ATI RN
ATI Fundamentals Assessment Exam Midterm Questions
Extract:
Question 1 of 5
The nurse is planning to instruct a group of adolescents on ways to prevent traumatic brain injuries. What should be included in these instructions?
Correct Answer: A,B,C,D
Rationale: The correct answer is A,B,C,D. A: Wearing nonslip shoes in the house can prevent falls. B: Proper supervision when using guns can prevent firearm-related injuries. C: Using seat belts in vehicles reduces the risk of head injuries in accidents. D: Avoiding risky activities like snowboarding can prevent traumatic brain injuries. Other choices are incorrect because they do not directly address ways to prevent traumatic brain injuries in adolescents.
Question 2 of 5
A nurse prepares an educational session on the importance of oral hygiene. Which teaching tip should be included in the section about preventing gingivitis?
Correct Answer: C
Rationale: The correct answer is C: Ensure that dental restorations fit well. Poorly fitting dental restorations can contribute to gingivitis by trapping food particles and bacteria, leading to gum inflammation. It is important to emphasize the need for regular dental check-ups to ensure restorations fit properly.
A is incorrect because a firm toothbrush can be too harsh on the gums, causing irritation and potentially worsening gingivitis.
B is incorrect because brushing more than twice a day is generally recommended as long as it is done gently to avoid gum irritation.
D is incorrect because flossing is crucial for gingivitis prevention, even if there is bleeding, as it helps remove plaque and bacteria from between teeth.
Question 3 of 5
A client describes a 3-week history of hoarseness. The client also reports feeling fatigue and noticeable weight gain over the past month. Which cause should the nurse consider as most likely?
Correct Answer: A
Rationale: The correct answer is A: Hypothyroidism. Hoarseness, fatigue, and weight gain are classic symptoms of hypothyroidism due to decreased thyroid hormone levels. Thyroid hormones play a crucial role in regulating metabolism and energy levels. Hoarseness can occur due to vocal cord changes from thyroid hormone imbalances. Gingivitis (
B) is inflammation of the gums, unrelated to the symptoms described. Aphthous ulcers (
C) are painful sores in the mouth, not associated with the reported symptoms. Dysphagia (
D) is difficulty swallowing, which is not consistent with the client's presentation.
Question 4 of 5
The nurse working in an outpatient GI clinic is conducting a physical examination of the abdomen. What is the nurse's best action to ensure she can hear bowel sounds?
Correct Answer: C
Rationale: The correct answer is C: Reduce all environmental noise. This is the best action to ensure the nurse can hear bowel sounds clearly during auscultation. By reducing environmental noise, such as turning off TVs or music, the nurse can focus on listening for the subtle sounds produced by the movement of the intestines. This allows for accurate assessment of bowel sounds, which can provide important information about gastrointestinal function.
Choice A: Assisting the client to a sitting position may be helpful for other aspects of the physical examination, but it is not directly related to improving the nurse's ability to hear bowel sounds.
Choice B: Percussing the region before auscultating may be a part of a comprehensive abdominal assessment, but it is not necessary for enhancing the nurse's ability to hear bowel sounds.
Choice D: Palpating the region before auscultating is also an important part of the physical examination, but it is not specifically aimed at improving the nurse's ability to hear bowel sounds.
Question 5 of 5
A nurse is assessing a client who has asthma. Which of the following areas should the nurse evaluate as the most reliable indicator of central cyanosis?
Correct Answer: A
Rationale: The correct answer is A: Oral mucosa. Central cyanosis is best assessed in areas with high blood flow and minimal pigmentation, such as the oral mucosa. Lips and tongue are also common sites. The oral mucosa is a reliable indicator as it reflects the oxygen saturation of arterial blood, providing a clear indication of cyanosis. Ear lobes, soles of the feet, and conjunctivae are not as reliable indicators as they may be affected by factors such as poor circulation, skin pigmentation, or exposure to external elements. Assessing central cyanosis in the oral mucosa allows for a quick and accurate evaluation of the client's oxygenation status.