ATI RN
ATI RN Fundamentals Exam 2 Questions
Extract:
Question 1 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 2 of 5
A client comes into the clinic complaining of facial pain, fever, and malaise. On examination, the nurse notes swollen turbinates and purulent discharge from the nose. The client also complains of dull, throbbing pain in his cheeks and teeth on the right side and pain when the nurse palpates the areas. The nurse recognizes that this client has manifestations of:
Correct Answer: A
Rationale: The symptoms of facial pain, fever, malaise, swollen turbinates, purulent nasal discharge, and pain in the cheeks and teeth suggest maxillary sinusitis, an inflammation of the maxillary sinuses. Nasal polyps cause congestion, frontal sinusitis causes forehead pain, and posterior epistaxis involves nosebleeds, not these symptoms.
Question 3 of 5
The nurse is assessing a client diagnosed with fluid overload. The nurse should implement priority interventions for which of the following assessment findings? (Select all that apply.)
Correct Answer: C,D
Rationale: Blood pressure of 180/100 and respiratory rate of 32 indicate severe fluid overload, potentially leading to hypertension and pulmonary edema, requiring immediate intervention. Increased temperature and hematocrit are not typical, and heart rate of 120 bpm alone is less specific.
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 examining an adult client within normal weight limit. The nurse notices that he has bilateral gynecomastia. Which of the following describes the nurse's best course of action?
Correct Answer: B
Rationale: Gynecomastia may result from hormonal imbalances, medications, or underlying conditions, so recommending a physician evaluation is appropriate. Assuming it’s benign, linking it to diet, or associating it with prostate enlargement without evidence is incorrect.