ATI RN
ATI Medsurg Exam 5 Questions
Extract:
Question 1 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 2 of 5
A nurse is performing a review of systems on a client. The nurse recognizes that the purpose of the review of systems in a health history is to:
Correct Answer: B
Rationale: The review of systems collects subjective data on each body system to evaluate health status, not to document specific problems or objective findings.
Question 3 of 5
The nurse is assessing the intensity of a client's pain. Which of the following should be the appropriate question by the nurse?
Correct Answer: B
Rationale: Asking 'How much pain do you have now?' directly assesses pain intensity, unlike questions about function, quality, or aggravating factors.
Question 4 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 5 of 5
The nurse is performing an examination of the client's lymph nodes in the neck. The nurse should recognize which of the following is the appropriate assessment technique of lymph nodes in the neck?
Correct Answer: D
Rationale: Gentle pressure with both hands allows accurate assessment of lymph node characteristics without causing discomfort, unlike strong pressure or pinching.