ATI FUNDAMENTAL S EXAM

ATI FUNDAMENTAL S EXAM

• The nurse is caring for a client who insists on having very hot and very cold at

each meal. The nurse correctly recognizes this is a health belief in which cultural group?Chinese Americans

• The nurse is providing care to a client in the emergency department who received

a breathing treatment earlier. The nurse is now preparing the client for a procedure and notes that the client is breathing in a shallow manner and the client's hands are trembling. Which action will help decrease the client's level of anxiety?

The nurse should explain all procedures in a calm, reassuring voice

• The nurse is assessing a female client and notes facial hirsutism. The client asks

the nurse, “Why did this happen to me?” Which of the following statements is the best nursing response?“You may have some hormone imbalances.”

• The nurse is planning care for a client w/ hypothyroidism. Which of the following

would be the priority nursing diagnosis for this client?Activity intolerance r/t fatigue

• The nurse is performing an assessment of the client’s head and neck.

The client requests information about the assessment of her lymph nodes.Which of the following is the best response?“Sometimes, enlarged lymph nodes indicate an infection”

• The nurse is palpating an adult client’s neck and does not note any

palpable lymph nodes. The nurse understands that this is:

A normal finding in adults

• A client arrives in the emergency room w/ complaints of intermittent nosebleeds

for the past two days. Which of the following assessments would be a priority for the nurse in this situation?

HYPERTENSION

Request information from the client regarding increased propensity for bruising or bleeding. Obtain a blood pressure. Request info from client to determine if there was any recent thin, watery drainage from nose

• What is the leading cause of blindness in US?

Diabetic retinopathy

• During the assessment of a client’s eyes, the nurse suspects that the client has

ptosis. Which of the following did the nurse most likely find?The eyelid is drooping

• During an eye examination, the nurse requests that the client read letters located

on the Snellen E chart. The client’s vision is determined to be 20/200. Which of the following is true regarding these findings? Select all

• Client is legally blind
• Client is myopic

• The nurse is assessing the client’s eye w/ an ophthalmoscope. The nurse is

preparing to focus on the fundus and rotates the lens diopter wheel into the negative numbers. Based on this information, which condition does the client most likely have?Myopia

• After a comprehensive eye exam, it is determined that the client requires

corrective lenses for myopia. Which explanation by the nurse to the client is the most appropriate?Your glasses will help you to see objects in the distance

• During an eye assessment, a young adult client reports difficulty-seeing items

within close range. This assessment data is consistent with which item?Hyperopia

• The nurse is performing a neurological assessment on a client experiencing

anosmia. Which cranial nerve does the nurse assess to further investigate this issue?Olfactory (CN 1) Partial or complete loss of the sense of smell.

• The nurse is discussing the Rinne test to a group of student nurses. Which

statement by the nurse is most appropriate?

This test compares air and bone conduction of sound using a tuning fork

• Where is balance in brain? (cerebellum) 747
• Coordinates stimuli from the cerebral cortex to provide precise timing for

skeletal muscle coordination and smooth movements

• Assists w/ maintaining equilibrium and muscle tone
• Receives info about body position from inner ear and then sends

impulses to muscles, whose contraction maintains or restores balance

• The nurse is assessing the client's respiratory system. Which method will result

in the most accurate assessment of the client's respiratory rate?The nurse should count the respirations in an unobtrusive manner w/o informing the client.

• During auscultation of the breath sounds of an adult male client, the nurse hears

crackling sounds over most of the chest. Which of the following would be the best action for the nurse to take next?Wet the chest hair before auscultating the chest.

• The client is visiting the HCP’s office for a head-to-toe assessment. During the

nurse’s assessment of the client’s skin, the nurse notes that the client is pale. Which of the following findings may be related to the client’s color? Select all 1) Client’s BP is 96/62, 2) The client states, “I just smoked a cigarette before I came in the office” 3) The client’s O2 sat is 86% on room air 4) The client states, “It is snowing again outside w/ a wind chill factor of -11 degrees F”.

• The nurse is teaching self-breast examination to a client and demonstrates

inspecting the breasts with arms over the head. The client asks the nurse why this is necessary. Which response by the nurse is the most appropriate?“This is the best position to look for skin dimpling."

• The nurse is conducting a breast health workshop for a group of women. Which

would the nurse include in this workshop when outlining risk factors for breast cancer?Select all that apply.Caucasians, Family hx, low socioeconomic status, HRT therapy

• In the cardiac assessment of a 78 y/o client w/ no history of CV disease, the

nurse hears a soft sound directly before S1, at the apex of the heart with the bell of the stethoscope. There is no change in this sound w/ position or respirations. The nurse would implement which of the following actions for this client?Document the finding as normal in older adults

• The nurse is performing a cardiac assessment on a healthy elderly adult client.

Which of the following findings may be expected when compared to when the client was middle-aged? (Select all that apply) Systolic murmur, increased systolic BP, increased stroke volume, slight decrease in HR

• The nurse is assessing a client and notes a loud, blowing sound over theright

carotid artery. Based on this data, which diagnosis does the nurse anticipate?Stricture of the carotid

• The nurse is auscultating the temporal artery and hears a soft blowing sound.

Which term will the nurse use when documenting this finding?Bruit

• The nurse is auscultating the thyroid gland and notes a bruit. Which

conclusion by the nurse is appropriate based on this assessment finding?Indicates increased blood flow

• The nurse is reviewing the history and physical on a client and notes a

history of syncope. The nurse would implement which of the following for this client?Fall precautions

• An adult client is admitted to the hospital w/ complaints of increasing fatigue. The

client’s history is remarkable for rheumatic fever as a child. The nurse hears a diastolic murmur at the apex when the client is in the left lateral position. The murmur is described as a rumble w/o radiation. Which diagnosis does the nurse anticipate based on this data?Mitral stenosis

• During the cardiac assessment of a client, the nurse hears a loud rumbling

during diastole that increases toward the end of the sound. This sound is heard