ATI RN
ATI Med Surg Health Assesment Quiz Questions
Extract:
Question 1 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 2 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 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 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 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.