ATI RN
ATI Medsurg Exam 5 Questions
Extract:
Question 1 of 5
The nurse is caring for a client who reports a lump below the 'Adam's apple.' Which of the following assessment findings should the nurse recognize as a non-cancerous lump?
Correct Answer: D
Rationale: A mobile and soft lump is typically benign, unlike hard, fixed, or irregular lumps, which suggest malignancy.
Question 2 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 3 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 4 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 5 of 5
The nurse is providing education about the correct use of an otoscope for an examination. Which statement made by the nurse indicates understanding regarding the use of the otoscope?
Correct Answer: C
Rationale: An otoscope directs light to visualize the ear canal and tympanic membrane, not the eye, sinuses, or tonsils.