A physical therapist completes a respiratory examination on a patient diagnosed with chronic obstructive pulmonary disease (COPD). Which finding would the therapist MOST likely observe?
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ATI RN · Health Assessment Vital Signs Quizlet
Question 2 of 65
A nurse is assessing the vital signs of patients who presented at the emergency department. Based on the knowledge of age-related variations in normal vital signs, which patients would the nurse document as having a vital sign within normal limits?
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Question 3 of 65
What two tendons comprise the first dorsal compartment of the wrist?
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Question 4 of 65
A patient complains of knee pain on your arrival in the room. What should your first sentence be after greeting the patient?
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Question 5 of 65
The nurse is assessing the adaptation of the client to changes in functional status after a brain attack (stroke). The nurse assesses that the client is adapting most successfully if the client:
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Question 6 of 65
A nurse is using a cooling blanket on an adult patient with an uncontrolled fever. Which of the following statements accurately describes a recommended guideline for using this type of equipment?
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Question 7 of 65
A nurse is assessing a client's blood pressure using a manual sphygmomanometer and a stethoscope. What action should the nurse take to obtain an accurate blood pressure reading?
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Question 8 of 65
Which heart sound is most commonly associated with heart failure?
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Question 9 of 65
A patient has had a 'terrible itch' for several months that he has been continuously scratching. On examination, the nurse might expect to find:
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Question 10 of 65
The nurse is helping another nurse to take a blood pressure reading on a patient's thigh. Which action is correct regarding thigh pressure?
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Question 11 of 65
A 65-year-old man presents with shortness of breath and a dry cough. He has a history of smoking and frequent sinus infections. Chest X-ray shows bilateral hilar lymphadenopathy. What is the most likely diagnosis?
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Question 12 of 65
A 60-year-old man presents with a complaint of difficulty swallowing. He reports that the difficulty has been present for several months and is associated with weight loss. He has a history of smoking and heavy alcohol use. What is the most likely diagnosis?
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Question 13 of 65
According to the National Heart, Lung, and Blood Institute (NHLBI) of the National Institutes of Health, high blood pressure for adults is defined as...
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Question 14 of 65
You are preparing to do the initial interview with a 15-year-old patient. In order to establish rapport, you:
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Question 15 of 65
During a neurological assessment, the nurse observes that the patient has difficulty with heel-to-toe walking. What does this finding suggest?
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Question 16 of 65
During an assessment, the nurse has elevated a patient's legs 12 inches off the table and has had him wag his feet to drain off venous blood. After helping him sit up and dangle his legs over the side of the table, the nurse should expect that a normal finding at this point would be:
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Question 17 of 65
What is the best way for the nurse to assess for clubbing of the fingers?
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Question 18 of 65
A patient with a middle ear infection asks the nurse, 'What does the middle ear do?' The nurse responds by telling the patient that the middle ear functions to:
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Question 19 of 65
A 70-year-old patient is scheduled for open-heart surgery. The surgeon plans to use the great saphenous vein for the coronary bypass grafts. The patient asks, 'What happens to my circulation when this vein is removed?' The nurse should reply:
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Question 20 of 65
The nurse is performing a neurological assessment and notes that the patient has a positive Babinski sign. What does this finding indicate?
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Question 21 of 65
What describes a swan neck deformity?
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Question 22 of 65
During a respiratory assessment, the nurse notes that the patient is breathing with the use of accessory muscles. What does this finding suggest?
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Question 23 of 65
A nurse is preparing to examine the breasts of a patient. In what position should the nurse place the patient?
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Question 24 of 65
A patient has been diagnosed with peripheral vascular disease of the lower extremities. What site would the nurse use to assess circulation of the legs?
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Question 25 of 65
A physical therapist instructs a patient on the proper use of a walker. Which sequence of steps is MOST appropriate for a patient with a partial weight-bearing status?
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Question 26 of 65
When assessing a 75-year-old patient who has asthma, the nurse notes that he assumes a tripod position, leaning forward with arms braced on the chair. On the basis of this observation, the nurse should:
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Question 27 of 65
The nurse is palpating the sinus areas. If the findings are normal, then the patient should report which sensation?
