Assess Vital Signs · NurseQuizzes

ATI RN · Assess Vital Signs

Question 1 of 64

Which of the following is not an effect of ultraviolet radiation?

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ATI RN · Assess Vital Signs

Question 2 of 64

Which of the following is the most common site of a Morton's neuroma?

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ATI RN · Assess Vital Signs

Question 3 of 64

The nurse witnesses a neighbor's husband sustain a fall from the roof of his house. The nurse rushes to the victim and determines the need to open the airway using which method?

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ATI RN · Assess Vital Signs

Question 4 of 64

The nurse is palpating lymph nodes during an assessment. Which characteristic of lymph nodes is concerning?

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ATI RN · Assess Vital Signs

Question 5 of 64

The nurse is examining a preschool-aged child. What approach should the nurse use?

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ATI RN · Assess Vital Signs

Question 6 of 64

The nurse is taking an initial blood pressure reading on a 72-year-old patient with documented hypertension. How should the nurse proceed?

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ATI RN · Assess Vital Signs

Question 7 of 64

A 45-year-old woman presents with a complaint of chronic back pain. She describes the pain as dull, aching, and constant, with no radiation. She has a history of rheumatoid arthritis and takes nonsteroidal anti-inflammatory drugs. On examination, she has tenderness over the lower lumbar spine. Which of the following is the most likely diagnosis?

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ATI RN · Assess Vital Signs

Question 8 of 64

The nurse educator is preparing an education module for the nursing staff on the dermis layer of skin. Which of these statements would be included in the module? The dermis:

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ATI RN · Assess Vital Signs

Question 9 of 64

A Normal body temperature can range from...

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ATI RN · Assess Vital Signs

Question 10 of 64

The nurse is assessing a patient's abdomen and notes that the patient has ascites. What physical examination technique should the nurse use next?

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ATI RN · Assess Vital Signs

Question 11 of 64

When performing a physical assessment, the first technique the nurse will always use is:

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ATI RN · Assess Vital Signs

Question 12 of 64

During a neurological assessment, the nurse observes that the patient has difficulty pronating and supinating the hands rapidly. What does this finding indicate?

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ATI RN · Assess Vital Signs

Question 13 of 64

A 50-year-old man presents with a complaint of chronic cough. He has a 30-year history of smoking. What is the most likely diagnosis?

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ATI RN · Assess Vital Signs

Question 14 of 64

The following information is best placed in which category? 'The patient has had three cesarean sections.'

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ATI RN · Assess Vital Signs

Question 15 of 64

The practitioner, entering the examining room to meet a patient for the first time, states: "Hello, I'm M.M., and I'm here to gather some information from you and to perform your examination. This will take about 30 minutes. D.D. is a student working with me. If it's all right with you, she will remain during the examination." Which of the following must be added to cover all aspects of the interview contract?

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ATI RN · Assess Vital Signs

Question 16 of 64

Receiving is a part of the communication process. Which receiver is most likely to misinterpret a message sent by a health care professional?

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ATI RN · Assess Vital Signs

Question 17 of 64

A nurse is preparing a patient for a physical assessment. The patient appears anxious about the assessment. Which statement by the nurse would be most appropriate?

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ATI RN · Assess Vital Signs

Question 18 of 64

A nurse is caring for a group of patients on a medical-surgical unit. Which patient will the nurse assess first?

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ATI RN · Assess Vital Signs

Question 19 of 64

What is one purpose of documentation of the health assessment?

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ATI RN · Assess Vital Signs

Question 20 of 64

When prescribing physical therapy for a patient with bony metastases, it is prudent to avoid which of the following?

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ATI RN · Assess Vital Signs

Question 21 of 64

A patient with a head injury has admission vital signs of blood pressure 128/68, pulse 110, and respirations 26. Which of these vital signs, if taken 1 hour after admission, will be of most concern to the nurse?

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ATI RN · Assess Vital Signs

Question 22 of 64

As you are obtaining the oxygen saturation on a 19-year-old college student with severe asthma, you note that she has black nail polish on her nails. You remove the polish from one nail, and she asks you why her nail polish had to be removed. Your best reply is:

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ATI RN · Assess Vital Signs

Question 23 of 64

Which situation is most appropriate during which the nurse performs a focused or problem-centered history?

