ATI RN
ATI Med Surg Health Assesment Quiz Questions
Extract:
Question 1 of 5
Which of the following would a nurse expect to assess in a client with esotropia?
Correct Answer: A
Rationale: Esotropia is characterized by one or both eyes turning inward, causing misalignment and potential vision issues.
Question 2 of 5
A nurse is instructing a group of clients regarding nutrition. Which of the following is a good source of omega-3 fatty acids that the nurse should include in the teaching?
Correct Answer: A
Rationale: Fish, especially fatty fish like salmon, mackerel, sardines, and trout, are rich sources of omega-3 fatty acids, essential for heart health and reducing inflammation.
Question 3 of 5
A 57-year-old client reports, 'I am having the worst headache I have ever experienced.' Which action/Priority should the nurse perform next?
Correct Answer: C
Rationale: Assessing the client's blood pressure is a critical initial action. A severe headache can be a symptom of hypertensive crisis, stroke, or other serious conditions. High blood pressure could provide an immediate clue to the severity and cause of the headache, allowing for quicker intervention.
Question 4 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 5 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.