ATI RN
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ATI Fundamentals Assessment Exam Midterm Questions
Extract:
Question
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1 of 5
The nurse working in the eye doctor's office is completing an assessment on an elderly client. Which of the following would a nurse expect to assess in a client with esotropia?
Correct Answer: D
Rationale: Esotropia is characterized by inward eye turning toward the nose, often due to muscle imbalance. Outward turning is exotropia, oscillating is nystagmus, and malalignment is a general term, not specific.
Question 2 of 5
When conducting a physical examination of a client with generalized muscle weakness, which of the following is the PRIORITY for the nurse?
Correct Answer: B
Rationale: Limiting position changes prevents fatigue and injury in clients with muscle weakness, prioritizing safety. Draping ensures privacy, hand-washing and stethoscope cleaning prevent infection, but these are secondary to client safety.
Question 3 of 5
A nurse is assessing a client who has a pressure ulcer. The nurse should recognize which of the following findings is a manifestation of a stage 3 pressure ulcer?
Correct Answer: B
Rationale: Stage 3 pressure ulcers involve full-thickness skin loss into subcutaneous tissue, forming a deep crater, possibly with slough. Stage 1 is reddened intact skin, Stage 2 affects the dermis, and Stage 4 exposes bone or muscle.
Question 4 of 5
The nurse is planning to instruct a group of adolescents on ways to prevent traumatic brain injuries. What should be included in these instructions?
Correct Answer: A,B,C,D
Rationale: Nonslip shoes prevent falls, supervised gun use avoids shootings, seat belts reduce crash injuries, and avoiding risky activities like snowboarding without safety gear (e.g., helmets) lowers TBI risk.
Question 5 of 5
While auscultating a client's 1st and 2nd intercostal spaces, close to the sternal body, the nurse would document these normal breath sounds as which of the following?
Correct Answer: C
Rationale: Bronchovesicular sounds, medium-pitched and equal on inspiration and expiration, are normal in the 1st and 2nd intercostal spaces near the sternum. Rhonchi and crackles indicate pathology, and tracheal sounds are heard over the trachea.