ATI RN
ATI Med Surg Health Assesment Quiz Questions
Question 1 of 5
A home health nurse is assessing an older adult client in the home who has decreased vision due to a history of glaucoma. Which of the following findings should the nurse identify as a safety risk?
Correct Answer: D
Rationale: Scatter rugs are a significant safety risk, especially for older adults with decreased vision. These rugs can easily cause trips and falls, leading to potentially serious injuries.
Question 2 of 5
In which disease process should a nurse expect to see a client with the presence of pitting edema?
Correct Answer: A
Rationale: Pitting edema is commonly seen in liver disease, especially in conditions like cirrhosis. Liver disease can lead to hypoalbuminemia, where low levels of albumin in the blood cause fluid to leak into the interstitial spaces, resulting in edema. Additionally, liver disease often leads to portal hypertension, which can also contribute to the development of edema.
Question 3 of 5
A 75-year-old male who is a chronic alcoholic present to the medical office for his annual wellness visit. How would describe the findings found in photo?
Correct Answer: C
Rationale: The yellow discoloration of the skin and sclera in the photo indicates jaundice, commonly associated with liver dysfunction in chronic alcoholics.
Question 4 of 5
During your physical examination of a 29-year-old professional volleyball player who recently completed a beach tournament, you gently pinch the skin on the chest area. The skin remains in a 'tent' shape and slowly returns to its normal position. This is a sign of
Correct Answer: A
Rationale: Decreased skin turgor, indicated by tenting skin, is a clinical sign of dehydration, especially after vigorous activity like a beach tournament.
Question 5 of 5
A nurse is assessing for cyanosis in a client who has dark skin. Which of the following sites should the nurse examine to identify cyanosis in this client?
Correct Answer: A
Rationale: Mucous membranes are the best site to assess cyanosis in dark-skinned clients due to lower pigmentation and high vascularity.