HEALTH ASSESSMENT EXAM 2 ATI
PRACTICE QUESTIONS WITH ACTUAL
ANSWERS.
A bbnurse bbis bbassessing bbthe bbanterior bbchest bbof bba bbclient. bbWhich bbof bbthe bbfollowing
bbfindings bbshould bbthe bbnurse bbreport?
A. bbThe bbpoint bbof bbmaximal bbimpulse bb(PMI) bblocated bbat bbfifth bbintercostal bbspace
B. bbSymmetrical bbchest bbmovement bbduring bbinhalation bband bbexpiration
C. bbAbsent bbvisible bbpulsations bbin bbthe bbarea bbof bbthe bbpoint bbof bbmaximal bbimpulse bb(PMI)
D. bbA bbforceful bbchest bbmovement bbat bbthe bbmidclavicular bbline bbin bbthe bbfourth bbintercostal
bbspace bb- bbANSWER: bbA bbforceful bbchest bbmovement bbat bbthe bbmidclavicular bbline bbin bbthe
bbfourth bbintercostal bbspace
A bbnurse bbis bbassessing bba bbclient bbwho bbreports bban bbincrease bbin bbtheir bbstress bblevel
bbrelated bbto bbthe bbdemands bbof bbtheir bbjob. bbWhich bbof bbthe bbfollowing bbinterventions bbshould
bbthe bbnurse bbrecommend bbfor bbthe bbclient bbto bbreduce bbtheir bbstress?
A. bbInstruct bbthe bbclient bbto bbvary bbthe bbtime bbthey bbgo bbto bbsleep bbeach bbnight
B. bbHave bbthe bbclient bbcheck bbtheir bbBP bbdaily
C. bbDiscuss bbthe bbbenefits bbof bbmeditation bbwith bbthe bbclient
D. bbHave bbthe bbclient bblimit bbtheir bbexercise bbprogram bbuntil bbthe bbstress bbhas bbdecreased bb-
bbANSWER: bbDiscuss bbthe bbbenefits bbof bbmeditation bbwith bbthe bbclient
A bbnurse bbhas bbcompleted bba bbcardiovascular bbassessment bbon bba bbclient. bbWhich bbof bbthe
bbfollowing bbfindings bbshould bbthe bbnurse bbreport bbto bbthe bbprovider?
A. bbCapillary bbrefill bbof bb3 bbseconds
B. bb+2 bbradial bbpulse
C. bbFingernail bbwith bb160 bbdegree bbcurvature bb
D. bbOxygen bbsaturation bb98% bb- bbANSWER: bbCapillary bbrefill bbof bb3 bbseconds
A bbnurse bbis bbauscultating bbheart bbsounds. bbIdentify bbthe bblocation bbwhere bbthe bbapical
bbpulse bbis bbauscultated. bb
A. bb1st bbintercostal bbleft bb
B. bb1st bbintercostal bbright bb
C. bb4th bbintercostal bbleft bb
D. bb5th bbintercostal bbleft bb- bbANSWER: bb5th bbintercostal bbspace bbin bbthe bbleft bbmidclavicular
bbarea
, A bbnurse bbis bbteaching bba bbclient bbabout bbbehaviors bbthat bbpromote bbcardiovascular bbhealth.
bbWhich bbof bbthe bbfollowing bbclient bbstatements bbindicate bban bbunderstanding bbof bbthe
bbteaching? bb(Select bball bbthat bbapply). bb
"I bbam bbgoing bbto bbstart bbwalking bbseveral bbtimes bba bbweek"
"I bbplan bbto bbjoin bba bbsupport bbgroup bbto bbhelp bbme bbstop bbsmoking"
"If bbmy bbHDL bbcholesterol bblevels bbare bbhigh, bbit bbcan bbhurt bbmy bbheart"
"I bbwill bbbe bbsure bbto bbhave bba bbblood bbpressure bbchecked bbat bbleast bbevery bbyear"
"Eating bbmore bblow-fiber bbfoods bband bbprocessed bbcarbohydrates bbwill bbmake bbmy bbheart
bbhealthier" bb- bbANSWER: bb"I bbam bbgoing bbto bbstart bbwalking bbseveral bbtimes bba bbweek"
"I bbplan bbto bbjoin bba bbsupport bbgroup bbto bbhelp bbme bbstop bbsmoking"
"I bbwill bbbe bbsure bbto bbhave bba bbblood bbpressure bbchecked bbat bbleast bbevery bbyear"
A bbnurse bbis bbcaring bbfor bba bbclient bbwho bbhas bba bbperipheral bbvenous bbulcer. bbWhich bbof bbthe
bbfollowing bbactions bbshould bbthe bbnurse bbtake? bb(Select bball bbthat bbapply.)
