ATI RN
ATI Medsurg Exam 5 Questions
Extract:
Question 1 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.
Question 2 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 3 of 5
The nurse is caring for a client who complains of inability to differentiate between sharp and dull stimulation to both sides of the face. Which of the following should the nurse expect as the cause of the client's complaint?
Correct Answer: D
Rationale: Trigeminal nerve damage impairs facial sensation, causing difficulty distinguishing sharp and dull stimuli, unlike CVA, Bell palsy, or scleroderma.
Question 4 of 5
The nurse recognizes that an important tool in building cultural competence when caring for a client is the:
Correct Answer: A
Rationale: The cultural assessment competency tool guides nurses in collecting culturally relevant information to provide respectful care, unlike tools focused on health risks, ethnic identity, or heritage.
Question 5 of 5
The nurse recognizes that receiving messages is part of the communication process. Which client should the nurse identify as most likely to misinterpret a message received from a health care professional?
Correct Answer: D
Rationale: A hearing impairment with an interpreter introduces potential communication barriers, increasing the risk of misinterpretation.