ATI RN FUNDAMENTALS EXAM 2025 ACTUAL EXAM
COMPLETE QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED
A+
1.A nurse is assessing the heart sounds of a client who has developed
chest pain that becomes worse wth inspiration. the nurse auscultates a high-
pitched scratching sound during both systole and diastole with diaphragm
of the stethoscope positioned at the left sternal border. Which of the
following heart sounds should the nurse document?
A. Audible click
B. Murmur
C. Third heart sound
D. Pericardial friction rub: D. Pericardial friction rub
Pericardial friction
rub MY ANSWER
A pericardial friction rub has a high-pitched scratching, grating, or
squeaking leath- ery sound heard best with the diaphragm of the
stethoscope at the left sternal border. A pericardial friction rub is a
manifestation of pericardial inflammation and can be heard with infectiv
pericarditis with myocardial infarction, following cardiac surgery or
trauma, and with some autoimmune problems, such as rheumatic fever.
The client who develops pericarditis typically has chest pain which
becomes worse with inspiration or coughing and which may be relieved
by sitting up and leaning forward.
To get this or any other Exam contact ()
, Audible click
An audible clicking sound occurs in clients who have prosthetic valve
replacement surgery.
Murmur
A heart murmur has a swishing or a whistling sound. Heart murmurs are
caused by turbulent blood flow through valves or ventricular outflow
tracts. Low- and medi- um-frequency sounds are more easily heard with
the bell of the stethoscope applied lightly to the skin; high-frequency
sounds are more easily heard with a diaphragm. A murmur can be a
manifestation of valvular disease.
Third heart sound
A third heart sound is a low-pitched sound after the second heart sound.
An S3 is caused by rapid ventricular filling during diastole. It is best hear
at the mitral area, with the client lying on the left side. An S3 is
commonly heard in children and young adults. In older adults and clients
who have heart disease, an S3 often indicates heart failure.
2.A nurse is obtaining the blood pressure in a client's lower extremity.
Which of the following actions should the nurse take?
A. Auscultate for the blood pressure at the dorsalis pedis artery.
B. Measure the blood pressure with the client sitting on the side of the bed.
To get this or any other Exam contact ()
COMPLETE QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED
A+
1.A nurse is assessing the heart sounds of a client who has developed
chest pain that becomes worse wth inspiration. the nurse auscultates a high-
pitched scratching sound during both systole and diastole with diaphragm
of the stethoscope positioned at the left sternal border. Which of the
following heart sounds should the nurse document?
A. Audible click
B. Murmur
C. Third heart sound
D. Pericardial friction rub: D. Pericardial friction rub
Pericardial friction
rub MY ANSWER
A pericardial friction rub has a high-pitched scratching, grating, or
squeaking leath- ery sound heard best with the diaphragm of the
stethoscope at the left sternal border. A pericardial friction rub is a
manifestation of pericardial inflammation and can be heard with infectiv
pericarditis with myocardial infarction, following cardiac surgery or
trauma, and with some autoimmune problems, such as rheumatic fever.
The client who develops pericarditis typically has chest pain which
becomes worse with inspiration or coughing and which may be relieved
by sitting up and leaning forward.
To get this or any other Exam contact ()
, Audible click
An audible clicking sound occurs in clients who have prosthetic valve
replacement surgery.
Murmur
A heart murmur has a swishing or a whistling sound. Heart murmurs are
caused by turbulent blood flow through valves or ventricular outflow
tracts. Low- and medi- um-frequency sounds are more easily heard with
the bell of the stethoscope applied lightly to the skin; high-frequency
sounds are more easily heard with a diaphragm. A murmur can be a
manifestation of valvular disease.
Third heart sound
A third heart sound is a low-pitched sound after the second heart sound.
An S3 is caused by rapid ventricular filling during diastole. It is best hear
at the mitral area, with the client lying on the left side. An S3 is
commonly heard in children and young adults. In older adults and clients
who have heart disease, an S3 often indicates heart failure.
2.A nurse is obtaining the blood pressure in a client's lower extremity.
Which of the following actions should the nurse take?
A. Auscultate for the blood pressure at the dorsalis pedis artery.
B. Measure the blood pressure with the client sitting on the side of the bed.
To get this or any other Exam contact ()
