ATI RN
ATI Med Surg Health Assesment Quiz Questions
Extract:
Question 1 of 5
During assessment, the nurse would expect which part of the body to indicate central cyanosis in a client with a severe asthma attack?
Correct Answer: C
Rationale: The oral mucosa is the most reliable site for assessing central cyanosis, reflecting systemic oxygenation status in highly vascularized tissue.
Question 2 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 3 of 5
A 22-year-old female client with a history of Anorexia and Bulimia Nervosa is prescribed serial weight measurements every day. What actions will the nurse take when conducting these serial weights? (Select all that apply.)
Correct Answer: B,C,D
Rationale: Consistency in clothing, timing, and scale use ensures accurate serial weight measurements, minimizing variations unrelated to body weight.
Question 4 of 5
The nurse is preparing to assess a client's near vision. The nurse would use which piece of equipment for the assessment?
Correct Answer: C
Rationale: A magazine or similar reading material is used to assess near vision by having the client read text at a close distance.
Question 5 of 5
A patient is diagnosed with Homonymous Hemianopsia. The nurse expects to find what defects in the visual field of this patient:
Correct Answer: A
Rationale: Homonymous hemianopsia is a condition where there is a loss of vision in the same side of the visual field in both eyes. This occurs due to damage to the visual pathways after the optic chiasm, often from a stroke or brain injury, resulting in the loss of either the right or left visual field in both eyes.