ATI RN
ATI Med Surg Health Assesment Quiz Questions
Extract:
Question 1 of 5
A nurse measures a patient height and weight and calculate his BMI. Patient BMI is 37. Classify according to this BMI results?
Correct Answer: A
Rationale: A BMI of 37 falls within the range of 35 to 39.9, classified as Obesity Class II per WHO guidelines.
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
The nurse read the patient's health history cranial nerve III oculomotor paralysis. Which of the following would the nurse expect?
Correct Answer: C
Rationale: Cranial nerve III (oculomotor nerve) paralysis leads to ptosis (drooping eyelid) because it innervates the levator palpebrae superioris muscle. It also affects the pupillary constrictor muscles, resulting in a dilated pupil (lack of pupillary constriction), making this the most comprehensive and accurate answer.
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
In which disease process should a nurse expect to see a client with the presence of pitting edema?
Correct Answer: A
Rationale: Pitting edema is commonly seen in liver disease, especially in conditions like cirrhosis. Liver disease can lead to hypoalbuminemia, where low levels of albumin in the blood cause fluid to leak into the interstitial spaces, resulting in edema. Additionally, liver disease often leads to portal hypertension, which can also contribute to the development of edema.