ATI RN
ATI RN Fundamentals Exam 2 Questions
Extract:
Question 1 of 5
The nurse is auscultating the lungs of a sleeping client and hears short, popping, crackling breath sounds that stop after a few breaths. The nurse recognizes that these breath sounds are:
Correct Answer: A
Rationale: Atelectatic crackles are non-pathologic, occurring in under-aerated lungs, often when lying down, and disappear after a few breaths. Vesicular sounds are normal, wheezes indicate airway narrowing, and fine crackles suggest pathology like pneumonia.
Question 2 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.
Question 3 of 5
A client diagnosed with pleuritis has been admitted to the hospital and complains of pain with breathing. Which of the following assessment findings should the nurse expect when auscultating a client with pleuritis?
Correct Answer: B
Rationale: Pleuritis causes a friction rub due to inflamed pleural layers rubbing during breathing. Wheezing, stridor, and crackles are associated with other conditions like asthma, upper airway obstruction, and fluid in the lungs, respectively.
Question 4 of 5
The nurse is performing an assessment of the client's mouth. The nurse recognizes that the tissue that connects the tongue to the floor of the mouth is the:
Correct Answer: A
Rationale: The frenulum is the tissue connecting the tongue to the floor of the mouth, aiding tongue movement. The palate is the mouth’s roof, the uvula hangs from the soft palate, and papillae are taste buds on the tongue.
Question 5 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: Involuted, granular tonsils with deep crypts are normal in adults. The nurse should continue the assessment for other abnormalities. Referral, no response, or a throat culture is unnecessary without symptoms like sore throat or fever.