ATI RN
ATI RN Fundamentals Exam 2 Questions
Extract:
Question 1 of 5
The nurse is testing a client's visual accommodation. Which of the following should the nurse recognize as an assessment finding from visual accommodation?
Correct Answer: A
Rationale: Visual accommodation involves pupil constriction when focusing on a near object, like a finger moving toward the nose, to adjust focus. Blinking is a light reflex, peripheral vision is unrelated, and dilation is incorrect.
Question 2 of 5
The nurse is assessing the carotid arteries of a client with cardiovascular disease. What action should be performed next by the nurse?
Correct Answer: C
Rationale: Palpating both carotid arteries simultaneously allows comparison of pulse amplitude, helping detect vascular abnormalities. Light observation, breath-holding, or showing the stethoscope diaphragm are not standard for carotid assessment.
Question 3 of 5
The nurse is auscultating the lungs of a sleeping client and hears short, popping, crackling breath sounds that stop after a few breaths. The nurse recognizes that these breath sounds are:
Correct Answer: A
Rationale: Atelectatic crackles are non-pathologic, occurring in under-aerated lungs, often when lying down, and disappear after a few breaths. Vesicular sounds are normal, wheezes indicate airway narrowing, and fine crackles suggest pathology like pneumonia.
Question 4 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 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.