ATI RN
ATI Med Surg Health Assesment Quiz Questions
Extract:
Question 1 of 5
The nurse is doing a focus assessment on a 25-year-old college student who presented to the clinic secondary to fever and lethargy. When recording the findings of the lymph glands, a nurse should note all except:
Correct Answer: D
Rationale: Color is not typically assessed for lymph nodes, as they are internal and not visible without invasive procedures; size, consistency, and shape are key.
Question 2 of 5
Which risk factor for traumatic brain injury (TBI) should a nurse include in a discussion about prevention for a group of adolescents?
Correct Answer: A
Rationale: Adolescents are particularly susceptible to TBIs due to their frequent involvement in contact sports like football, soccer, and hockey, as well as risky behaviors associated with driving. These activities are leading causes of TBIs in this age group.
Question 3 of 5
A client complains of excessive tearing of the eyes. Which assessment would the nurse do next?
Correct Answer: A
Rationale: Excessive tearing, or epiphora, can result from an obstruction in the nasolacrimal duct, which drains tears from the eye into the nasal cavity. By assessing the nasolacrimal sac, the nurse can determine if there is any blockage or infection causing the excessive tearing.
Question 4 of 5
Which of the following is a potential adverse reaction to silver sulfadiazine in burn victims?
Correct Answer: B
Rationale: Silver sulfadiazine contains sulfa, and patients with sulfa allergies may experience allergic reactions, ranging from rashes to severe systemic responses.
Question 5 of 5
What is the primary pathophysiology of glaucoma?
Correct Answer: C
Rationale: Glaucoma is characterized by elevated IOP, which pressures the optic nerve, leading to progressive damage and vision loss if untreated.