ATI RN
ATI Medsurg Exam 5 Questions
Extract:
Question 1 of 5
The nurse is performing an examination of the client's face. The nurse should recognize that which two of the salivary glands are accessible during facial examination?
Correct Answer: A
Rationale: The parotid and submandibular glands are palpable during facial examination, unlike sublingual or non-salivary glands like occipital.
Question 2 of 5
The nurse is assessing for Jaundice on a client diagnosed with liver disease. Which of the following should the nurse document as an assessment finding for jaundice?
Correct Answer: A
Rationale: Jaundice causes yellowing of the sclera due to bilirubin buildup, visible in normal light, unlike nail deposits or iris involvement.
Question 3 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 4 of 5
The nurse is preparing to assess the blood pressure on a client. Which of the following should be the appropriate guidelines when selecting the correct blood pressure cuff size?
Correct Answer: B
Rationale: The cuff's rubber bladder width should be approximately 40% of the arm circumference to ensure accurate blood pressure measurement. Incorrect cuff sizes can lead to false readings.
Question 5 of 5
The nurse is performing a physical examination on a client. Which of the following should be an appropriate action by the nurse to prevent the spread of infection during a physical examination?
Correct Answer: A
Rationale: Hand washing before and after client encounters is critical to prevent infection transmission, unlike selective glove use or skipping post-glove hygiene.