ATI RN
ATI RN Fundamentals Exam 2 Questions
Extract:
Question 1 of 5
The nurse is assessing the tonsils of an adult client. The nurse notices that the tonsils are involuted, granular in appearance, and has deep crypts. The nurse recognizes that which of the following is the correct response to these findings?
Correct Answer: A
Rationale: The correct response is A: Continue with the assessment, looking for any other abnormal findings. In this scenario, the nurse is observing normal variations in the tonsils of an adult client. Involuted, granular appearance, and deep crypts are common findings in adult tonsils and do not necessarily indicate pathology. By continuing the assessment and looking for any other abnormal findings, the nurse can gather a comprehensive picture of the client's health status. Referring the patient to a throat specialist (
B) is not necessary as these findings are within the normal range. No response required (
C) is incorrect as the nurse should always assess further for any abnormal findings. Obtaining a throat culture for streptococcal infection (
D) is not indicated in the absence of other symptoms suggestive of infection.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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