- bbInstruct bbthe bbclient bbto bbapply bbwarm bbheat bbfor bbpain
-Instruct bbthe bbclient bbto bbsit bbwith bbtheir bblegs bbuncrossed
-encourage bbthe bbclient bbto bbavoid bbtobacco bbproducts
-Instruct bbthe bbclient bbto bbcleanse bbthe bbarea bbwith bbmild bbsoap
-Instruct bbthe bbclient bbto bbwear bbshoes bbwhen bbambulating bb- bbANSWER: bb-Instruct bbthe
bbclient bbto bbsit bbwith bbtheir bblegs bbuncrossed
-encourage bbthe bbclient bbto bbavoid bbtobacco bbproducts
-Instruct bbthe bbclient bbto bbcleanse bbthe bbarea bbwith bbmild bbsoap
-Instruct bbthe bbclient bbto bbwear bbshoes bbwhen bbambulating
A bbnurse bbis bbpreparing bbto bbconduct bba bbcardiovascular bbassessment bbon bba bbclient. bbWhich
bbof bbthe bbfollowing bbactions bbshould bbthe bbnurse bbplan bbto bbtake? bb(Select bball bbthat bbapply.)
-Auscultate bbthe bbapical bbpulse
- bbAsk bbthe bbclient bbif bbthey bbexperience bbshortness bbof bbbreath bb
-Check bbthe bbcolor bbof bbthe bbclient's bbskin
- bbAuscultate bbthe bbbowel bbmobility bb
- bbInspect bbthe bbextremities bbfor bbthe bbpresence bbof bbedema bb- bbANSWER: bb-Auscultate bbthe
bbapical bbpulse
- bbAsk bbthe bbclient bbif bbthey bbexperience bbshortness bbof bbbreath bb
-Check bbthe bbcolor bbof bbthe bbclient's bbskin
- bbInspect bbthe bbextremities bbfor bbthe bbpresence bbof bbedema
A bbnurse bbis bbinspecting bband bbpalpating bbthe bbneck bbvessels bbof bba bbclient. bbWhich bbof bbthe
bbfollowing bbfindings bbshould bbthe bbnurse bbreport bbto bbthe bbprovider? bb(Select bball bbthat
bbapply.)
-Visible bbpulsations bbobserved bbin bbthe bbcarotid bbarea bbon bbboth bbsides bbof bbthe bbneck
- bbFull, bbbounding bbpulse bbnoted bbbilaterally bbin bbthe bbcarotid bbarteries bbupon bbpalpation
-Distention bbof bbthe bbjugular bbvein bbon bbone bbside bbof bbthe bbneck
PRACTICE QUESTIONS WITH ACTUAL
ANSWERS.
A bbnurse bbis bbassessing bbthe bbanterior bbchest bbof bba bbclient. bbWhich bbof bbthe bbfollowing
bbfindings bbshould bbthe bbnurse bbreport?
A. bbThe bbpoint bbof bbmaximal bbimpulse bb(PMI) bblocated bbat bbfifth bbintercostal bbspace
B. bbSymmetrical bbchest bbmovement bbduring bbinhalation bband bbexpiration
C. bbAbsent bbvisible bbpulsations bbin bbthe bbarea bbof bbthe bbpoint bbof bbmaximal bbimpulse bb(PMI)
D. bbA bbforceful bbchest bbmovement bbat bbthe bbmidclavicular bbline bbin bbthe bbfourth bbintercostal
bbspace bb- bbANSWER: bbA bbforceful bbchest bbmovement bbat bbthe bbmidclavicular bbline bbin bbthe
bbfourth bbintercostal bbspace
A bbnurse bbis bbassessing bba bbclient bbwho bbreports bban bbincrease bbin bbtheir bbstress bblevel
bbrelated bbto bbthe bbdemands bbof bbtheir bbjob. bbWhich bbof bbthe bbfollowing bbinterventions bbshould
bbthe bbnurse bbrecommend bbfor bbthe bbclient bbto bbreduce bbtheir bbstress?
A. bbInstruct bbthe bbclient bbto bbvary bbthe bbtime bbthey bbgo bbto bbsleep bbeach bbnight
B. bbHave bbthe bbclient bbcheck bbtheir bbBP bbdaily
C. bbDiscuss bbthe bbbenefits bbof bbmeditation bbwith bbthe bbclient
D. bbHave bbthe bbclient bblimit bbtheir bbexercise bbprogram bbuntil bbthe bbstress bbhas bbdecreased bb-
bbANSWER: bbDiscuss bbthe bbbenefits bbof bbmeditation bbwith bbthe bbclient
A bbnurse bbhas bbcompleted bba bbcardiovascular bbassessment bbon bba bbclient. bbWhich bbof bbthe
bbfollowing bbfindings bbshould bbthe bbnurse bbreport bbto bbthe bbprovider?
