ATI RN
ATI Med Surg Health Assesment Quiz Questions
Extract:
Question 1 of 5
A 22-year-old female client with a history of Anorexia and Bulimia Nervosa is prescribed serial weight measurements every day. What actions will the nurse take when conducting these serial weights? (Select all that apply.)
Correct Answer: B,C,D
Rationale: Consistency in clothing, timing, and scale use ensures accurate serial weight measurements, minimizing variations unrelated to body weight.
Question 2 of 5
Which nutritional data obtained from a client needs MOST validation by a nurse?
Correct Answer: B
Rationale: The statement about rings not fitting suggests a change in physical condition, likely indicating fluid retention or edema, which requires validation as it could signify underlying issues such as heart failure or kidney problems.
Question 3 of 5
What is the primary pathophysiology of glaucoma?
Correct Answer: C
Rationale: Glaucoma is characterized by elevated IOP, which pressures the optic nerve, leading to progressive damage and vision loss if untreated.
Question 4 of 5
During an assessment the nurse performs the action shown in this image. What is the purpose of this action?
Correct Answer: C
Rationale: Pressing on the nail bed to assess capillary refill time evaluates peripheral perfusion, indicating circulatory status.
Question 5 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.