ATI RN
ATI Fundamentals Assessment Exam Midterm Questions
Extract:
Question 1 of 5
A nurse is assessing a 64-year-old African-American client who has jaundice. The patient has a past medical history of alcoholism and liver cirrhosis. Which of the following areas is the most reliable for the nurse to inspect for jaundice?
Correct Answer: B
Rationale: The correct answer is B: Sclera of the eye. The sclera is the white part of the eye, and jaundice is often first noticeable in this area due to the yellow discoloration caused by elevated levels of bilirubin in the blood. In this case, with the patient having liver cirrhosis and jaundice, the sclera would be the most reliable area to inspect. The conjunctiva (choice
A) can also show jaundice, but it may be less noticeable compared to the sclera. The back of the neck (choice
C) and palms of the hands (choice
D) are not typically reliable areas to assess for jaundice.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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