ATI RN
ATI Medsurg Exam 5 Questions
Extract:
Question 1 of 5
The nurse assesses a client with decreased skin turgor. Which of the following conditions should the nurse recognize to be consistent with decreased skin turgor?
Correct Answer: D
Rationale: Decreased skin turgor, where skin remains tented after pinching, indicates severe dehydration, not aging, fluid overload, or obesity.
Question 2 of 5
The nurse is caring for an older adult client in the emergency room diagnosed with dehydration after being found lying on the floor for 2 days. Which of the following assessment findings should the nurse expect on a dehydrated client?
Correct Answer: A
Rationale: Dehydration causes dry mucous membranes and lips due to reduced fluid levels, unlike pale membranes, smooth lips, or white patches, which indicate other conditions.
Question 3 of 5
The nurse is performing an examination of the client's lymph nodes in the neck. The nurse should recognize which of the following is the appropriate assessment technique of lymph nodes in the neck?
Correct Answer: D
Rationale: Gentle pressure with both hands allows accurate assessment of lymph node characteristics without causing discomfort, unlike strong pressure or pinching.
Question 4 of 5
The nurse is reviewing concepts of cultural pain. Which statement by the nurse is accurate regarding a client's expression of pain?
Correct Answer: C
Rationale: Pain expression varies due to cultural, social, and individual factors, not just biology or tissue injury, acknowledging diverse pain responses.
Question 5 of 5
A nurse is caring for a client diagnosed with emphysema and bronchitis. Which of the following should the nurse recognize as an expected finding for a client diagnosed with emphysema and bronchitis?
Correct Answer: D
Rationale: Clubbing of the nails is a common finding in chronic respiratory conditions like emphysema and bronchitis due to hypoxia.