ATI RN
ATI RN Fundamentals Exam 2 Questions
Extract:
Question 1 of 5
The nurse is examining a client for tactile fremitus. The nurse recognizes that when examining for tactile fremitus it is important to:
Correct Answer: B
Rationale: Tactile fremitus is assessed by symmetrically palpating the chest while the client speaks, detecting vibrations. Breathing quickly, coughing, or using a stethoscope are not part of this technique.
Question 2 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 3 of 5
The nurse is doing an assessment of an adult client and noticed unequal chest expansion. The nurse recognizes that unequal chest expansion occurs:
Correct Answer: A
Rationale: Unequal chest expansion is often caused by a lung obstruction or collapse, such as in pneumothorax or atelectasis, which prevents one side of the chest from expanding fully. Bulging intercostal spaces, obesity, and accessory muscle use do not directly cause unequal expansion.
Question 4 of 5
The nurse is performing a breast examination on a client. The nurse understands that examining the upper outer quadrant of the breast is especially important because this part is:
Correct Answer: A
Rationale: The upper outer quadrant is the most common site for breast tumors due to its higher concentration of glandular tissue. It’s not more prone to injury, not necessarily the largest, and suspensory ligaments are distributed throughout the breast.
Question 5 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.