ATI RN
ATI Fundamentals Assessment Exam Midterm Questions
Extract:
Question 1 of 5
What eye function is the nurse preparing to assess when the client is asked to stand 20 feet from a specific chart that is mounted on the examination room wall?
Correct Answer: C
Rationale: Standing 20 feet from a Snellen chart assesses distant vision, measuring visual acuity for far objects. Peripheral vision uses confrontation testing, external structures require close inspection, and near vision uses charts at 14 inches.
Question 2 of 5
Which of the following should the nurse do before conducting a physical examination of a client? (Select all that apply)
Correct Answer: A,C,D
Rationale: Checking equipment ensures efficiency, ensuring privacy respects dignity, and hand-washing prevents infection. Music may interfere with auscultation, and dim lighting hinders inspection.
Question 3 of 5
While examining a client, the nurse observes the client's chest to be barrel-shaped. The nurse would interpret this as indicating which of the following?
Correct Answer: D
Rationale: A barrel-shaped chest results from chronic lung hyperinflation in COPD, expanding the rib cage. Pigeon chest (pectus carinatum) protrudes, funnel chest (pectus excavatum) depresses, and pneumonia causes consolidation, not this shape.
Question 4 of 5
A Drug Rehabilitation nurse is conducting the health history. When would be the most natural time to ask the client about alcohol use?
Correct Answer: B
Rationale: Asking about alcohol use after cigarette smoking flows naturally, as both are substance use habits, creating a comprehensive lifestyle profile. Allergens, medications, and surgeries are less directly related.
Question 5 of 5
The nurse is preparing to auscultate the lung sounds of a young adult. Which sound will the nurse expect to hear over most of the client's lungs?
Correct Answer: B
Rationale: Vesicular breath sounds, soft and low-pitched, are normal over most lung fields, reflecting air movement in smaller airways. Tracheal and bronchial sounds are heard over the trachea and manubrium, and bronchovesicular near major bronchi.