ATI RN
ATI Medsurg Exam 5 Questions
Extract:
Question 1 of 5
The nurse is performing an assessment on a client. Which of the following information should the nurse include in the client's history?
Correct Answer: C
Rationale: Subjective data, like a reported breast lump, belongs in the client's history, unlike objective findings like edema or pulse rate.
Question 2 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 3 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 4 of 5
The nurse is performing assessment of the temporomandibular joint for crepitation. Which of the following anatomical locations should the nurse palpate as the temporomandibular joint?
Correct Answer: A
Rationale: The TMJ is located anterior to the tragus, below the temporal artery, allowing accurate palpation for crepitation, unlike the other locations.
Question 5 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.