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ATI HEALTH ASSESSMENT FINAL EXAM 3 LATEST
VERSIONS (VERSION A, B AND C) NEWEST 2024
ACTUAL EXAM 400 QUWESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) | ALREADY GRADED A+
ATI HEALTH ASSESSMENT FINAL EXAM VERSION A
A client's recent episode of becoming lost near his home has prompted
the nurse to use the Saint Louis University Mental Status (SLUMS)
Assessment Tool. The nurse should begin this assessment by asking
what question?
A) "How would you respond if someone said that you might have
dementia?"
B) "Can I ask you some questions about your memory?"
C) "Do you generally consider yourself to be an intelligent person?"
D) "I want to ask you some questions to see if you have Alzheimer's." -
ANSWER- B) "Can I ask you some questions about your memory?"
The nurse is assessing a client using the Glasgow Coma Scale following
an acute hypoglycemic episode and obtains a score of 14. The nurse
interprets this as indicating which of the following?
A) Deep coma
B) Coma
C) Obtunded
D) Alert and oriented - ANSWER- D) Alert and oriented
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A nurse who provides care on a medical unit utilizes the Alcohol Use
Disorders Identification Test (AUDIT) as part of the standard admission
protocol. After obtaining a score of 9 from a recently admitted client, the
nurse should recognize the possibility of which of the following?
A) Hazardous and harmful alcohol use
B) Imminent liver disease
C) Acute pancreatitis
D) Alcoholism - ANSWER- A) Hazardous and harmful alcohol use
A nurse is assessing a client who is exhibiting decorticate posturing.
Which of the following would the nurse observe?
A) Extended upper extremities
B) Internally rotated lower extremities
C) Pronated forearms
D) Flexed hands at the side of the body - ANSWER- B) Internally
rotated lower extremities
The nurse is preparing to assess a client's vital signs. Which vital sign
should the nurse assess first?
A) Temperature
B) Pulse
C) Respiration
D) Blood pressure - ANSWER- A) Temperature
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A nurse obtains the blood pressure of a client who is uncharacteristically
fatigued and who is lying in bed rather than sitting in a chair. The nurse
should interpret the client's blood pressure reading in light of what
principle?
A) The client's blood pressure will be slightly highly than the client's
norm.
B) Position rarely affects the client's blood pressure.
C) The client's blood pressure will be slightly lower than standing
readings.
D) There will be questionable accuracy of the blood pressure reading. -
ANSWER- C) The client's blood pressure will be slightly lower than
standing readings.
The nurse has begun a client's assessment and is applying the blood
pressure cuff on a client's arm. Which action would be most appropriate?
A) The cuff is wrapped loosely around the arm.
B) The cuff is placed about 1 inch above the antecubital area.
C) The bladder inside the cuff encircles 50% of the arm circumference.
D) The nurse can fit three to four fingers under the inflated cuff. -
ANSWER- B) The cuff is placed about 1 inch above the antecubital
area.
Which of the following would be most important for the nurse to do
when assessing a client's blood pressure?
A) Palpate the pulsations of the ulnar artery.
B) Hold the client's arm slightly flexed with palm down.
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C) Inflate the cuff 30 mm Hg above where the radial pulse disappears.
D) Deflate the cuff about 5 mm Hg per second. - ANSWER- C) Inflate
the cuff 30 mm Hg above where the radial pulse disappears.
A nurse is obtaining a client's radial pulse. Which of the following
actions demonstrates correct technique for this assessment?
A) Application of firm pressure on the wrist area along the side of the
fifth digit
B) Use of two middle fingers lightly applied to wrist area along the
thumb side
C) Use of the thumb and index finger applied to obliterate the wrist area
along the thumb side
D) Application of the bell of the stethoscope to the antecubital area of
the upper extremity - ANSWER- B) Use of two middle fingers lightly
applied to wrist area along the thumb side
The nurse has completed the initial assessment of a client and is now
performing data analysis. The nurse obtained a blood pressure reading of
114/70 mm Hg. What is this client's pulse pressure?
