ATI RN
ATI Med Surg Health Assesment Quiz Questions
Extract:
Question 1 of 5
A 57-year-old client reports, 'I am having the worst headache I have ever experienced.' Which action/Priority should the nurse perform next?
Correct Answer: C
Rationale: Assessing the client's blood pressure is a critical initial action. A severe headache can be a symptom of hypertensive crisis, stroke, or other serious conditions. High blood pressure could provide an immediate clue to the severity and cause of the headache, allowing for quicker intervention.
Question 2 of 5
During a health history, a 48-year-old client states, 'I've noticed that I need to hold my newspaper farther away so that I can read it.' Which of the following would the nurse suspect?
Correct Answer: A
Rationale: Presbyopia is an age-related condition where the lens of the eye loses elasticity, making it harder to focus on close objects. This condition typically begins to affect individuals around the age of 40, causing them to hold reading materials farther away to see them clearly.
Question 3 of 5
At which location would a nurse palpate a client's occipital lymph nodes?
Correct Answer: C
Rationale: Occipital lymph nodes are located at the posterior base of the skull, near the nape of the neck, draining the scalp.
Question 4 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.
Question 5 of 5
The nurse performs the action shown in this image during the assessment of a client. What is the nurse assessing?
Correct Answer: C
Rationale: Pinching the skin, as shown, assesses skin turgor, which helps determine hydration status; slow return indicates dehydration.