ATI HEALTH ASSESSMENT EXAM 1, 2 AND FINAL EXAM |
QUESTIONS WITH 100% VERIFIED ANSWERS| LATEST
UPDATE | GUARANTEED PASS
1. A nurse is introducing herself to a client as the first step of a comprehensive physical examination.
Which of the following strategies should the nurse use with this client? (Select all that apply)
A. Address the client with the appropriate title and her last name.
B. Use a mix of open- and close-ended questions.
C. Reduce environmental noise.
D. Have the client complete a health history form.
E. Perform the general survey before the examination.
Answer: B, C, E
Rationale: Open-ended questions help the client tell her story, while closed-ended questions clarify
details. A quiet environment eliminates distractions. The general survey is noninvasive, helping put the
client at ease before the physical examination. Addressing by title and last name (A) is respectful but not
a core strategy for this step. Having the client complete a health history form (D) occurs later in the
process.
2. A nurse in a provider's office is documenting findings following an examination. Which of the
following parameters should be included as part of the general survey? (Select all that apply)
A. Posture
B. Skin lesions
C. Speech
D. Allergies
E. Immunization status
Answer: A, B, C
Rationale: Posture and skin lesions are part of body structure and general appearance. Speech is part of
the behavior portion of the general survey. Allergies (D) and immunization status (E) are part of the
health history, not the general survey.
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,3. A nurse is collecting data for a client's comprehensive physical examination. After inspecting the
client's abdomen, which of the following skills should the nurse perform next?
A. Olfaction
B. Auscultation
C. Palpation
D. Percussion
Answer: B (Auscultation)
Rationale: Because palpation and percussion can alter the frequency and intensity of bowel sounds,
auscultation should occur before using those techniques. The correct abdominal assessment order is:
inspection, auscultation, percussion, palpation.
4. Which of the following is the first step in the nursing health assessment process?
A. Physical examination
B. Collection of subjective data (health history)
C. Documentation
D. Analysis of data
Answer: B
Rationale: The nursing process begins with assessment. Subjective data collection (interview/health
history) is the initial step, followed by objective data (physical exam). Analysis and documentation
follow.
5. Which of the following is an example of subjective data?
A. Blood pressure 120/80 mmHg
B. "I feel nauseated and dizzy."
C. Heart rate 88 beats per minute
D. Lungs clear to auscultation
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,Answer: B
Rationale: Subjective data are the client's verbal description of symptoms, sensations, or concerns.
Objective data are measurable and observable (vital signs, physical exam findings).
6. A nurse obtains a blood pressure reading of 160/100 mmHg on an adult client. The nurse should first:
A. Notify the provider immediately
B. Recheck the blood pressure in the opposite arm
C. Document as "hypertensive crisis"
D. Administer antihypertensive medication
Answer: B
Rationale: A single elevated reading should be verified by rechecking (proper cuff size, position, after
rest) before notifying the provider.
7. A nurse is assessing a client's pain level using a 0-to-10 numeric rating scale. The client reports a 7.
Which of the following responses by the nurse is most appropriate?
A. "That is moderate pain. Would you like medication?"
B. "Tell me more about your pain."
C. "I will document that you are having severe pain."
D. "You should try deep breathing exercises."
Answer: B
Rationale: After obtaining a pain score, the nurse should perform a comprehensive pain assessment
including location, quality, onset, duration, aggravating/relieving factors, and effect on function.
Documenting (C) or intervening (A, D) without further assessment is premature.
8. A nurse who is admitting a client with a fractured femur obtains a blood pressure of 140/94 mm Hg.
The client denies a history of hypertension. Which action should the nurse take first?
A. Request a prescription for an antihypertensive medication.
B. Ask the client if she is having pain.
C. Request a prescription for an anti-anxiety medication.
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, D. Return in 30 minutes to recheck the blood pressure.
Answer: B
Rationale: The first action is to assess for pain, which can cause elevated blood pressure due to
sympathetic nervous system activation. Pain assessment is the priority before implementing other
interventions. Rechecking later (D) or requesting medications (A, C) without assessment is premature.
ATI Health Assessment Exam 2: Head-to-Toe Assessment
9. A nurse is assessing a patient's cranial nerve VII (facial nerve). Which action would the nurse ask the
patient to perform?
A. Stick out the tongue
B. Shrug shoulders against resistance
C. Smile, frown, and close eyes tightly
D. Follow a finger with the eyes
Answer: C
Rationale: Cranial nerve VII (facial) controls facial movements. Asking the patient to smile, frown, raise
eyebrows, and close eyes tightly against resistance tests motor function. CN XII (A) is hypoglossal
(tongue movement). CN XI (B) is spinal accessory (shoulder shrug). CN III, IV, VI (D) control eye
movement.
10. During abdominal assessment, the nurse identifies a pulsatile mass just left of midline. What is the
priority action?
A. Auscultate for bruits
B. Palpate to determine size
C. Measure abdominal girth
D. Notify the provider immediately
Answer: D
Rationale: A pulsatile mass may be an abdominal aortic aneurysm (AAA). Palpation risks rupture.
Immediate notification is critical. Never palpate a suspected AAA.
4|Page SUCCESS!!!
