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 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 2 of 5
The nurse is auscultating heart sounds on a client and hears an extra sound late in diastole, just before the S1. How should the nurse document this finding?
Correct Answer: A
Rationale: An extra sound late in diastole before S1 is the third heart sound (S3), often associated with heart failure due to rapid ventricular filling. S4 occurs earlier, friction rubs are pericardial, and split S2 involves valve closure timing.
Question 3 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 4 of 5
The nurse is auscultating a client's chest for breath sounds. In which situation should the nurse expect to auscultate increased breath sounds?
Correct Answer: D
Rationale: Increased breath sounds, like wheezing or rhonchi, occur when the bronchial tree is obstructed by secretions, causing turbulent airflow. Bronchial sounds in the trachea are normal, sneezing doesn’t increase lung sounds, and resting clients have normal sounds.
Question 5 of 5
The nurse is inspecting the anterior chest of an adult client. The nurse recognizes that which of the following should be included in the assessments?
Correct Answer: D
Rationale: Inspection of the anterior chest includes observing the shape and configuration of the chest wall for abnormalities like asymmetry or deformities. Presence of breath sounds is assessed via auscultation, diaphragmatic excursion via percussion, and symmetric chest expansion via palpation and observation, not solely inspection.