ATI RN
ATI Medsurg Exam 5 Questions
Extract:
Question 1 of 5
The nurse recognizes that receiving messages is part of the communication process. Which client should the nurse identify as most likely to misinterpret a message received from a health care professional?
Correct Answer: D
Rationale: A hearing impairment with an interpreter introduces potential communication barriers, increasing the risk of misinterpretation.
Question 2 of 5
The nurse is caring for a client who complains of inability to differentiate between sharp and dull stimulation to both sides of the face. Which of the following should the nurse expect as the cause of the client's complaint?
Correct Answer: D
Rationale: Trigeminal nerve damage impairs facial sensation, causing difficulty distinguishing sharp and dull stimuli, unlike CVA, Bell palsy, or scleroderma.
Question 3 of 5
The nurse recognizes that an important tool in building cultural competence when caring for a client is the:
Correct Answer: A
Rationale: The cultural assessment competency tool guides nurses in collecting culturally relevant information to provide respectful care, unlike tools focused on health risks, ethnic identity, or heritage.
Question 4 of 5
The nurse is assessing the lymph nodes on a healthy older adult client. Which of the following should the nurse expect as a normal assessment finding of lymph nodes in a healthy older adult client? The lymph nodes are:
Correct Answer: A
Rationale: Nonpalpable lymph nodes are normal in healthy older adults, indicating no enlargement or abnormality, unlike fixed or large nodes.
Question 5 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.