ATI RN
ATI Med Surg Health Assesment Quiz Questions
Extract:
Question 1 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.
Question 2 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 3 of 5
A 57-year-old client reports, 'I am having the worst headache I have ever experienced.' Which action/Priority should the nurse perform next?
Correct Answer: C
Rationale: Assessing the client's blood pressure is a critical initial action. A severe headache can be a symptom of hypertensive crisis, stroke, or other serious conditions. High blood pressure could provide an immediate clue to the severity and cause of the headache, allowing for quicker intervention.
Question 4 of 5
When the nurse is preparing to assess the thyroid gland of a client with suspected hypothyroidism, why is it important to bring a cup of water to the physical examination?
Correct Answer: C
Rationale: Having the client drink water allows the nurse to observe the thyroid gland's movement during swallowing, aiding in detecting abnormalities like goiters.
Question 5 of 5
A nurse is performing a complete physical examination on a patient. After examining the patient with the Snellen chart, the nurse documented distance vision in both eyes 20/40. The patient asks the nurse what 20/40 means:
Correct Answer: A
Rationale: 20/40 means the patient reads at 20 feet what a person with normal vision reads at 40 feet, indicating reduced visual acuity.