ATI Health Assessment Proctored Exam

The nurse suspects an older adult client has congestive heart failure. Which of the following did the nurse most likely assess in the client?

When performing a head-to-toe assessment, during which part would the nurse assess the sensory function of cranial nerve VIII?

The nurse assesses brisk reflexes in a client. The nurse would document this finding as which of the following?

Which general survey question focuses on the common "fifth vital sign"?

The nurse is preparing to auscultate the lung sounds of a young adult. Which sound will the nurse expect to hear over most of the client's lungs?

The nurse who has been assigned to a client on the second shift is assessing a client to evaluate the outcomes identified in the care plan. This nurse is conducting which type of assessment?

The nurse is asking the client about the health of her parents, siblings, and grandparents. This is part of the health history and is done for what reason?

When teaching students how to perform an assessment, the nurse informs the students that the reason this information needs to be accurate and complete is:

The nurse is assessing the seven attributes of a client's symptom using the mnemonic OLD CART. In which section of the comprehensive health history will the nurse document this information?

The nurse is assessing an older adult client at a hospice unit. The client cannot speak or communicate, but the client's daughter is there and answers all the questions as best as she can. What type o

The nurse is conducting a physical examination of the abdomen. What is the nurse's best action to ensure she can hear bowel sounds?

During a physical assessment, the nurse should implement which actions initially when determining if a client's radial pulse is irregular? (Select all that apply.)

Which of the following should the nurse do before conducting a physical examination of a client? (Select all that apply.)

When performing a head-to-toe assessment, during which part would the nurse assess the motor function of cranial nerve VII?

During the physical assessment of the peripheral vascular system, a client's foot is pale when elevated and dark red when in the dependent position. The nurse is concerned that this client is at risk

The nurse notes a break in the skin, which appears blister-like, it looks superficial with loss up to the dermis layer. The nurse would interpret this finding as indicating which stage of pressure ulc

The nurse notes a break in the skin, which appears blister-like, it looks superficial with loss up to the dermis layer. The nurse would interpret this finding as indicating which stage of

During the cardiac cycle, heart sounds correlate with events of the cycle. Which is being associated with systole?

As the nurse assesses vital signs, he notices the client is shaking. The nurse notes a change in the client's tone and in a loud voice the hospitalized client insists, "You're not my wife. How did you

During a health history, which of the following can the nurse ask to determine an older adult client's abilities to conduct instrumental activities of daily living? (Select all that apply.)

The nurse instructs a female client on breast self-examination. Why does the nurse recommend the pattern shown for the client to use?

The nurse performs that technique shown when assessing the client. What cranial nerve is the nurse assessing?

The nurse is conducting a health history with a female client who reports upper back and jaw pain. In order to assess the client's risk for a cardiac event, which question should the nurse ask first?

When planning care for a client with an inner ear infection, the nurse will need to include interventions for which of the following potential problems?

When applying the principle of ABC (airway, breathing, circulation) prioritization, which complication is priority for the nurse to address?