ATI RN
ATI Med Surg Health Assesment Quiz Questions
Extract:
Question 1 of 5
The nurse read the patient's health history cranial nerve III oculomotor paralysis. Which of the following would the nurse expect?
Correct Answer: C
Rationale: Cranial nerve III (oculomotor nerve) paralysis leads to ptosis (drooping eyelid) because it innervates the levator palpebrae superioris muscle. It also affects the pupillary constrictor muscles, resulting in a dilated pupil (lack of pupillary constriction), making this the most comprehensive and accurate answer.
Question 2 of 5
A nurse assesses an older adult client who lives alone and is unable to drive a vehicle. Which of the following assessment areas of the nutritional history will most likely impact the client's nutritional status?
Correct Answer: A
Rationale: Accessibility to food sources is critical for an older adult who cannot drive, directly impacting their ability to maintain adequate nutrition.
Question 3 of 5
During an assessment the nurse performs the action shown in this image. What is the purpose of this action?
Correct Answer: C
Rationale: Pressing on the nail bed to assess capillary refill time evaluates peripheral perfusion, indicating circulatory status.
Question 4 of 5
What abnormal physical response should the nurse be prepared to manage after noting pallor in a client?
Correct Answer: C
Rationale: Pallor is often a sign of decreased blood flow to the skin, indicating potential hypoperfusion. If severe, this reduced circulation can lead to fainting (syncope) due to inadequate blood supply to the brain.
Question 5 of 5
An overweight African-American female client with a diagnosis of hypothyroidism asks the nurse why she has begun to gain body weight. Which is the best explanation the Medical Surgical nurse can provide?
Correct Answer: A
Rationale: Hypothyroidism leads to a decrease in the production of thyroid hormones, which are critical in regulating metabolism. With lower levels of these hormones, the body's metabolic rate decreases, resulting in reduced calorie burning and subsequent weight gain. This explanation directly addresses the underlying cause of weight gain in hypothyroidism.