinoatrial (S
A) node is the heart's natural pacemaker, located in the right atrium. It generates electrical impulses that initiate each heartbeat and set the rhythm for the entire heart. This is a fundamental concept in cardiac physiology.
Question 4 of 5
The nurse is preparing to assess the visual acuity of an adult client. Which of the following assessment should the nurse use for visual acuity?
Correct Answer: D
Rationale: The Snellen chart, positioned 20 feet away, is the standard for testing distance visual acuity. The confrontation test assesses peripheral vision, and Jaeger cards and newsprint test near vision.
Question 5 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.