ATI RN
ATI RN Fundamentals Exam 2 Questions
Extract:
Question 1 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 doesnβt increase lung sounds, and resting clients have normal sounds.
Question 2 of 5
The nurse is preparing to auscultate for heart sounds on a client. Which of the following technique should be used by the nurse?
Correct Answer: D
Rationale: The Z-pattern technique ensures comprehensive auscultation of all heart valve areas (aortic, pulmonic, tricuspid, mitral) systematically, allowing precise localization of sounds and murmurs.
Question 3 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 4 of 5
The nurse is completing an assessment on a client suspected of having a transient ischemic attack. Which of the following techniques should the nurse use to assess the client's carotid arteries?
Correct Answer: B
Rationale: Listening for bruits with the stethoscope diaphragm detects turbulent blood flow, indicating potential carotid stenosis, a risk factor for transient ischemic attack. Palpation and deep breaths are less specific for this assessment.
Question 5 of 5
The nurse is assessing the carotid arteries of a client with cardiovascular disease. What action should be performed next by the nurse?
Correct Answer: C
Rationale: Palpating both carotid arteries simultaneously allows comparison of pulse amplitude, helping detect vascular abnormalities. Light observation, breath-holding, or showing the stethoscope diaphragm are not standard for carotid assessment.