QUESTIONS WITH 100% VERIFIED ANSWERS| LATEST
UPDATE | GUARANTEED PASS
1. A nurse is introducing herself to a client as the first step of a comprehensive physical examination.
Which of the following strategies should the nurse use with this client? (Select all that apply)
A. Address the client with the appropriate title and her last name.
B. Use a mix of open- and close-ended questions.
C. Reduce environmental noise.
D. Have the client complete a health history form.
E. Perform the general survey before the examination.
Answer: B, C, E
Rationale: Open-ended questions help the client tell her story, while closed-ended questions clarify
details. A quiet environment eliminates distractions. The general survey is noninvasive, helping put the
client at ease before the physical examination. Addressing by title and last name (A) is respectful but not
a core strategy for this step. Having the client complete a health history form (D) occurs later in the
process.
2. A nurse in a provider's office is documenting findings following an examination. Which of the
following parameters should be included as part of the general survey? (Select all that apply)
A. Posture
B. Skin lesions
C. Speech
D. Allergies
E. Immunization status
Answer: A, B, C
Rationale: Posture and skin lesions are part of body structure and general appearance. Speech is part of
the behavior portion of the general survey. Allergies (D) and immunization status (E) are part of the
health history, not the general survey.
1|Page SUCCESS!!!
,3. A nurse is collecting data for a client's comprehensive physical examination. After inspecting the
client's abdomen, which of the following skills should the nurse perform next?
A. Olfaction
B. Auscultation
C. Palpation
D. Percussion
Answer: B (Auscultation)
Rationale: Because palpation and percussion can alter the frequency and intensity of bowel sounds,
auscultation should occur before using those techniques. The correct abdominal assessment order is:
inspection, auscultation, percussion, palpation.
4. Which of the following is the first step in the nursing health assessment process?
A. Physical examination
B. Collection of subjective data (health history)
C. Documentation
D. Analysis of data
Answer: B
Rationale: The nursing process begins with assessment. Subjective data collection (interview/health
history) is the initial step, followed by objective data (physical exam). Analysis and documentation
follow.
5. Which of the following is an example of subjective data?
A. Blood pressure 120/80 mmHg
B. "I feel nauseated and dizzy."
C. Heart rate 88 beats per minute
D. Lungs clear to auscultation
2|Page SUCCESS!!!
,Answer: B
Rationale: Subjective data are the client's verbal description of symptoms, sensations, or concerns.
Objective data are measurable and observable (vital signs, physical exam findings).
6. A nurse obtains a blood pressure reading of 160/100 mmHg on an adult client. The nurse should first:
A. Notify the provider immediately
B. Recheck the blood pressure in the opposite arm
C. Document as "hypertensive crisis"
D. Administer antihypertensive medication
Answer: B
Rationale: A single elevated reading should be verified by rechecking (proper cuff size, position, after
rest) before notifying the provider.
7. A nurse is assessing a client's pain level using a 0-to-10 numeric rating scale. The client reports a 7.
Which of the following responses by the nurse is most appropriate?
A. "That is moderate pain. Would you like medication?"
B. "Tell me more about your pain."
C. "I will document that you are having severe pain."
D. "You should try deep breathing exercises."
Answer: B
Rationale: After obtaining a pain score, the nurse should perform a comprehensive pain assessment
including location, quality, onset, duration, aggravating/relieving factors, and effect on function.
Documenting (C) or intervening (A, D) without further assessment is premature.
8. A nurse who is admitting a client with a fractured femur obtains a blood pressure of 140/94 mm Hg.
The client denies a history of hypertension. Which action should the nurse take first?
A. Request a prescription for an antihypertensive medication.
B. Ask the client if she is having pain.
C. Request a prescription for an anti-anxiety medication.
3|Page SUCCESS!!!
, D. Return in 30 minutes to recheck the blood pressure.
Answer: B
Rationale: The first action is to assess for pain, which can cause elevated blood pressure due to
sympathetic nervous system activation. Pain assessment is the priority before implementing other
interventions. Rechecking later (D) or requesting medications (A, C) without assessment is premature.
ATI Health Assessment Exam 2: Head-to-Toe Assessment
9. A nurse is assessing a patient's cranial nerve VII (facial nerve). Which action would the nurse ask the
patient to perform?
A. Stick out the tongue
B. Shrug shoulders against resistance
C. Smile, frown, and close eyes tightly
D. Follow a finger with the eyes
Answer: C
Rationale: Cranial nerve VII (facial) controls facial movements. Asking the patient to smile, frown, raise
eyebrows, and close eyes tightly against resistance tests motor function. CN XII (A) is hypoglossal
(tongue movement). CN XI (B) is spinal accessory (shoulder shrug). CN III, IV, VI (D) control eye
movement.
10. During abdominal assessment, the nurse identifies a pulsatile mass just left of midline. What is the
priority action?
A. Auscultate for bruits
B. Palpate to determine size
C. Measure abdominal girth
D. Notify the provider immediately
Answer: D
Rationale: A pulsatile mass may be an abdominal aortic aneurysm (AAA). Palpation risks rupture.
Immediate notification is critical. Never palpate a suspected AAA.
4|Page SUCCESS!!!