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ATI RN · Assess Vital Signs

Question 24 of 64

A woman brings her husband to the clinic for an examination. She is particularly worried because after a recent fall, he seems to have lost a great deal of his memory of recent events. Which statement reflects the nurse's best course of action?

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ATI RN · Assess Vital Signs

Question 25 of 64

A 30-year-old woman presents with a complaint of a red, painful, and swollen knee. She has a history of gout. On examination, the knee is warm, erythematous, and tender to touch. What is the most likely diagnosis?

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ATI RN · Assess Vital Signs

Question 26 of 64

In performing an examination of a 3-year-old child with a suspected ear infection, the nurse would:

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ATI RN · Assess Vital Signs

Question 27 of 64

A nurse is assessing a client's pain using a pain scale. Which pain scale is commonly used for children who are too young to verbalize their pain intensity?

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ATI RN · Assess Vital Signs

Question 28 of 64

The nurse is auscultating the lungs and hears a high-pitched, musical sound on expiration. What does this sound indicate?

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ATI RN · Assess Vital Signs

Question 29 of 64

A 22-year-old architecture major comes to your office, complaining of severe burning with urination, a fever of 101 degrees, and aching all over. She denies any upper respiratory, gastrointestinal, cardiac, or pulmonary symptoms. Her past medical history consists of severe acne. She is currently on an oral contraceptive. She has had no pregnancies or surgeries. She reports one new partner within the last month. She does not smoke but does drink occasionally. Her parents are both in good health. On examination you see a young woman appearing slightly ill. Her temperature is 100.3 and her pulse and blood pressure are unremarkable. Her head, ears, eyes, nose, throat, cardiac, pulmonary, and abdominal examinations are unremarkable. Palpation of the inguinal nodes shows lymphadenopathy bilaterally. On visualization of the perineum there are more than 10 shallow ulcers along each side of the vulva. Speculum and bimanual examination are unremarkable for findings, although she is very tender at the introitus. Urine analysis has some white blood cells but no red blood cells or bacteria. Her urine pregnancy test is negative. Which disorder of the vulva is most likely in this case?

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ATI RN · Assess Vital Signs

Question 30 of 64

A nurse is assessing a client's respiratory rate and finds it to be 8 breaths per minute. What action should the nurse take?

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ATI RN · Assess Vital Signs

Question 31 of 64

The most appropriate definition of Vital Signs:

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ATI RN · Assess Vital Signs

Question 32 of 64

A nurse is obtaining vital signs from patients using the tympanic method for measuring temperature. Which of the following guidelines should be followed when taking a tympanic temperature?

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ATI RN · Assess Vital Signs

Question 33 of 64

The nurse is using a Doppler device. This tool is primarily used to:

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ATI RN · Assess Vital Signs

Question 34 of 64

During a cardiovascular assessment, the nurse palpates the carotid pulse. Which action should the nurse take next?

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ATI RN · Assess Vital Signs

Question 35 of 64

A 75-year-old retired teacher presents with severe, unrelenting anterior chest pain radiating to her back, described as 'ripping out her heart.' Blood pressure is 180/110 in the right arm and 130/60 in the left arm, with asymmetric carotid pulses.

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ATI RN · Assess Vital Signs

Question 36 of 64

Which of the following symptoms is relevant to the respiratory system?

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ATI RN · Assess Vital Signs

Question 37 of 64

When assessing an older adult, which vital sign changes occur with aging?

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ATI RN · Assess Vital Signs

Question 38 of 64

Which statement correctly defines hyperthermia?

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ATI RN · Assess Vital Signs

Question 39 of 64

Scapula winging is caused by an injury to which one of the following nerves?

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ATI RN · Assess Vital Signs

Question 40 of 64

During a cardiovascular assessment, the nurse auscultates a split S2. What does this finding most likely indicate?

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ATI RN · Assess Vital Signs

Question 41 of 64

When auscultating the lungs of an adult patient, the nurse notes that low-pitched, soft breath sounds are heard over the posterior lower lobes, with inspiration being longer than expiration. The nurse interprets that these sounds are:

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ATI RN · Assess Vital Signs

Question 42 of 64

A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for a regular skin check-up. She has just returned from her annual dig site in Greece. She has fair skin and reddish-blonde hair. She has a family history of melanoma. She has many freckles scattered across her skin. From this description, which of the following is not a risk factor for melanoma in this patient?

