ATI RN
ATI Medsurg Exam 5 Questions
Extract:
Question 1 of 5
The nurse documents the blood pressure on a client to be 158/94 mm Hg when lying in bed, 13 mm Hg when sitting in a chair, and 98/60 mm Hg when standing. The nurse should recognize which of the following as the evaluation of this?
Correct Answer: A
Rationale: The significant drop in blood pressure upon standing indicates orthostatic hypotension, not hypertension or normal variation.
Question 2 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 3 of 5
The nurse is performing a physical assessment on a client. Which of the following techniques should the nurse perform first?
Correct Answer: C
Rationale: Inspection is the first step in a physical assessment, involving visual examination to identify abnormalities, followed by palpation, percussion, and auscultation.
Question 4 of 5
The nurse is performing an assessment on a client. Which of the following information should the nurse include in the client's history?
Correct Answer: C
Rationale: Subjective data, like a reported breast lump, belongs in the client's history, unlike objective findings like edema or pulse rate.
Question 5 of 5
The nurse is nearing the end of an interview with a client. Which of the following should be an appropriate statement by the nurse?
Correct Answer: B
Rationale: Asking if the client has more to mention ensures all concerns are addressed, promoting thorough communication.