ATI Health Assessment Proctored Exam 2

When assessing a lesion on the skin, which of the following findings are concerning? Select all that apply.

A nurse is assessing a client who has ataxia. Which of the following actions should the nurse take to evaluate the client's ability to safely ambulate?

A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse

When performing a skin assessment, which areas of the skin are at the highest risk for skin breakdown? Select all that apply.

A nurse is assessing a client who has a pressure ulcer. The nurse should recognize which of the following findings is a manifestation of a stage 3 pressure ulcer?

A nurse in a dermatologist's office is planning an educational session about skin cancer. Which of the following should the nurse include as risk factors for skin cancer? (Select all that apply.)

When assessing a client's skin, the nurse finds clusters of lesions. How would the nurse document the lesions?

A nurse is caring for a client who has right-sided acoustic neuroma resulting in impairment of cranial nerves IX and X. Which of the following actions should the nurse take?

What is stereognosis?

A nurse is teaching a client who has diabetes mellitus about diabetic retinopathy. Which of the following statements should the nurse make to the client?

When performing an otoscope examination for a 2-year-old child, which of the following techniques is correct?

Using the Glasgow Coma Scale, which number indicates that the patient is in a comatose state?

A home health nurse is assessing an older adult client in the home who has decreased vision due to a history of glaucoma. Which of the following findings should the nurse identify as a safety risk?

A nurse is performing an admission assessment on a client. Which of the following findings should the nurse identify as an indication that the client is dehydrated?

When assessing a client's skin, the nurse finds acne. How would the nurse document the lesions?

A home health nurse is assessing an older adult client in the home who has decreased vision due to a history of glaucoma. Which of the following findings should the nurse identify as a safety risk?

A nurse is teaching a client about risk factors for skin cancer. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for a client who has reported experiencing abuse at home. Which of the following actions should be a priority for the nurse?

A nurse is preparing to perform a cranial nerve examination for a client. Which of the following actions should the nurse take to check cranial nerve XI?

A nurse is assessing for cyanosis in a client who has dark skin. Which of the following sites should the nurse examine to identify cyanosis in this client?

The nurse is performing a neurologic assessment of a 41-year-old patient the patient is able to open eyes to pain, uses inappropriate words, and has flexion withdrawal from pain. What is their GCS sco

The nurse is examining a patient's ears, which of the following findings is considered the expected findings?

When assessing lymph nodes on the face and neck, which of the following findings are concerning? Select all that apply.

A nurse is caring for a client. Exhibits

A nurse is assessing a client's cranial nerves. Which of the following methods should the nurse use to assess cranial nerve Il?