ATI RN
ATI RN Fundamentals Exam 2 Questions
Extract:
Question 1 of 5
The nurse is performing a respiratory assessment on a client. Which of the following findings should the nurse report to the practitioner?
Correct Answer: D
Rationale: Visible use of accessory muscles during inhalation suggests that the client is working hard to breathe, which could indicate respiratory distress due to conditions like asthma or COPD. This is a concerning sign that requires prompt reporting for further evaluation and intervention. Clear and equal breath sounds bilaterally, oxygen saturation of 98% on room air, and a cough producing clear, thin sputum are normal findings and do not warrant immediate reporting.
Question 2 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.
Question 3 of 5
The nurse is palpating a client's anterior chest wall and notices a course, crackling sensation over the skin surface. Which of the following should the nurse suspect from her findings?
Correct Answer: C
Rationale: Crepitus is a crackling sensation felt under the skin, often due to air in subcutaneous tissue. Friction rubs are heard or felt with pleural inflammation, tactile fremitus involves vibrations during speech, and adventitious sounds are abnormal lung sounds heard on auscultation.
Question 4 of 5
The nurse is performing an assessment of the clients lungs. The nurse recognizes that the left lung:
Correct Answer: A
Rationale: The left lung has two lobes (upper and lower), unlike the right lung’s three. It’s not limited to the upper lobe posteriorly, not shorter due to the stomach, and lacks a horizontal fissure, which is specific to the right lung.
Question 5 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.