Science Medicine Nursing
Health Assessment ATI EXAM 1
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Terms in this set (30)
A nurse is introducing herself to a client B, C, E
as the first step of a comprehensive
physical examination. Which of the Rationale:
following strategies should the nurse use
with this client? (select all that apply) 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
A. Address the client with the appropriate nurse gathers from the client's story
title and her last name. C. quiet, comfortable environment eliminates distractions and helps the client
B. Use a mix of open- and close-ended focus on the important aspects of the interview.
questions. E. The general survey is noninvasive and, along with the health history and vital
C. Reduce environmental noise. sign measurement, can help put the client at ease before the more sensitive parts
D. Have the client complete a health of the process, such as the examination
history form.
E. Perform the general survey before the
examination.
A nurse in a provider's office is A, B, C
documenting his findings following an
examination he performed for a client Rationale:
new to the practice. Which of the
following parameters should he include A. Posture is part of the body structure or general appearance portion of the
as part of the general survey? (Select all general survey.
that apply.) B. Skin lesions are part of the body structure or general appearance portion of
the general survey.
A. Posture C. Speech is part of the behavior portion of the general survey
B. Skin lesions
C. Speech
D. Allergies.
E. immunization status
, A nurse is collecting data for a client's B
comprehensive physical examination.
after the nurse inspects the client's Rationale:
abdomen, which of the following skills of
the physical examination process should B. Because palpation and percussion can alter the frequency and intensity of
she perform next? bowel sounds, the nurse should auscultate the abdomen next and before using
those two techniques
A.olfaction
B.auscultation
C.Palpation
D.Percussion
A nurse is performing a comprehensive B, C, D, E
physical examination of an older adult
client. Which of the following Rationale:
interventions should the nurse use in
consideration of the client's age? (Select B. Because many older adults have mobility challenges, the nurse should plan to
all that apply.) allow extra time for position changes.
C. the nurse should make sure clients who use sensory aids have them available
a.Collect the data in one continuous for use. the client has to be able to hear the nurse and see well enough to avoid
session. injury.
B.Plan to allow plenty of time for position D. Some older clients need more time to collect their thoughts and answer
changes. questions, but most are reliable historians. Feeling rushed can hinder
C.Make sure the client has any essential communication.
sensory aids in place. E. This is a courtesy for all clients, to avoid discomfort during palpation of the
D. tell the client to take her time lower abdomen for example, but this is especially important for older clients who
answering questions. have a smaller bladder capacity.
E. invite the client to use the bathroom
before beginning the examination
A nurse in a family practice clinic is C
performing a physical examination of an
adult client. Which part of her hands Rationale:
should she use during palpation for
optimal assessment of skin temperature? C. The dorsal surface of the hand is the most sensitive to temperature.
A.Palmar surface
B.Fingertips
C.Dorsal surface
D.Base of the fingers
A nurse is caring for an 82‑year‑old client A, C, E
in the emergency department who has an
oral body temperature of 38.3° C (101° F), Rationale:
pulse rate 114/min, and respiratory rate
22/min. He is restless and his skin is warm. A. he provider can prescribe cultures to identify any infectious organisms causing
Which of the following interventions the fever. the nurse should obtain culture specimens before antimicrobial therapy
should the nurse take? (Select all that to prevent interference with the detection of the infection.
apply.) C.Rest helps conserve energy and decreases metabolic rate. activity can increase
heat production
A.Obtain culture specimens before E. Oral hygiene helps prevent cracking of dry mucous membranes of the mouth
initiating antimicrobials. and lips
B.Restrict the client's oral fluid intake.
C.Encourage the client to rest and limit
activity.
D. allow the client to shiver to dispel
excess heat.
