ATI PHYSICAL ASSESSMENT ADULT POST TEST
UPDATED ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS
Question 1.
While performing a head to toe assessment, you perform the Romberg test. You do this to test the
patients
ANSWER
Balance
Pt stands with feet together, toes pointed forward, and hands at sides. Ask pt to close their
eyes, and watch to see how well balance is maintained in the position. A minimum of swaying
is normal, but if pt sways more than a couple of inches, the test must be stopped and nurse
must document that there was difficulty maintaining balance.
Question 2.
What is your primary goal in performing a comprehensive physical assessment?
ANSWER
To develop a plan of care.
Remember the nursing process: Assessment, Diagnosis, Planning, Implementation, Evaluation.
Assessment is the first part and it generates the database from which you will make nursing
decisions. Your objective is interacting with pt's to identify their needs and concerns and find
solutions. That is the nursing process in action- and your map is the nursing care plan you
establish for each patient. Analyzing and synthesizing data will provide the basis for each
nursing diagnosis and for the selection of nursing interventions to manage actual or potential
health problems.
Question 3.
When using and maintaining your stethoscope, it is important to
ANSWER
Inset earpieces at an angle toward your nose.
This helps ensure that sounds are effectively transmitted to your eardrums.
1/4
UPDATED ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS
Question 1.
While performing a head to toe assessment, you perform the Romberg test. You do this to test the
patients
ANSWER
Balance
Pt stands with feet together, toes pointed forward, and hands at sides. Ask pt to close their
eyes, and watch to see how well balance is maintained in the position. A minimum of swaying
is normal, but if pt sways more than a couple of inches, the test must be stopped and nurse
must document that there was difficulty maintaining balance.
Question 2.
What is your primary goal in performing a comprehensive physical assessment?
ANSWER
To develop a plan of care.
Remember the nursing process: Assessment, Diagnosis, Planning, Implementation, Evaluation.
Assessment is the first part and it generates the database from which you will make nursing
decisions. Your objective is interacting with pt's to identify their needs and concerns and find
solutions. That is the nursing process in action- and your map is the nursing care plan you
establish for each patient. Analyzing and synthesizing data will provide the basis for each
nursing diagnosis and for the selection of nursing interventions to manage actual or potential
health problems.
Question 3.
When using and maintaining your stethoscope, it is important to
ANSWER
Inset earpieces at an angle toward your nose.
This helps ensure that sounds are effectively transmitted to your eardrums.
1/4
