ATI RN
ATI Medsurg Exam 5 Questions
Extract:
Question 1 of 5
The nurse is assessing the intensity of a client's pain. Which of the following should be the appropriate question by the nurse?
Correct Answer: B
Rationale: Asking 'How much pain do you have now?' directly assesses pain intensity, unlike questions about function, quality, or aggravating factors.
Question 2 of 5
A nurse is performing a review of systems on a client. The nurse recognizes that the purpose of the review of systems in a health history is to:
Correct Answer: B
Rationale: The review of systems collects subjective data on each body system to evaluate health status, not to document specific problems or objective findings.
Question 3 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 4 of 5
The nurse is examining a client's lower leg and notices a draining ulcer. Which of the following should be the appropriate action by the nurse?
Correct Answer: C
Rationale: Washing hands and wearing gloves before examining the ulcer ensures infection control and safe assessment, prioritizing patient safety.
Question 5 of 5
The nurse is auscultating the client's bowel sounds and is unsure of a sound that is heard. Which action should the nurse take next?
Correct Answer: C
Rationale: Validating unclear findings with another RN ensures accuracy before documenting or notifying the physician, improving assessment reliability.