ATI RN
ATI RN Custom Exams Set 3
1. The nurse is told in report that the client has aortic stenosis. Which anatomical position should the nurse auscultate to assess the murmur?
- A. Second intercostal space, right sternal border
- B. Erb’s point
- C. Second intercostal space, left sternal border
- D. Fourth intercostal space, left sternal border
Correct answer: A
Rationale: The correct anatomical position for auscultating the murmur of aortic stenosis is the second intercostal space, right sternal border. This is where the aortic valve is best auscultated, and the murmur of aortic stenosis is heard most clearly. Choices B, C, and D are incorrect as the murmur of aortic stenosis is best heard at the second intercostal space on the right side of the sternum.
2. Which of the following nursing interventions is appropriate after a total thyroidectomy?
- A. Place pillows under your patient’s shoulders.
- B. Raise the knee-gatch to 30 degrees
- C. Keep you patient in a high-fowler’s position.
- D. Support the patient’s head and neck with pillows and sandbags.
Correct answer: D
Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.
3. The nurse determines a need for additional instruction when the patient with newly diagnosed type 1 diabetes says which of the following?
- A. �I can have an occasional alcoholic drink if I include it in my meal plan.�
- B. �I will need a bedtime snack because I take an evening dose of NPH insulin.�
- C. �I can choose any foods, as long as I use enough insulin to cover the calories.�
- D. �I will eat something at meal times to prevent hypoglycemia, even if I am not hungry.�
Correct answer: C
Rationale:
4. A healthcare provider is assessing a client who has a stage III pressure ulcer that is healing poorly. The provider should identify that which of the following vitamin deficiencies increases the client’s risk for delayed wound healing?
- A. Vitamin C
- B. Vitamin D
- C. Vitamin E
- D. Vitamin B6
Correct answer: A
Rationale: Corrected Rationale: Vitamin C deficiency can impair collagen synthesis and delay wound healing, making it crucial for recovery from pressure ulcers. Incorrect Rationales: - Vitamin D deficiency is associated with bone health, not specifically wound healing. - Vitamin E deficiency can lead to neurological and immune system issues but is not directly linked to delayed wound healing. - Vitamin B6 deficiency can cause skin rashes and neurological symptoms but is not a primary factor in delayed wound healing.
5. Where does the male produce sperm, and where are these glands located?
- A. penis; scrotum
- B. scrotum; penis
- C. testes; penis
- D. testes; scrotum
Correct answer: D
Rationale: The male produces sperm in the testes, which are two glands located in the scrotum. The scrotum is the external sac that houses and protects the testes, allowing for optimal temperature regulation to support sperm production. Choice A is incorrect because sperm production does not occur in the penis. Choice B is incorrect because the scrotum houses the testes, not the penis. Choice C is incorrect because sperm is produced in the testes, not the penis.