ATI RN
ATI Medsurg Exam 5 Questions
Extract:
Question 1 of 5
The nurse is performing a cardiovascular assessment on a client. Which of the following characteristics of a radial pulse should the nurse document?
Correct Answer: B
Rationale: Documenting the force of the radial pulse reflects its strength, a key cardiovascular assessment, unlike timing, texture, or capillary refill.
Question 2 of 5
A client tells the nurse that he is allergic to penicillin. Which of the following is the best response by the nurse?
Correct Answer: D
Rationale: Asking the client to describe their reaction clarifies the allergy's nature and severity, guiding safe care planning.
Question 3 of 5
The nurse documents the blood pressure on a client to be 158/94 mm Hg when lying in bed, 13 mm Hg when sitting in a chair, and 98/60 mm Hg when standing. The nurse should recognize which of the following as the evaluation of this?
Correct Answer: A
Rationale: The significant drop in blood pressure upon standing indicates orthostatic hypotension, not hypertension or normal variation.
Question 4 of 5
The nurse is performing a functional assessment on a 57-year-old client diagnosed with advanced Chronic Obstructed Pulmonary Disease (COPD). Which of the following should be the appropriate question by the nurse when performing a functional assessment on a client diagnosed with COPD?
Correct Answer: B
Rationale: A functional assessment evaluates a client's ability to perform activities of daily living (ADLs). Asking about bathing assesses an ADL impacted by COPD, unlike questions about dentures, bowel movements, or swallowing.
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.