ATI RN
ATI Med Surg Health Assesment Quiz Questions
Extract:
Question 1 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 2 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 3 of 5
Which of the following best describes Hyperopia?
Correct Answer: C
Rationale: Hyperopia (farsightedness) is characterized by clear vision of distant objects but blurry vision for nearby objects due to light focusing behind the retina.
Question 4 of 5
In which disease process should a nurse expect to see a client with the presence of pitting edema?
Correct Answer: A
Rationale: Pitting edema is commonly seen in liver disease, especially in conditions like cirrhosis. Liver disease can lead to hypoalbuminemia, where low levels of albumin in the blood cause fluid to leak into the interstitial spaces, resulting in edema. Additionally, liver disease often leads to portal hypertension, which can also contribute to the development of edema.
Question 5 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.