ATI RN
ATI Fundamentals Assessment Exam Midterm Questions
Extract:
Question 1 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 2 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.
Question 3 of 5
A client has been receiving intravenous antibiotics (ototoxic) for several weeks. Which prevention strategy would be best for the nurse to recommend for this client?
Correct Answer: A
Rationale: Formal hearing tests (audiometry) comprehensively detect ototoxicity-related hearing loss across frequencies, enabling early intervention. Rubbing fingers, tuning fork, and whisper tests are less sensitive and specific, missing subtle changes.
Question 4 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.
Question 5 of 5
The clinical nurse is precepting a group of students, and one student questions the nurse, 'What is the primary purpose of health assessment?' What is the most appropriate response by the clinical nurse?
Correct Answer: A
Rationale: Health assessment collects data on a client’s physical, psychological, and social health to inform care plans. It supports diagnosis but doesn’t replace testing, avoids personal bias in management, and assesses lifestyle objectively without judgment.