ATI RN
ATI Fundamentals Assessment Exam Midterm Questions
Extract:
Question 1 of 5
The nurse assesses a client's submental lymph nodes. In which area of the client's head should the nurse palpate these lymph nodes?
Correct Answer: B
Rationale: Submental lymph nodes are located in the midline under the chin, a few centimeters behind the mandible, draining the lower lip and mouth floor. Other options correspond to preauricular, cervical, and submandibular nodes.
Question 2 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 3 of 5
A nurse is assessing a client who has hypothyroidism. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Hypothyroidism causes weight gain due to slowed metabolism from low thyroid hormones. Palpitations, diaphoresis, and exophthalmos are associated with hyperthyroidism.
Question 4 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.
Question 5 of 5
A client describes a 3-week history of hoarseness. The client also reports feeling fatigue and noticeable weight gain over the past month. Which cause should the nurse consider as most likely?
Correct Answer: A
Rationale: Hypothyroidism causes hoarseness (vocal cord effects), fatigue, and weight gain due to slowed metabolism. Gingivitis affects gums, aphthous ulcers cause mouth sores, and dysphagia involves swallowing difficulty, none matching all symptoms.