ATI RN
ATI RN Fundamentals Exam 2 Questions
Extract:
Question 1 of 5
The nurse is caring for an older adult client who has recently had a stroke. The nurse assesses that the right side of the client's face is drooping. The nurse might also expect which of the following assessment findings?
Correct Answer: C
Rationale: Dysphagia, or difficulty swallowing, is commonly associated with stroke due to muscle weakness, including facial muscles. Facial drooping on one side, as seen in this client, indicates neurological impairment that can affect swallowing muscles. Xerostomia (dry mouth), epistaxis (nosebleed), and rhinorrhea (runny nose) are not directly related to stroke-induced facial drooping.
Question 2 of 5
The nurse is examining an adult client within normal weight limit. The nurse notices that he has bilateral gynecomastia. Which of the following describes the nurse's best course of action?
Correct Answer: B
Rationale: Gynecomastia may result from hormonal imbalances, medications, or underlying conditions, so recommending a physician evaluation is appropriate. Assuming it’s benign, linking it to diet, or associating it with prostate enlargement without evidence is incorrect.
Question 3 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.
Question 4 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.
Question 5 of 5
The nurse is conducting a class on Breast Self Examination (BSE). The nurse should include which of these statements that indicates the proper BSE technique.
Correct Answer: A
Rationale: Performing BSE 4-7 days after the menstrual period minimizes breast tenderness, aiding detection of changes. Pregnant women can perform BSE, the middle of the cycle is less optimal, and monthly exams are recommended, not bimonthly.