ATI RN
ATI Med Surg Health Assesment Quiz Questions
Extract:
Question 1 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 2 of 5
After completing an integument physical examination, the nurse is documenting information concerning observed lesions. What characteristics will the nurse include in this documentation? (Select all that apply.)
Correct Answer: A,B,C,D,E
Rationale: All listed characteristics are essential for comprehensive documentation of lesions, providing critical information for diagnosis and monitoring.
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 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
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.