ATI RN
ATI Medsurg Exam 5 Questions
Extract:
Question 1 of 5
The nurse is caring for a client with stage 2 pressure ulcer. The nurse should document which of the following as characteristic of a stage II pressure ulcer?
Correct Answer: D
Rationale: Stage II pressure ulcers involve partial-thickness loss with open blisters and a red-pink wound bed, not eschar or subcutaneous involvement.
Question 2 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 3 of 5
The nurse is assessing the quality of a client's pain. Which of the following should be the appropriate question by the nurse?
Correct Answer: B
Rationale: Asking 'What does your pain feel like?' allows the client to describe pain quality comprehensively, unlike limiting or time-focused questions.
Question 4 of 5
The nurse recognizes that the client's record, laboratory studies, objective data, and subjective data combine to form which of the following?
Correct Answer: B
Rationale: The database compiles all client health data, including records, labs, and subjective/objective findings, for comprehensive care planning.
Question 5 of 5
The nurse recognizes that an important tool in building cultural competence when caring for a client is the:
Correct Answer: A
Rationale: The cultural assessment competency tool guides nurses in collecting culturally relevant information to provide respectful care, unlike tools focused on health risks, ethnic identity, or heritage.