ATI RN
ATI RN Fundamentals Exam 2 Questions
Extract:
Question 1 of 5
The nurse is listening to the breath sounds of young adult client with severe asthma. The nurse recognizes that air passing through narrowed bronchioles would produce which of these adventitious sounds?
Correct Answer: A
Rationale: Wheezes are continuous, high-pitched, whistling lung sounds caused by air moving through narrowed airways, common in asthma due to bronchoconstriction. Whispered pectoriloquy (
Choice
B) indicates lung consolidation, not typical in asthma. Bronchial sounds (
Choice
C) are normal over the trachea but suggest consolidation if heard peripherally, not asthma-related. Bronchophony (
Choice
D) also indicates consolidation, where spoken sounds are clearer, not associated with asthma’s narrowed airways.
Question 2 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 3 of 5
A client diagnosed with pleuritis has been admitted to the hospital and complains of pain with breathing. Which of the following assessment findings should the nurse expect when auscultating a client with pleuritis?
Correct Answer: B
Rationale: Pleuritis causes a friction rub due to inflamed pleural layers rubbing during breathing. Wheezing, stridor, and crackles are associated with other conditions like asthma, upper airway obstruction, and fluid in the lungs, respectively.
Question 4 of 5
A group of nursing students are studying the conduction system of the heart. The nursing students should recognize that the pacemaker of the heart is known as
Correct Answer: A
Rationale: The sinoatrial (S
A) node is the heart's natural pacemaker, located in the right atrium. It generates electrical impulses that initiate each heartbeat and set the rhythm for the entire heart. This is a fundamental concept in cardiac physiology.
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.