Practice Question
A nurse in an emergency department (ED) is admitting a client.
Answer Choices:
Correct Answer:
Level of consciousness
Rationale:
🟩 Older adults have reduced lung elasticity and immune response, increasing pneumonia risk
🟩 Altered LOC compromises protective airway reflexes, increasing aspiration risk
🟩 Absence of flu vaccination removes protection against viral triggers of secondary pneumonia
🟩 Low fluid intake thickens mucus and hinders airway clearance
🟩 Difficulty answering questions and flushed face support impaired gas exchange
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This question is from RN Health Assessment Exam-2024 which contains 34 questions.
More Questions from This Exam
Skin Assessment
Answer Choices:
A. A 40-year-old woman reports a change in mole size, accompanied by color changes, itching, burning, and bleeding over the past month. She has a dark complexion and has no family history of skin cancer, but she has had many blistering sunburns in the past.
During an examination of a female patient, the nurse notes lymphadenopathy and suspects an acute infection. How do acutely infected lymph nodes typically appear?
Answer Choices:
A. Lumped
B. Unilateral
C. Soft and nontender
D. Firm but freely movable
During palpation of the anterior chest wall, the nurse notices a coarse, crackling sensation over the skin surface. On the basis of these findings, the nurse suspects:
Answer Choices:
A. Tactile fremitus
B. Crepitus.
C. Adventitious sounds.
D. Friction rub
A heart murmur should be assessed for which of the following? Select all that apply.
Answer Choices:
A. Timing
B. Radiation
C. Fremitus
D. Egophony
E. Location
During an admission assessment, the nurse notices that a male patient has an enlarged and rather thick skull. The nurse suspects acromegaly. What additional finding would the nurse assess for to confirm this suspicion?
Answer Choices:
A. Exophthalmos
B. Coarse facial features
C. Bowed long bones
D. Acorn-shaped cranium
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: Health Assessment
- Answer Choices: 7