Health Assessment ATI EXAM 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. - ANS B, C, E
Rationale:
B. Open‑ended questions help the client tell her story in her own way. Closed‑ended
questions are useful for clarifying and verifying information the nurse gathers from the
client's story
C. quiet, comfortable environment eliminates distractions and helps the client focus on
the important aspects of the interview.
E. The general survey is noninvasive and, along with the health history and vital sign
measurement, can help put the client at ease before the more sensitive parts of the
process, such as the examination
A nurse in a provider's office is documenting his findings following an examination he
performed for a client new to the practice. Which of the following parameters should he
include as part of the general survey? (Select all that apply.)
A. Posture
B. Skin lesions
C. Speech
D. Allergies.
E. immunization status - ANS A, B, C
Rationale:
A. Posture is part of the body structure or general appearance portion of the general
survey.
, B. Skin lesions are part of the body structure or general appearance portion of the
general survey.
C. Speech is part of the behavior portion of the general survey
A nurse is collecting data for a client's comprehensive physical examination. after the
nurse inspects the client's abdomen, which of the following skills of the physical
examination process should she perform next?
A.olfaction
B.auscultation
C.Palpation
D.Percussion - ANS B
Rationale:
B. Because palpation and percussion can alter the frequency and intensity of bowel
sounds, the nurse should auscultate the abdomen next and before using those two
techniques
A nurse is performing a comprehensive physical examination of an older adult client.
Which of the following interventions should the nurse use in consideration of the client's
age? (Select all that apply.)
a.Collect the data in one continuous session.
B.Plan to allow plenty of time for position changes.
C.Make sure the client has any essential sensory aids in place.
D. tell the client to take her time answering questions.
E. invite the client to use the bathroom before beginning the examination - ANS B, C,
D, E
Rationale:
B. Because many older adults have mobility challenges, the nurse should plan to allow
extra time for position changes.
C. the nurse should make sure clients who use sensory aids have them available for
use. the client has to be able to hear the nurse and see well enough to avoid injury.
D. Some older clients need more time to collect their thoughts and answer questions,
but most are reliable historians. Feeling rushed can hinder communication.
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. - ANS B, C, E
Rationale:
B. Open‑ended questions help the client tell her story in her own way. Closed‑ended
questions are useful for clarifying and verifying information the nurse gathers from the
client's story
C. quiet, comfortable environment eliminates distractions and helps the client focus on
the important aspects of the interview.
E. The general survey is noninvasive and, along with the health history and vital sign
measurement, can help put the client at ease before the more sensitive parts of the
process, such as the examination
A nurse in a provider's office is documenting his findings following an examination he
performed for a client new to the practice. Which of the following parameters should he
include as part of the general survey? (Select all that apply.)
A. Posture
B. Skin lesions
C. Speech
D. Allergies.
E. immunization status - ANS A, B, C
Rationale:
A. Posture is part of the body structure or general appearance portion of the general
survey.
, B. Skin lesions are part of the body structure or general appearance portion of the
general survey.
C. Speech is part of the behavior portion of the general survey
A nurse is collecting data for a client's comprehensive physical examination. after the
nurse inspects the client's abdomen, which of the following skills of the physical
examination process should she perform next?
A.olfaction
B.auscultation
C.Palpation
D.Percussion - ANS B
Rationale:
B. Because palpation and percussion can alter the frequency and intensity of bowel
sounds, the nurse should auscultate the abdomen next and before using those two
techniques
A nurse is performing a comprehensive physical examination of an older adult client.
Which of the following interventions should the nurse use in consideration of the client's
age? (Select all that apply.)
a.Collect the data in one continuous session.
B.Plan to allow plenty of time for position changes.
C.Make sure the client has any essential sensory aids in place.
D. tell the client to take her time answering questions.
E. invite the client to use the bathroom before beginning the examination - ANS B, C,
D, E
Rationale:
B. Because many older adults have mobility challenges, the nurse should plan to allow
extra time for position changes.
C. the nurse should make sure clients who use sensory aids have them available for
use. the client has to be able to hear the nurse and see well enough to avoid injury.
D. Some older clients need more time to collect their thoughts and answer questions,
but most are reliable historians. Feeling rushed can hinder communication.
