Health Assessment ATI EXAM 1 Questions
with complete Answers and Rationales.
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. ANSWER - 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 ANSWER - 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 ANSWER - 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 ANSWER - 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 ANSWER - 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
with complete Answers and Rationales.
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. ANSWER - 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 ANSWER - 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 ANSWER - 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 ANSWER - 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 ANSWER - 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
