ATI RN
ATI Medsurg Exam 5 Questions
Extract:
Question 1 of 5
The nurse is assessing a client in the emergency department who complains of acute pain in the abdomen. Which of the following should be the priority action by the nurse?
Correct Answer: C
Rationale: Assessing the type and cause of abdominal pain is the priority to guide appropriate treatment, avoiding premature medication or delays.
Question 2 of 5
The nurse is preparing to assess the blood pressure on a client. Which of the following should be the appropriate guidelines when selecting the correct blood pressure cuff size?
Correct Answer: B
Rationale: The cuff's rubber bladder width should be approximately 40% of the arm circumference to ensure accurate blood pressure measurement. Incorrect cuff sizes can lead to false readings.
Question 3 of 5
The nurse recognizes that receiving messages is part of the communication process. Which client should the nurse identify as most likely to misinterpret a message received from a health care professional?
Correct Answer: D
Rationale: A hearing impairment with an interpreter introduces potential communication barriers, increasing the risk of misinterpretation.
Question 4 of 5
The nurse is caring for a client who complains of inability to differentiate between sharp and dull stimulation to both sides of the face. Which of the following should the nurse expect as the cause of the client's complaint?
Correct Answer: D
Rationale: Trigeminal nerve damage impairs facial sensation, causing difficulty distinguishing sharp and dull stimuli, unlike CVA, Bell palsy, or scleroderma.
Question 5 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.