ATI RN
ATI Med Surg Health Assesment Quiz Questions
Extract:
Question 1 of 5
What data collected during an integumentary assessment should cause the nurse to be concerned that a client is at risk for the development of skin cancer? (Select all that apply.)
Correct Answer: A,C,D
Rationale: Age 55, light-colored hair, and actinic keratosis are risk factors for skin cancer due to increased UV exposure, reduced melanin protection, and precancerous lesions, respectively.
Question 2 of 5
While working in the Emergency department a Rapid response nurse is evaluating a patient in acute respiratory failure after a motor vehicle crash. Which of the following areas should the nurse evaluate as the most reliable indicator of central cyanosis?
Correct Answer: B
Rationale: The oral mucosa is the most reliable indicator of central cyanosis because it reflects the oxygenation status of the central circulatory system. Cyanosis in this area indicates a significant drop in arterial oxygen saturation and is a more direct indicator of hypoxemia compared to peripheral sites.
Question 3 of 5
A nurse is performing a complete physical examination on a patient. After examining the patient with the Snellen chart, the nurse documented distance vision in both eyes 20/40. The patient asks the nurse what 20/40 means:
Correct Answer: A
Rationale: 20/40 means the patient reads at 20 feet what a person with normal vision reads at 40 feet, indicating reduced visual acuity.
Question 4 of 5
A 22-year-old female client with a history of Anorexia and Bulimia Nervosa is prescribed serial weight measurements every day. What actions will the nurse take when conducting these serial weights? (Select all that apply.)
Correct Answer: B,C,D
Rationale: Consistency in clothing, timing, and scale use ensures accurate serial weight measurements, minimizing variations unrelated to body weight.
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.