ATI RN
ATI Fundamentals Assessment Exam Midterm Questions
Extract:
Question 1 of 5
The nurse is preparing to percuss a client's anterior chest area. Which approach will the nurse use for this assessment?
Correct Answer: A
Rationale: Starting above the right clavicle and comparing right and left chest sections ensures systematic assessment and detects asymmetry (e.g., pleural effusion). Other methods lack immediate side-to-side comparison or include non-standard steps like upward percussion from the liver.
Question 2 of 5
During a comprehensive health history, a client reports coming into the hospital because he 'feels like an elephant is sitting on his chest.' The nurse will document this information in which of the following sections?
Correct Answer: C
Rationale: The Chief Complaint captures the primary reason for the visit in the patient’s words, like 'feels like an elephant is sitting on his chest,' indicating chest pain. Family History covers hereditary diseases, Past Medical History details prior health, and Present Illness elaborates on the complaint.
Question 3 of 5
When asked to assess an area of broken skin on an older adult client in a long-term care facility, the nurse notes a break in the skin with erythema and a small amount of serosanguineous drainage over the sacrum. The area appears blister-like. The nurse would interpret this finding as indicating which stage of pressure ulcer?
Correct Answer: D
Rationale: Stage II pressure ulcers involve partial-thickness skin loss, presenting as a shallow ulcer or blister with a red-pink wound bed, matching the description of erythema, serosanguineous drainage, and a blister-like appearance. Stage I has intact skin with non-blanchable redness, Stage III extends to subcutaneous tissue with a crater-like appearance, and Stage IV involves full-thickness loss with exposed bone or muscle.
Question 4 of 5
The student nurse is reviewing different types of health history. Which client situation would require an Emergency health history?
Correct Answer: B
Rationale: An emergency health history is needed for life-threatening conditions like hypotension, tachycardia, low SpO2, and a gunshot wound, guiding urgent treatment. Chronic illness, pregnancy, and frequent visits require comprehensive histories unless acutely worsened.
Question 5 of 5
While conducting the health assessment, the nurse instructs the client about secondary prevention activities. What information did the nurse most likely provide to this client?
Correct Answer: B
Rationale: Secondary prevention involves early detection, like regular mammogram screenings to identify breast cancer early. Immunizations and seat belts are primary prevention, and vision exams are less specific unless detecting early disease.