ATI RN
ATI Nurse 142 Final Questions
Extract:
Question 1 of 5
The nurse is assessing the patient's lips and notes a bluish tinge. This finding would indicate that the patient may be experiencing which problem?
Correct Answer: B
Rationale: Hypoxia is a medical condition characterized by a lack of oxygen in the body's tissues, which can occur due to a variety of reasons, such as respiratory failure, cardiac arrest, or other serious medical conditions. Cyanosis occurs when the oxygen saturation level in the blood falls below 85%, which causes a bluish color to appear on the skin, especially on the lips and fingertips.
Therefore, if a nurse observes cyanosis in a patient's lips, it is a significant sign of hypoxia, and the patient requires immediate medical attention.
Question 2 of 5
The nurse is assessing the patient's lips and notes a bluish tinge. This finding would indicate that the patient may be experiencing which problem?
Correct Answer: B
Rationale: Hypoxia is a medical condition characterized by a lack of oxygen in the body's tissues, which can occur due to a variety of reasons, such as respiratory failure, cardiac arrest, or other serious medical conditions. Cyanosis occurs when the oxygen saturation level in the blood falls below 85%, which causes a bluish color to appear on the skin, especially on the lips and fingertips.
Therefore, if a nurse observes cyanosis in a patient's lips, it is a significant sign of hypoxia, and the patient requires immediate medical attention.
Question 3 of 5
The nurse would document which of the following as objective data obtained during a patient assessment?
Correct Answer: B
Rationale: Objective data are measurable and observable. Loss of hair on bilateral legs can be visually confirmed, making it objective. Reports of itching, pain, or numbness are subjective, relying on the patient's perception.
Question 4 of 5
The nurse is conducting a psychosocial assessment. Which of the following would be included in this assessment? (Select all that apply)
Correct Answer: C,D
Rationale: The Mini-Mental Status Exam assesses cognitive function, and the Activities of Daily Living
Tool evaluates the patient's ability to perform daily tasks, both of which are components of a psychosocial assessment. The CAGE assessment is specific to alcohol use, and the Heinrich Fall Scale is related to fall risk, not psychosocial assessment.
Question 5 of 5
The nurse assesses the patient's visual acuity to be 20/25 using an eye chart. The patient asks what that means. Which of the following is the nurse's best response?
Correct Answer: C
Rationale: A visual acuity of 20/25 means the patient can read at 20 feet what a person with normal vision can read at 25 feet, indicating slightly below-average but normal-range vision.