E. assist the client with oral hygiene
frequently
Health Assessment ATI EXAM 1
9 studiers today 4.8 (33 reviews)
Save
Students also studied
CNA Chapter 18 KeyTerms Healthcare Settings - IN ORDER, do... MDLT 1100 Test 2 Mo
9 terms 9 terms 70 terms 6t
nbwnr6x5nk Preview mupadhyay4 Preview tuyennguyenn1 Preview
Terms in this set (30)
A nurse is introducing herself to a client B, C, E
as the first step of a comprehensive
physical examination. Which of the Rationale:
following strategies should the nurse use
with this client? (select all that apply) 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
A. Address the client with the appropriate nurse gathers from the client's story
title and her last name. C. quiet, comfortable environment eliminates distractions and helps the client
B. Use a mix of open- and close-ended focus on the important aspects of the interview.
questions. E. The general survey is noninvasive and, along with the health history and vital
C. Reduce environmental noise. sign measurement, can help put the client at ease before the more sensitive parts
D. Have the client complete a health of the process, such as the examination
history form.
E. Perform the general survey before the
examination.
A nurse in a provider's office is A, B, C
documenting his findings following an
examination he performed for a client Rationale:
new to the practice. Which of the
following parameters should he include A. Posture is part of the body structure or general appearance portion of the
as part of the general survey? (Select all general survey.
that apply.) B. Skin lesions are part of the body structure or general appearance portion of
the general survey.
A. Posture C. Speech is part of the behavior portion of the general survey
B. Skin lesions
C. Speech
D. Allergies.
E. immunization status
, A nurse is collecting data for a client's B
comprehensive physical examination.
after the nurse inspects the client's Rationale:
abdomen, which of the following skills of
the physical examination process should B. Because palpation and percussion can alter the frequency and intensity of
she perform next? bowel sounds, the nurse should auscultate the abdomen next and before using
those two techniques
A.olfaction
B.auscultation
C.Palpation
D.Percussion
A nurse is performing a comprehensive B, C, D, E
physical examination of an older adult
client. Which of the following Rationale:
interventions should the nurse use in
consideration of the client's age? (Select B. Because many older adults have mobility challenges, the nurse should plan to
all that apply.) allow extra time for position changes.
C. the nurse should make sure clients who use sensory aids have them available
a.Collect the data in one continuous for use. the client has to be able to hear the nurse and see well enough to avoid
session. injury.
B.Plan to allow plenty of time for position D. Some older clients need more time to collect their thoughts and answer
changes. questions, but most are reliable historians. Feeling rushed can hinder
C.Make sure the client has any essential communication.
sensory aids in place. E. This is a courtesy for all clients, to avoid discomfort during palpation of the
D. tell the client to take her time lower abdomen for example, but this is especially important for older clients who
answering questions. have a smaller bladder capacity.
E. invite the client to use the bathroom
before beginning the examination
A nurse in a family practice clinic is C
performing a physical examination of an
adult client. Which part of her hands Rationale:
should she use during palpation for
optimal assessment of skin temperature? C. The dorsal surface of the hand is the most sensitive to temperature.
A.Palmar surface
B.Fingertips
C.Dorsal surface
D.Base of the fingers
A nurse is caring for an 82‑year‑old client A, C, E
in the emergency department who has an
oral body temperature of 38.3° C (101° F), Rationale:
pulse rate 114/min, and respiratory rate
22/min. He is restless and his skin is warm. A. he provider can prescribe cultures to identify any infectious organisms causing
Which of the following interventions the fever. the nurse should obtain culture specimens before antimicrobial therapy
should the nurse take? (Select all that to prevent interference with the detection of the infection.
apply.) C.Rest helps conserve energy and decreases metabolic rate. activity can increase
heat production
A.Obtain culture specimens before E. Oral hygiene helps prevent cracking of dry mucous membranes of the mouth
initiating antimicrobials. and lips
B.Restrict the client's oral fluid intake.
C.Encourage the client to rest and limit
activity.
D. allow the client to shiver to dispel
excess heat.
E. assist the client with oral hygiene
frequently
