ATI RN
ATI RN Fundamentals Exam 2 Questions
Extract:
Question 1 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 2 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 3 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 4 of 5
The nurse is assessing the symmetry of the client's chest. The nurse recognizes that a client's symmetric expansion of the chest is best confirmed by:
Correct Answer: D
Rationale: Placing hands sideways on the posterolateral chest wall at T9 or T10 allows the nurse to feel for bilateral chest expansion during inspiration, confirming symmetry. Percussion assesses underlying structures, inspection identifies deformities, and tactile fremitus (repeating 'ninety-nine') assesses lung density, not chest expansion.
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.