ATI RN
ATI RN Fundamentals Exam 2 Questions
Extract:
Question 1 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 2 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 doesn’t increase lung sounds, and resting clients have normal sounds.
Question 3 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 4 of 5
The nurse is auscultating heart sounds on a client and hears an extra sound late in diastole, just before the S1. How should the nurse document this finding?
Correct Answer: A
Rationale: An extra sound late in diastole before S1 is the third heart sound (S3), often associated with heart failure due to rapid ventricular filling. S4 occurs earlier, friction rubs are pericardial, and split S2 involves valve closure timing.
Question 5 of 5
The nurse is listening to the heart sounds of a client. The nurse recognizes that the S2:
Correct Answer: D
Rationale: The S2 heart sound is caused by the closure of the semilunar valves (aortic and pulmonary) at the end of systole, marking the beginning of diastole. It does not coincide with the carotid pulse, is typically quieter than S1, and does not indicate the start of diastole but rather the transition from systole to diastole.