ATI RN
ATI Med Surg Health Assesment Quiz Questions
Extract:
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
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.
Question 3 of 5
An overweight African-American female client with a diagnosis of hypothyroidism asks the nurse why she has begun to gain body weight. Which is the best explanation the Medical Surgical nurse can provide?
Correct Answer: A
Rationale: Hypothyroidism leads to a decrease in the production of thyroid hormones, which are critical in regulating metabolism. With lower levels of these hormones, the body's metabolic rate decreases, resulting in reduced calorie burning and subsequent weight gain. This explanation directly addresses the underlying cause of weight gain in hypothyroidism.
Question 4 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 5 of 5
A nurse assesses an older adult client who lives alone and is unable to drive a vehicle. Which of the following assessment areas of the nutritional history will most likely impact the client's nutritional status?
Correct Answer: A
Rationale: Accessibility to food sources is critical for an older adult who cannot drive, directly impacting their ability to maintain adequate nutrition.