ATI RN
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ATI RN Fundamentals Exam 2 Questions
Extract:
Question
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1 of 5
The nurse is performing a breast exam on a client. The client asks the nurse why the left breast is slightly larger than the right breast. Which of the following should be the appropriate response by the nurse?
Correct Answer: A
Rationale: Slight asymmetry in breast size is a normal variation in many women and is not typically a cause for concern. Breastfeeding may cause temporary asymmetry, but not all asymmetry is due to this. Sudden uneven increases in size are not normal and require investigation, and perfect symmetry is rare.
Question 2 of 5
The nurse is preparing to assess the visual acuity of an adult client. Which of the following assessment should the nurse use for visual acuity?
Correct Answer: D
Rationale: The Snellen chart, positioned 20 feet away, is the standard for testing distance visual acuity. The confrontation test assesses peripheral vision, and Jaeger cards and newsprint test near vision.
Question 3 of 5
The nurse is discussing the blood flow pattern of the heart. The nurse should recognize which of the following as the accurate blood flow pattern of the heart?
Correct Answer: C
Rationale: The correct blood flow pattern is: vena cava → right atrium → right ventricle → pulmonary artery → lungs → pulmonary vein → left atrium → left ventricle → aorta.
Choice C accurately describes this sequence.
Choice A incorrectly starts with the aorta and misorders the pulmonary vessels.
Choice B swaps pulmonary vein and artery, disrupting the flow.
Choice D starts with the aorta and ends with vena cava, which is incorrect. The rationale follows the heart’s circulation: deoxygenated blood enters via the vena cava, flows to the right heart, is pumped to the lungs for oxygenation, returns via pulmonary veins to the left heart, and is pumped out through the aorta.
Question 4 of 5
The nurse is preparing to assess the visual acuity of an adult patient, which of the following assessment should the nurse use for visual acuity
Correct Answer: D
Rationale: The Snellen chart at 20 feet is the standardized method for assessing distance visual acuity. The confrontation test evaluates peripheral vision, while Jaeger cards and newsprint assess near vision, not the primary focus of visual acuity testing.
Question 5 of 5
The nurse is auscultating the lungs of an adult client. The nurse hears low-pitched, soft breath sounds over the posterior lower lobes and inspiration that is longer than expiration. The nurse recognizes that these breath sounds are:
Correct Answer: C
Rationale: Vesicular breath sounds are low-pitched, soft sounds heard over most of the lungs during inspiration, longer on inspiration than expiration, and are considered normal in the peripheral lung fields like the posterior lower lobes. Bronchovesicular sounds (
Choice
A) are medium-pitched and typically heard over major bronchi, not peripheral lobes. Tracheal sounds (
Choice
B) are harsh and high-pitched, normal over the trachea but not in the lung periphery. Bronchial sounds (
Choice
D) are high-pitched and loud, normal over the trachea, but indicate abnormality if heard in peripheral lung fields.