ATI RN
ATI RN Fundamentals Exam 2 Questions
Extract:
Question 1 of 5
The nurse is preparing to auscultate for heart sounds on a client. Which of the following technique should be used by the nurse?
Correct Answer: D
Rationale: The Z-pattern technique ensures comprehensive auscultation of all heart valve areas (aortic, pulmonic, tricuspid, mitral) systematically, allowing precise localization of sounds and murmurs.
Question 2 of 5
A nurse is teaching a client's partner about how to obtain a blood pressure reading. Which of the following actions by the partner indicates a need for further instruction?
Correct Answer: C
Rationale: Placing the arm above heart level can falsely lower the blood pressure reading. The arm should be at heart level. Checking the gauge, centering the cuff, and wrapping it firmly are correct actions.
Question 3 of 5
The nurse is preparing to auscultate for heart sounds on a client. Which of the following technique should be used by the nurse?
Correct Answer: D
Rationale: The Z-pattern technique ensures comprehensive auscultation of all heart valve areas (aortic, pulmonic, tricuspid, mitral) systematically, allowing precise localization of sounds and murmurs.
Question 4 of 5
The nurse is preparing to measure the visual acuity of a client. The nurse should recognize that which of the following cranial nerve should be assessed:
Correct Answer: C
Rationale: Cranial Nerve II (Optic Nerve) is responsible for vision, making it the nerve assessed during visual acuity testing. VI (Abducens) and III (Oculomotor) control eye movement, and V (Trigeminal) handles facial sensation and chewing.
Question 5 of 5
A nurse documents that the client has a normal pupillary light reflex. The nurse should recognize that this reflex indicates which of the following?
Correct Answer: D
Rationale: The pupillary light reflex involves both pupils constricting in response to bright light to protect the retina. Convergence is a different reflex, focusing is unrelated to pupil size, and dilation in bright light is abnormal. No Light, Normal Response to Light, Positive RAPD of Right Eye, Stanford Medicine 25