ATI RN
ATI RN Fundamentals Exam 2 Questions
Extract:
Question 1 of 5
The nurse explains the different parts of the ear to a client while teaching the client how to administer eardrops. The nurse pulls the upper ear that consists of movable cartilage and skin up and back and recognizes that this part is called the:
Correct Answer: A
Rationale: The auricle (pinna) is the external ear’s cartilage and skin, pulled up and back to straighten the ear canal for eardrop administration. The mastoid process is a bony structure, the outer meatus is the ear canal, and the concha is a depression in the auricle.
Question 2 of 5
The nurse explains the different parts of the ear to a client while teaching the client how to administer eardrops. The nurse pulls the upper ear that consists of movable cartilage and skin up and back and recognizes that this part is called the:
Correct Answer: A
Rationale: The auricle (pinna) is the external ear’s cartilage and skin, pulled up and back to straighten the ear canal for eardrop administration. The mastoid process is a bony structure, the outer meatus is the ear canal, and the concha is a depression in the auricle.
Question 3 of 5
A client was recently diagnosed with a heart murmur and is asking the nurse for more information. The nurse will educate the client that a heart murmur:
Correct Answer: A
Rationale: A heart murmur indicates turbulent blood flow through a valve, often due to valve disorders or structural issues. It’s not specifically due to inflexible chambers, inflammation, or always high-pitched from narrow valves.
Question 4 of 5
The nurse is performing a respiratory assessment on a client. Which of the following findings should the nurse report to the practitioner?
Correct Answer: D
Rationale: Visible use of accessory muscles during inhalation suggests that the client is working hard to breathe, which could indicate respiratory distress due to conditions like asthma or COPD. This is a concerning sign that requires prompt reporting for further evaluation and intervention. Clear and equal breath sounds bilaterally, oxygen saturation of 98% on room air, and a cough producing clear, thin sputum are normal findings and do not warrant immediate reporting.
Question 5 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.