A) 44 mm Hg
B) 92 mm Hg
C) 114 mm Hg
D) 184 mm Hg - ANSWER- A) 44 mm Hg
ATI HEALTH ASSESSMENT FINAL EXAM 3 LATEST
VERSIONS (VERSION A, B AND C) NEWEST 2024
ACTUAL EXAM 400 QUWESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) | ALREADY GRADED A+
ATI HEALTH ASSESSMENT FINAL EXAM VERSION A
A client's recent episode of becoming lost near his home has prompted
the nurse to use the Saint Louis University Mental Status (SLUMS)
Assessment Tool. The nurse should begin this assessment by asking
what question?
A) "How would you respond if someone said that you might have
dementia?"
B) "Can I ask you some questions about your memory?"
C) "Do you generally consider yourself to be an intelligent person?"
D) "I want to ask you some questions to see if you have Alzheimer's." -
ANSWER- B) "Can I ask you some questions about your memory?"
The nurse is assessing a client using the Glasgow Coma Scale following
an acute hypoglycemic episode and obtains a score of 14. The nurse
interprets this as indicating which of the following?
A) Deep coma
B) Coma
C) Obtunded
D) Alert and oriented - ANSWER- D) Alert and oriented
,2|Page
A nurse who provides care on a medical unit utilizes the Alcohol Use
Disorders Identification Test (AUDIT) as part of the standard admission
protocol. After obtaining a score of 9 from a recently admitted client, the
nurse should recognize the possibility of which of the following?
A) Hazardous and harmful alcohol use
B) Imminent liver disease
C) Acute pancreatitis
D) Alcoholism - ANSWER- A) Hazardous and harmful alcohol use
A nurse is assessing a client who is exhibiting decorticate posturing.
Which of the following would the nurse observe?
A) Extended upper extremities
B) Internally rotated lower extremities
C) Pronated forearms
D) Flexed hands at the side of the body - ANSWER- B) Internally
rotated lower extremities
The nurse is preparing to assess a client's vital signs. Which vital sign
should the nurse assess first?
A) Temperature
B) Pulse
C) Respiration
D) Blood pressure - ANSWER- A) Temperature
,3|Page
A nurse obtains the blood pressure of a client who is uncharacteristically
fatigued and who is lying in bed rather than sitting in a chair. The nurse
should interpret the client's blood pressure reading in light of what
principle?
A) The client's blood pressure will be slightly highly than the client's
norm.
B) Position rarely affects the client's blood pressure.
C) The client's blood pressure will be slightly lower than standing
readings.
D) There will be questionable accuracy of the blood pressure reading. -
ANSWER- C) The client's blood pressure will be slightly lower than
standing readings.
The nurse has begun a client's assessment and is applying the blood
pressure cuff on a client's arm. Which action would be most appropriate?
A) The cuff is wrapped loosely around the arm.
B) The cuff is placed about 1 inch above the antecubital area.
C) The bladder inside the cuff encircles 50% of the arm circumference.
D) The nurse can fit three to four fingers under the inflated cuff. -
ANSWER- B) The cuff is placed about 1 inch above the antecubital
area.
Which of the following would be most important for the nurse to do
when assessing a client's blood pressure?
A) Palpate the pulsations of the ulnar artery.
B) Hold the client's arm slightly flexed with palm down.
, 4|Page
C) Inflate the cuff 30 mm Hg above where the radial pulse disappears.
D) Deflate the cuff about 5 mm Hg per second. - ANSWER- C) Inflate
the cuff 30 mm Hg above where the radial pulse disappears.
A nurse is obtaining a client's radial pulse. Which of the following
actions demonstrates correct technique for this assessment?
A) Application of firm pressure on the wrist area along the side of the
fifth digit
B) Use of two middle fingers lightly applied to wrist area along the
thumb side
C) Use of the thumb and index finger applied to obliterate the wrist area
along the thumb side
D) Application of the bell of the stethoscope to the antecubital area of
the upper extremity - ANSWER- B) Use of two middle fingers lightly
applied to wrist area along the thumb side
The nurse has completed the initial assessment of a client and is now
performing data analysis. The nurse obtained a blood pressure reading of
114/70 mm Hg. What is this client's pulse pressure?
A) 44 mm Hg
B) 92 mm Hg
C) 114 mm Hg
D) 184 mm Hg - ANSWER- A) 44 mm Hg
