ATI General Survey

A nurse is calculating the BMI for a client who weighs 150 lbs and is 5 ft 4 in. The nurse is using the BMI formula for pounds and inches, BMI = weight(lb)/height(in)2 x 703. What is the client's BMI?

25.7

A nurse is measuring the respiratory rate of a client who has an irregular breathing pattern. For how many seconds to the nurse count the client's respirations?

60

A nurse is assessing a client's behavior during the initial survey. Which of the following does the nurse include in this assessment? (Select all that apply)

Client's clothing Client's speech

A nurse is performing an initial assessment on a client's skin. Which of the following observations will require further assessment of the client' s circulation?

Cyanosis is notes on fingers

A nurse is measuring the oxygen saturation of a client who has cyanosis of the extremities. Using a pulse oximeter, where does the nurse place the sensor probe? (Select all that apply)

Forehead Bridge of nose Earlobe

A nurse is taking a rectal temperature on a client. Which of the following actions does the nurse perform? (Select all that apply)

Lubricates the probe cover Inserts the probe into the rectum 1 to 1.5 in

A nurse is performing an initial survey on a client in calculates a BMI of 31 kg/m2. The nurse classifies as client in which of the following weight ranges?

Obese

Which of the following is considered an unexpected finding for a 40 year old client's pulse?

Stronger radial pulse on left compared to right

A nurse is reviewing the vital signs for a client who was admitted with shortness of breath. The nurse notes the client's respiratory rate is 24/min. The nurse should use which of the following terms when documenting this finding?

Tachypnea

I nurse is assessing a client who is admitted with abdominal pain. The client reports that the pain is "in the stomach and is a crampy, dull ache." Which type of pain should the nurse identify this client is experiencing?

Visceral