ATI RN
ATI Med Surg Health Assesment Quiz Questions
Extract:
Question 1 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.
Question 2 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 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
A client describes a 3-week history of hoarseness. The client also reports feeling fatigue and noticeable weight gain over the past month. Which cause should the nurse consider as most likely?
Correct Answer: D
Rationale: Hypothyroidism commonly causes hoarseness, fatigue, and weight gain due to decreased thyroid hormone production affecting metabolism and tissue function.
Question 5 of 5
What data collected during an integumentary assessment should cause the nurse to be concerned that a client is at risk for the development of skin cancer? (Select all that apply.)
Correct Answer: A,C,D
Rationale: Age 55, light-colored hair, and actinic keratosis are risk factors for skin cancer due to increased UV exposure, reduced melanin protection, and precancerous lesions, respectively.