ATI RN
ATI Fundamentals Assessment Exam Midterm Questions
Extract:
Question 1 of 5
During a comprehensive health history, a client reports coming into the hospital because he 'feels like an elephant is sitting on his chest.' The nurse will document this information in which of the following sections?
Correct Answer: C
Rationale: The Chief Complaint captures the primary reason for the visit in the patient’s words, like 'feels like an elephant is sitting on his chest,' indicating chest pain. Family History covers hereditary diseases, Past Medical History details prior health, and Present Illness elaborates on the complaint.
Question 2 of 5
The nurse is preparing to examine a client's mouth floor. To move the tongue to one side for this examination, which tool should the nurse use?
Correct Answer: C
Rationale: A gauze pad provides grip to safely move the tongue laterally for mouth floor examination. Penlights illuminate, gloves ensure hygiene, and tongue blades depress the tongue for throat inspection.
Question 3 of 5
In which disease process should a nurse expect to see a patient with the presence of pitting edema?
Correct Answer: B
Rationale: Liver disease, particularly cirrhosis, causes pitting edema due to low albumin levels reducing oncotic pressure and portal hypertension increasing fluid leakage. Diabetes and colon cancer do not directly cause pitting edema unless complicated by heart or kidney issues, and renal disease causes more generalized edema.
Question 4 of 5
When preparing to examine a client's sclera and conjunctiva during an eye examination, the nurse should instruct the client to move both eyes to look in which direction?
Correct Answer: D
Rationale: Looking up exposes the sclera and palpebral conjunctiva for thorough inspection. Downward gaze covers the scl longitudinal study era, and lateral movements stretch only parts of the conjunctiva.
Question 5 of 5
A 45-year-old African-American client comes to the clinic complaining of fatigue, thirst, and frequent urination. During the physical exam, the nurse notices areas of linear hyperpigmentation around the neck and in the axillae (Acanthosis Nigricans). What would the nurse do next?
Correct Answer: A
Rationale: Acanthosis Nigricans with fatigue, thirst, and frequent urination suggests insulin resistance and possible diabetes, warranting medical follow-up for comprehensive evaluation, including blood sugar testing. Cancer history is less urgent, the findings are not benign without investigation, and a random blood sugar test is part of follow-up but not the immediate next step.