ATI RN
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ATI RN Fundamentals Exam 2 Questions
Extract:
Question
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1 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 2 of 5
A client comes into the clinic complaining of facial pain, fever, and malaise. On examination, the nurse notes swollen turbinates and purulent discharge from the nose. The client also complains of dull, throbbing pain in his cheeks and teeth on the right side and pain when the nurse palpates the areas. The nurse recognizes that this client has manifestations of:
Correct Answer: A
Rationale: The symptoms of facial pain, fever, malaise, swollen turbinates, purulent nasal discharge, and pain in the cheeks and teeth suggest maxillary sinusitis, an inflammation of the maxillary sinuses. Nasal polyps cause congestion, frontal sinusitis causes forehead pain, and posterior epistaxis involves nosebleeds, not these symptoms.
Question 3 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 4 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.
Question 5 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.