ATI RN
ATI Med Surg Health Assesment Quiz Questions
Extract:
Question 1 of 5
The nurse notes a break in the skin, which appears blister-like, it looks superficial with loss up to the dermis layer. The nurse would interpret this finding as indicating which stage of pressure ulcer.
Correct Answer: D
Rationale: Stage II pressure ulcers are characterized by partial-thickness skin loss involving the epidermis and/or dermis, presenting as shallow open ulcers or blisters.
Question 2 of 5
At which location would a nurse palpate a client's occipital lymph nodes?
Correct Answer: C
Rationale: Occipital lymph nodes are located at the posterior base of the skull, near the nape of the neck, draining the scalp.
Question 3 of 5
A nurse assesses a 60kg adult client who is 5 feet 5 inches tall. What is the estimated body mass index (BMI) for this client? Round to the whole number.
Correct Answer: C
Rationale: BMI is calculated as weight (kg) / height (m)^2. Height of 5 feet 5 inches is approximately 1.65 meters. BMI = 60 / (1.65)^2 ≈ 22.
Question 4 of 5
Which of the following is a potential adverse reaction to silver sulfadiazine in burn victims?
Correct Answer: B
Rationale: Silver sulfadiazine contains sulfa, and patients with sulfa allergies may experience allergic reactions, ranging from rashes to severe systemic responses.
Question 5 of 5
A nurse is assessing a client who has hypothyroidism. The nurse should expect which of the following findings?
Correct Answer: D
Rationale: Weight gain is a hallmark symptom of hypothyroidism. It occurs due to a slowing down of the metabolic rate, leading to reduced calorie expenditure and potential fluid retention.