ATI RN
ATI Medsurg Exam 5 Questions
Extract:
Question 1 of 5
The nurse is assessing a client's pain. The nurse should recognize which of the following is the most reliable indicator of pain?
Correct Answer: B
Rationale: The client's subjective report is the most reliable pain indicator, as pain is a personal experience, unlike vital signs or nurse intuition.
Question 2 of 5
A nurse is providing care to a client from a different cultural background. The nurse recognizes that which of the following is an indication of culturally competent care?
Correct Answer: C
Rationale: An open attitude toward dietary choices shows respect for cultural preferences, indicating culturally competent care.
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 a physical examination on a client. Which of the following should be an appropriate action by the nurse to prevent the spread of infection during a physical examination?
Correct Answer: A
Rationale: Hand washing before and after client encounters is critical to prevent infection transmission, unlike selective glove use or skipping post-glove hygiene.
Question 5 of 5
The nurse is performing care on a client. The nurse should recognize which of the following as a description of the pulse pressure?
Correct Answer: A
Rationale: Pulse pressure is the numerical difference between systolic and diastolic blood pressure, expressed in mmHg. It reflects cardiovascular dynamics, including stroke volume and arterial compliance, not vasoconstriction, blood viscosity, or systolic pressure alone.