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ATI RN · Assess Vital Signs

Question 43 of 64

The nurse is reviewing the blood supply to the arm. The major artery supplying the arm is the _____ artery.

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ATI RN · Assess Vital Signs

Question 44 of 64

A 45-year-old man presents with difficulty swallowing. He reports that the difficulty has been getting worse over the past few months. He also has a history of smoking and heavy alcohol use. What is the most likely diagnosis?

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ATI RN · Assess Vital Signs

Question 45 of 64

The nurse is reviewing risk factors for breast cancer. Which of these women have risk factors that place them at a higher risk for breast cancer?

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ATI RN · Assess Vital Signs

Question 46 of 64

Which of the following statements is true regarding the internal structures of the breast? The breast is made up of:

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Question 47 of 64

A newborn infant has Down syndrome. During the skin assessment, the nurse notices a transient mottling in the trunk and extremities in response to the cool temperature in the examination room. The infant's mother also notices the mottling and asks what it is. The nurse knows that this mottling is called:

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ATI RN · Assess Vital Signs

Question 48 of 64

What population is at greatest risk for hypertension?

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ATI RN · Assess Vital Signs

Question 49 of 64

Which critical thinking skill helps the nurse see relationships among the data?

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ATI RN · Assess Vital Signs

Question 50 of 64

The nurse is attempting to assess the femoral pulse in a patient who is obese. Which of these actions would be most appropriate?

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ATI RN · Assess Vital Signs

Question 51 of 64

A patient has been admitted for severe psoriasis. The nurse expects to see what finding in the patient's fingernails?

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ATI RN · Assess Vital Signs

Question 52 of 64

A 92-year-old patient has had a stroke. The right side of his face is drooping. The nurse might also suspect which of these assessment findings?

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ATI RN · Assess Vital Signs

Question 53 of 64

The nurse is performing a head-to-toe assessment. Which sequence of assessment techniques is correct for the abdominal region?

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ATI RN · Assess Vital Signs

Question 54 of 64

During a cardiovascular assessment, the nurse auscultates a murmur. How should the nurse describe this finding?

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ATI RN · Assess Vital Signs

Question 55 of 64

The nurse needs to obtain a radial pulse from a patient. To obtain the correct measure, what must the nurse do?

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ATI RN · Assess Vital Signs

Question 56 of 64

The nurse is assessing a patient's cranial nerve function and asks the patient to shrug both shoulders. Which cranial nerve is being tested?

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ATI RN · Assess Vital Signs

Question 57 of 64

A newborn is holding his head with his chin rotated toward the left and the ear approximating the right shoulder. Which muscle is primarily implicated?

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ATI RN · Assess Vital Signs

Question 58 of 64

Which finding during an abdominal assessment suggests the presence of ascites?

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Question 59 of 64

In assessing a 70-year-old man, the nurse finds the following: blood pressure 140/100 mm Hg; heart rate 104 beats per minute and slightly irregular; and the split S2 heart sound. Which of these findings can be explained by expected hemodynamic changes related to age?

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ATI RN · Assess Vital Signs

Question 60 of 64

Mr. Maxwell has noticed that he is gaining weight and has increasing girth. Which of the following would argue for the presence of ascites?

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Question 61 of 64

A patient with hearing loss by whisper test is further examined with a tuning fork, using the Weber and Rinne maneuvers. The abnormal results are as follows: bone conduction is greater than air on the left, and the patient hears the sound of the tuning fork better on the left. Which of the following is most likely?

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Question 62 of 64

Alexandra is a 28-year-old editor who presents to the clinic with abdominal pain. The pain is a dull ache, located in the right upper quadrant, that she rates as a 3 at the least and an 8 at the worst. The pain started a few weeks ago, it lasts for 2 to 3 hours at a time, it comes and goes, and it seems to be worse a couple of hours after eating. She has noticed that it starts after eating greasy foods, so she has cut down on these as much as she can. Initially it occurred once a week, but now it is occurring every other day. Nothing makes it better. From this description, which of the seven attributes of a symptom has been omitted?

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Question 63 of 64

When examining the mouth of an older patient, the nurse recognizes which finding is due to the aging process?

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Question 64 of 64

The nurse is assessing a patient for jaundice. Which area is the most reliable for detecting this condition?

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