ATI Health Assessment Final Exam Practice
Study online at https://quizlet.com/_d7letb
1. a nurse is in an emergency room department performing triage in group of
clients, which client should be seen first?: a client who has new onset of a-fib
and HR is 152/min
2. a nurse is assessing a client who received opioid narcotic, what finding is
a priority?: pulse ox
3. a nurse is assessing a pt who reports acute pain at a level of 7 on scale 0 -
10, which finding should nurse expect?: hyperglycemia
4. a nurse is assessing a client who oral temp is 102.2, what should the nurse
expect?: HR 108/min
5. example of acute pain: surgical incision
6. mobility assessment on client includes: -clients ability to sit
-need for assistance with ADLs
-condition of skin
7. client is 3 hr postop of abd surgery, what should be reported to provider?-
: urine output has been 50 ml since surgery
8. PQRST pain assessment: -Precipitating or palliative
-Quality or quantity
-Region or radiation
-Severity scale
-Timing
9. cranial nerve XI: accessory
-move head side to side
10. cranial nerve VII: facial nerve
-observe for facial symmetry when client smiles
11. right sided heart failure: causes swelling in extremities
-peripheral edema
12. manifestation of sepsis: fever, chills, tachycardia , tachypnea, neurological
sign such as lethargy
-vomiting
-altered mental status
-elevated WBC
13. cranial nerve 1: Olfactory (smell)
14. mitral valve stenosis s/s: -dyspnea
-loud S1
-diastolic murmur
15. COPD S/S: Dyspnea
Chronic cough
Sputum production
Wheezing/chest tightness
1/2
Study online at https://quizlet.com/_d7letb
1. a nurse is in an emergency room department performing triage in group of
clients, which client should be seen first?: a client who has new onset of a-fib
and HR is 152/min
2. a nurse is assessing a client who received opioid narcotic, what finding is
a priority?: pulse ox
3. a nurse is assessing a pt who reports acute pain at a level of 7 on scale 0 -
10, which finding should nurse expect?: hyperglycemia
4. a nurse is assessing a client who oral temp is 102.2, what should the nurse
expect?: HR 108/min
5. example of acute pain: surgical incision
6. mobility assessment on client includes: -clients ability to sit
-need for assistance with ADLs
-condition of skin
7. client is 3 hr postop of abd surgery, what should be reported to provider?-
: urine output has been 50 ml since surgery
8. PQRST pain assessment: -Precipitating or palliative
-Quality or quantity
-Region or radiation
-Severity scale
-Timing
9. cranial nerve XI: accessory
-move head side to side
10. cranial nerve VII: facial nerve
-observe for facial symmetry when client smiles
11. right sided heart failure: causes swelling in extremities
-peripheral edema
12. manifestation of sepsis: fever, chills, tachycardia , tachypnea, neurological
sign such as lethargy
-vomiting
-altered mental status
-elevated WBC
13. cranial nerve 1: Olfactory (smell)
14. mitral valve stenosis s/s: -dyspnea
-loud S1
-diastolic murmur
15. COPD S/S: Dyspnea
Chronic cough
Sputum production
Wheezing/chest tightness
1/2
