ATI health assessment exam 1, 2 and

final

Health Assessment ATI EXAM 1

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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 generalsurvey before the examination.

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

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

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

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.

E. This is a courtesy for all clients, to avoid discomfort during

palpation of the lower abdomen for example, but this is

especially important for older clients who have a smaller

bladder capacity.

A nurse in a family practice clinic is performing a physical

examination of an adult client. Which part of her hands should

she use during palpation for optimal assessment of skin

temperature?

A.Palmar surface

B.Fingertips

C.Dorsal surface

D.Base of the fingers

C

Rationale:

C. The dorsal surface of the hand is the most sensitive to

temperature.

A nurse is caring for an 82-year-old client in the emergency

department who has an oral body temperature of 38.3° C (101°

F), pulse rate 114/min, and respiratory rate 22/min. He is

restless and his skin is warm. Which of the following

interventions should the nurse take? (Select all that apply.)

A.Obtain culture specimens before initiating antimicrobials.

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

A, C, E