ATI RN
ATI RN Fundamentals Exam 2 Questions
Extract:
Question 1 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 2 of 5
The nurse is doing an examination of a client's anterior thorax. The nurse recognizes that the trachea bifurcates anteriorly at the:
Correct Answer: C
Rationale: The trachea bifurcates at the sternal angle (Angle of Louis), where the second rib attaches, serving as a landmark for this anatomical division. The other options are unrelated to tracheal bifurcation.
Question 3 of 5
The nurse is assessing the heart sounds of a client. The nurse understands that to listen to the pulmonic valve, the stethoscope should be placed where?
Correct Answer: C
Rationale: The pulmonic valve is best auscultated at the second left intercostal space, near the upper left sternal border, as this is where the sound of the pulmonary valve closure is most audible. The other locations correspond to different heart valves: the fifth intercostal space for the mitral valve, the left lower sternal border for the tricuspid valve, and the second right intercostal space for the aortic valve.
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 preparing to assess the heart rate on an adult female client. The nurse recognizes that the apical pulse can be assessed in an adult female at which of the following anatomical position?
Correct Answer: A
Rationale: The apical pulse is located at the fifth left intercostal space at the midclavicular line, where the heartbeat is most audible. The other locations are not precise for assessing the apical pulse.