ATI Med Surg Health Assesment Quiz | Nurselytic

Questions 40

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ATI Med Surg Health Assesment Quiz Questions

Question 1 of 5

Which of the following best describes Hyperopia?

Correct Answer: C

Rationale: Hyperopia (farsightedness) is characterized by clear vision of distant objects but blurry vision for nearby objects due to light focusing behind the retina.

Question 2 of 5

While working in the Emergency department a Rapid response nurse is evaluating a patient in acute respiratory failure after a motor vehicle crash. Which of the following areas should the nurse evaluate as the most reliable indicator of central cyanosis?

Correct Answer: B

Rationale: The oral mucosa is the most reliable indicator of central cyanosis because it reflects the oxygenation status of the central circulatory system. Cyanosis in this area indicates a significant drop in arterial oxygen saturation and is a more direct indicator of hypoxemia compared to peripheral sites.

Question 3 of 5

When the nurse is preparing to assess the thyroid gland of a client with suspected hypothyroidism, why is it important to bring a cup of water to the physical examination?

Correct Answer: C

Rationale: Having the client drink water allows the nurse to observe the thyroid gland's movement during swallowing, aiding in detecting abnormalities like goiters.

Question 4 of 5

The nurse notes a break in the skin, which appears blister-like, it looks superficial with loss up to the dermis layer. The nurse would interpret this finding as indicating which stage of pressure ulcer.

Correct Answer: D

Rationale: Stage II pressure ulcers are characterized by partial-thickness skin loss involving the epidermis and/or dermis, presenting as shallow open ulcers or blisters.

Question 5 of 5

The nurse is doing a focus assessment on a 25-year-old college student who presented to the clinic secondary to fever and lethargy. When recording the findings of the lymph glands, a nurse should note all except:

Correct Answer: D

Rationale: Color is not typically assessed for lymph nodes, as they are internal and not visible without invasive procedures; size, consistency, and shape are key.

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