ATI RN
Health Assessment Practice Questions Questions
Question 1 of 5
During examination of a 4-year-old Aboriginal child, the nurse notices that her uvula is partially split. Which of the following statements about this condition is accurate?
Correct Answer: B
Rationale: The correct answer is B: This is a bifid uvula, which is a common occurrence in some Aboriginal groups.
1. A bifid uvula is a condition where the uvula is split or divided, which is a common variation seen in some Aboriginal populations.
2. Cleft palate is a different condition involving a gap in the roof of the mouth, not specifically related to Aboriginal people.
3. Uvular injury is not a common cause of a split uvula in children, so reporting to authorities is unnecessary.
4.
Torus palatinus is a bony growth on the roof of the mouth and not related to a split uvula or specific to Aboriginal populations.
Question 2 of 5
What should the nurse do when a client develops severe shortness of breath after surgery?
Correct Answer: A
Rationale: The correct answer is A: Administer oxygen. This is the priority intervention to address severe shortness of breath, ensuring the client receives adequate oxygenation. Administering oxygen helps improve oxygen saturation levels and supports respiratory function. Encouraging deep breathing (
B) may exacerbate the client's distress. Elevating the head of the bed (
C) can help improve breathing but does not address the immediate need for oxygen. Administering antibiotics (
D) is not indicated for shortness of breath unless there is an underlying infection causing it.
Question 3 of 5
While taking a detailed history, what should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Functional status. Including functional status in the history is essential as it provides information about the client's ability to perform activities of daily living. This information is crucial for assessing the client's overall health and well-being. Functional status helps the nurse understand the impact of health issues on the client's daily life and helps in planning appropriate care interventions.
B: Data focusing on the client complaint is too narrow and may not provide a comprehensive understanding of the client's health status.
C: A focused assessment of the client complaint may overlook other important aspects of the client's health that could impact their overall well-being.
D: Family history for the past three generations is not typically included in a detailed history-taking process and may not be directly relevant to the client's current health status.
Question 4 of 5
For which condition might blood be drawn to check uric acid levels?
Correct Answer: B
Rationale: The correct answer is B: gout. Uric acid levels are typically checked for gout, a type of arthritis caused by the buildup of uric acid crystals in the joints. This condition directly relates to uric acid levels in the blood. Asthma (choice
A), diverticulitis (choice
C), and meningitis (choice
D) do not typically require checking uric acid levels. Asthma is a respiratory condition, diverticulitis is a gastrointestinal condition, and meningitis is an inflammation of the protective membranes covering the brain and spinal cord.
Question 5 of 5
When examining the face, the nurse is aware that the two pairs of salivary glands that are accessible to examination are the _____ glands.
Correct Answer: C
Rationale: The correct answer is C, parotid and submandibular glands. The parotid and submandibular glands are the two pairs of salivary glands that are accessible for examination in the face. The parotid gland is located near the ear, while the submandibular gland is located under the jaw. The other choices are incorrect because:
A: Occipital and submental glands are not salivary glands accessible for examination in the face.
B: Parotid gland is correct, but jugulodigastric gland is not a salivary gland.
D: Submandibular gland is correct, but occipital gland is not a salivary gland.