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ATI RN Fundamentals - Exam 2

Total Questions : 46

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Question 1:

The nurse is performing a respiratory assessment on a client. Which of the following findings should the nurse report to the practitioner?

Answer and Explanation

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Question 2:

Which of the following assessment findings should the nurse report to the practitioner? (Select all that apply)

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Question 3:

A group of nursing students are studying the conduction system of the heart. The nursing students should recognize that the pacemaker of the heart is known as ____________________

Answer and Explanation
Correct Answer: Sinoatrial node

Explanation

The pacemaker of the heart is known as the sinoatrial (SA) node. The SA node is a specialized group of cells located in the right atrium of the heart. It generates electrical impulses that initiate each heartbeat and set the rhythm for the entire heart.


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Question 4:

The nurse is assessing the heart sounds of a client. The nurse understands that to listen to the pulmonic valve, the stethoscope should be placed where?

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Question 5:

The nurse is caring for an older adult client who has recently had a stroke. The nurse assesses that the right side of the client's face is drooping. The nurse might also expect which of the following assessment findings?

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Question 6:

The nurse is inspecting the anterior chest of an adult client. The nurse recognizes that which of the following should be included in the assessments?

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Question 7:

The nurse is performing a breast exam on a client. The client asks the nurse why the left breast is slightly larger than the right breast. Which of the following should be the appropriate response by the nurse?

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Question 8:

The nurse is listening to the heart sounds of a client. The nurse recognizes that the S2:

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Question 9:

The nurse is doing an assessment of an adult client and noticed unequal chest expansion. The nurse recognizes that unequal chest expansion occurs:

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Question 10:

The nurse examines a client's auditory canal and tympanic membrane with an otoscope. The nurse recognizes that which of the following is considered an abnormal finding?

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Question 11:

The nurse is assessing the symmetry of the client's chest. The nurse recognizes that a client's symmetric expansion of the chest is best confirmed by:

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Question 12:

The nurse is examining an adult client within normal weight limit. The nurse notices that he has bilateral gynecomastia. Which of the following describes the nurse's best course of action?

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Question 13:

The nurse is preparing to assess the heart rate on an adult female client. The nurse recognizes that the apical pulse can be assessed in an adult female at which of the following anatomical position?

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Question 14:

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:

Answer and Explanation

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Question 15:

The nurse is assessing the carotid arteries of a client with cardiovascular disease. What action should be performed next by the nurse?

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Question 16:

The nurse is performing a breast examination on a client. The nurse understands that examining the upper outer quadrant of the breast is especially important because this part is:

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Question 17:

The nurse is assessing the tonsils of an adult client. The nurse notices that the tonsils are involuted, granular in appearance, and has deep crypts. The nurse recognizes that which of the following is the correct response to these findings?

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Question 18:

The nurse is assessing a client diagnosed with fluid overload. The nurse should implement priority interventions for which of the following assessment findings? (Select all that apply.)

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Question 19:

The nurse is performing the diagnostic positions test. The nurse recognizes that normal findings from the diagnostic positions test should be which of these results?

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Question 20:

A client diagnosed with pleuritis has been admitted to the hospital and complains of pain with breathing. Which of the following assessment findings should the nurse expect when auscultating a client with pleuritis?

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Question 21:

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:

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Question 22:

A nurse is teaching a client's partner about how to obtain a blood pressure reading. Which of the following actions by the partner indicates a need for further instruction?

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Question 23:

The nurse is doing an examination of a client's anterior thorax. The nurse recognizes that the trachea bifurcates anteriorly at the:

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Question 24:

The nurse is preparing to auscultate for heart sounds on a client. Which of the following technique should be used by the nurse?

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Question 25:

The nurse is completing an assessment on a client suspected of having a transient ischemic attack. Which of the following techniques should the nurse use to assess the client's carotid arteries?

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