Questions 40

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ATI RN Test Bank

ATI Med Surg Health Assesment Quiz Questions

Extract:


Question 1 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 2 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.

Question 3 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 4 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 5 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.

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