ATI RN
ATI Medsurg Exam 5 Questions
Extract:
Question 1 of 5
The nurse is performing physical assessing on a client. Which of the following techniques should the nurse use to assess the presence of pulsations, swelling, and crepitus?
Correct Answer: A
Rationale: Palpation uses touch to detect pulsations, swelling, and crepitus, unlike auscultation, inspection, or percussion.
Question 2 of 5
The nurse is caring for a client with stage 2 pressure ulcer. The nurse should document which of the following as characteristic of a stage II pressure ulcer?
Correct Answer: D
Rationale: Stage II pressure ulcers involve partial-thickness loss with open blisters and a red-pink wound bed, not eschar or subcutaneous involvement.
Question 3 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 4 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 5 of 5
During the aging process, the hair changes and can look gray or white and begin to feel thin and fine. Which of the following should the nurse recognize as the cause for hair changes during the aging process?
Correct Answer: B
Rationale: Decreased melanocyte function reduces melanin, causing gray or white hair, unlike vascularity, cutaneous cells, or adipose tissue.