Questions 40

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ATI RN Test Bank

ATI Med Surg Health Assesment Quiz Questions

Extract:


Question 1 of 5

The nurse performs the action shown in this image during the assessment of a client. What is the nurse assessing?

Correct Answer: C

Rationale: Pinching the skin, as shown, assesses skin turgor, which helps determine hydration status; slow return indicates dehydration.

Question 2 of 5

During assessment, the nurse would expect which part of the body to indicate central cyanosis in a client with a severe asthma attack?

Correct Answer: C

Rationale: The oral mucosa is the most reliable site for assessing central cyanosis, reflecting systemic oxygenation status in highly vascularized tissue.

Question 3 of 5

A 75-year-old male who is a chronic alcoholic present to the medical office for his annual wellness visit. How would describe the findings found in photo?

Correct Answer: C

Rationale: The yellow discoloration of the skin and sclera in the photo indicates jaundice, commonly associated with liver dysfunction in chronic alcoholics.

Question 4 of 5

A nurse measures a patient height and weight and calculate his BMI. Patient BMI is 37. Classify according to this BMI results?

Correct Answer: A

Rationale: A BMI of 37 falls within the range of 35 to 39.9, classified as Obesity Class II per WHO guidelines.

Question 5 of 5

Which risk factor for traumatic brain injury (TBI) should a nurse include in a discussion about prevention for a group of adolescents?

Correct Answer: A

Rationale: Adolescents are particularly susceptible to TBIs due to their frequent involvement in contact sports like football, soccer, and hockey, as well as risky behaviors associated with driving. These activities are leading causes of TBIs in this age group.

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