ATI RN
ATI Medsurg Exam 5 Questions
Extract:
Question 1 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 2 of 5
The nurse is performing physical assessing on a client. Which of the following techniques should the nurse use to assess the presence of pulsations, swelling, and crepitus?
Correct Answer: A
Rationale: Palpation uses touch to detect pulsations, swelling, and crepitus, unlike auscultation, inspection, or percussion.
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
A client came to the Emergency Department with nausea and vomiting. Which of the following will the nurse include in the client's database?
Correct Answer: C
Rationale: In an emergency, the nurse prioritizes data relevant to immediate treatment, such as vital signs and fluid balance, over comprehensive histories or unrelated data.
Question 5 of 5
The nurse is gathering the health history of a client complaining of dyspnea on exertion. While reviewing the data, the nurse finds that some information about past hospitalizations is missing. Which statement by the nurse should be appropriate to gather this data?
Correct Answer: A
Rationale: An open-ended question about past hospitalizations respects client autonomy and gathers relevant data without assumptions.