A. bbCapillary bbrefill bbof bb3 bbseconds
B. bb+2 bbradial bbpulse
C. bbFingernail bbwith bb160 bbdegree bbcurvature bb
D. bbOxygen bbsaturation bb98% bb- bbANSWER: bbCapillary bbrefill bbof bb3 bbseconds
A bbnurse bbis bbauscultating bbheart bbsounds. bbIdentify bbthe bblocation bbwhere bbthe bbapical
bbpulse bbis bbauscultated. bb
A. bb1st bbintercostal bbleft bb
B. bb1st bbintercostal bbright bb
C. bb4th bbintercostal bbleft bb
D. bb5th bbintercostal bbleft bb- bbANSWER: bb5th bbintercostal bbspace bbin bbthe bbleft bbmidclavicular
bbarea
, A bbnurse bbis bbteaching bba bbclient bbabout bbbehaviors bbthat bbpromote bbcardiovascular bbhealth.
bbWhich bbof bbthe bbfollowing bbclient bbstatements bbindicate bban bbunderstanding bbof bbthe
bbteaching? bb(Select bball bbthat bbapply). bb
"I bbam bbgoing bbto bbstart bbwalking bbseveral bbtimes bba bbweek"
"I bbplan bbto bbjoin bba bbsupport bbgroup bbto bbhelp bbme bbstop bbsmoking"
"If bbmy bbHDL bbcholesterol bblevels bbare bbhigh, bbit bbcan bbhurt bbmy bbheart"
"I bbwill bbbe bbsure bbto bbhave bba bbblood bbpressure bbchecked bbat bbleast bbevery bbyear"
"Eating bbmore bblow-fiber bbfoods bband bbprocessed bbcarbohydrates bbwill bbmake bbmy bbheart
bbhealthier" bb- bbANSWER: bb"I bbam bbgoing bbto bbstart bbwalking bbseveral bbtimes bba bbweek"
"I bbplan bbto bbjoin bba bbsupport bbgroup bbto bbhelp bbme bbstop bbsmoking"
"I bbwill bbbe bbsure bbto bbhave bba bbblood bbpressure bbchecked bbat bbleast bbevery bbyear"
A bbnurse bbis bbcaring bbfor bba bbclient bbwho bbhas bba bbperipheral bbvenous bbulcer. bbWhich bbof bbthe
bbfollowing bbactions bbshould bbthe bbnurse bbtake? bb(Select bball bbthat bbapply.)
- bbInstruct bbthe bbclient bbto bbapply bbwarm bbheat bbfor bbpain
-Instruct bbthe bbclient bbto bbsit bbwith bbtheir bblegs bbuncrossed
-encourage bbthe bbclient bbto bbavoid bbtobacco bbproducts
-Instruct bbthe bbclient bbto bbcleanse bbthe bbarea bbwith bbmild bbsoap
-Instruct bbthe bbclient bbto bbwear bbshoes bbwhen bbambulating bb- bbANSWER: bb-Instruct bbthe
bbclient bbto bbsit bbwith bbtheir bblegs bbuncrossed
-encourage bbthe bbclient bbto bbavoid bbtobacco bbproducts
-Instruct bbthe bbclient bbto bbcleanse bbthe bbarea bbwith bbmild bbsoap
-Instruct bbthe bbclient bbto bbwear bbshoes bbwhen bbambulating
A bbnurse bbis bbpreparing bbto bbconduct bba bbcardiovascular bbassessment bbon bba bbclient. bbWhich
bbof bbthe bbfollowing bbactions bbshould bbthe bbnurse bbplan bbto bbtake? bb(Select bball bbthat bbapply.)
-Auscultate bbthe bbapical bbpulse
- bbAsk bbthe bbclient bbif bbthey bbexperience bbshortness bbof bbbreath bb
-Check bbthe bbcolor bbof bbthe bbclient's bbskin
- bbAuscultate bbthe bbbowel bbmobility bb
- bbInspect bbthe bbextremities bbfor bbthe bbpresence bbof bbedema bb- bbANSWER: bb-Auscultate bbthe
bbapical bbpulse
- bbAsk bbthe bbclient bbif bbthey bbexperience bbshortness bbof bbbreath bb
-Check bbthe bbcolor bbof bbthe bbclient's bbskin
- bbInspect bbthe bbextremities bbfor bbthe bbpresence bbof bbedema
A bbnurse bbis bbinspecting bband bbpalpating bbthe bbneck bbvessels bbof bba bbclient. bbWhich bbof bbthe
bbfollowing bbfindings bbshould bbthe bbnurse bbreport bbto bbthe bbprovider? bb(Select bball bbthat
bbapply.)
-Visible bbpulsations bbobserved bbin bbthe bbcarotid bbarea bbon bbboth bbsides bbof bbthe bbneck
- bbFull, bbbounding bbpulse bbnoted bbbilaterally bbin bbthe bbcarotid bbarteries bbupon bbpalpation
-Distention bbof bbthe bbjugular bbvein bbon bbone bbside bbof bbthe bbneck