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Question 28 of 65
A 55-year-old smoker complains of chest pain and gestures with a closed fist over her sternum to describe it. Which of the following diagnoses should you consider because of her gesture?
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Question 29 of 65
Which of the following holds TRUE of the Hill-Sachs lesion of the shoulder?
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Question 30 of 65
During a mental status examination, the nurse wants to assess a patient's affect. The nurse should ask the patient which question?
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Question 31 of 65
When a patient's intracranial pressure (ICP) is being monitored with an intraventricular catheter, which information obtained by the nurse is most important to communicate to the health care provider?
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Question 32 of 65
Vital signs are based on....
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Question 33 of 65
During an examination, the nurse finds that a patient has excessive dryness of the skin. The best term to describe this condition is:
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Question 34 of 65
A mother brings her 3-month-old infant to the clinic for evaluation of a cold. She tells the nurse that he has had 'a runny nose for a week.' When performing the physical assessment, the nurse notes that the child has nasal flaring and sternal and intercostal retractions. The nurse's next action should be to:
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Question 35 of 65
A nurse is assessing a client's blood pressure and finds it to be 160/90 mmHg. What action should the nurse take?
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Question 36 of 65
The nurse is reviewing percussion techniques with a newly graduated nurse. Which technique indicates that more review is needed?
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Question 37 of 65
During a respiratory assessment, the nurse notes dullness on percussion over the right lower lung field. What does this finding suggest?
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Question 38 of 65
The nurse is assessing a patient's skin during an office visit. What part of the hand and technique should be used to best assess the patient's skin temperature?
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Question 39 of 65
Destruction of which component of the skin leads to hypopigmentation in burn patients?
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Question 40 of 65
During an interview, the nurse states, 'You mentioned having shortness of breath. Tell me more about that.' Which verbal skill is used with this statement?
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Question 41 of 65
During a musculoskeletal assessment, the nurse observes swelling and redness over a joint. What is the nurse's next action?
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Question 42 of 65
A patient contacts the office and tells the nurse that she is worried about her 10-year-old daughter having breast cancer. She describes a unilateral enlargement of the right breast with associated tenderness. She is worried because the left breast is not enlarged. What would be the nurse's best response? Tell the mother that:
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Question 43 of 65
A 68-year-old retired truck driver comes to your office for evaluation of swelling in his legs. He is a smoker and has been taking medications to control his hypertension for the past 25 years. You are concerned about his risk for peripheral vascular disease. Which of the following tests are appropriate to order to initially evaluate for this condition?
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Question 44 of 65
The nurse is palpating a female patient's breasts during an examination. Which of these positions is most likely to make significant lumps more distinct during breast palpation?
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Question 45 of 65
During a cardiac assessment, the nurse hears an S3 heart sound. What does this finding suggest?
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Question 46 of 65
A patient is concerned about a dark skin lesion on her anterolateral abdomen. It has not changed, and there is no discharge or bleeding. On examination there is a medium brown circular lesion on the anterolateral wall of the abdomen. It is soft, has regular borders, is evenly pigmented, and is about 7 mm in diameter. What is this lesion?
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Question 47 of 65
The nurse is caring for a newborn infant in the hospital nursery. She notices that the infant is breathing rapidly but is pink, warm, and dry. The nurse knows that the normal respiratory rate for a newborn is breaths per minute.
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Question 48 of 65
You are conducting a pupillary examination on a 34-year-old man. You note that both pupils dilate slightly. Both are noted to constrict briskly when the light is placed on the right eye. What is the most likely problem?
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Question 49 of 65
During a checkup, a 22-year-old woman tells the nurse that she uses an over-the-counter nasal spray because of her allergies. She also states that it does not work as well as it used to when she first started using it. The best response by the nurse would be:
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Question 50 of 65
During a cardiovascular assessment, the nurse notes that the patient has a rapid, irregular pulse. What condition is most likely associated with this finding?
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Question 51 of 65
Upon admission, the most appropriate person to check on a patients vital signs would be:
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Question 52 of 65
When focusing on temperature regulation of newborns and infants, the nurse understands that
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Question 53 of 65
A 70-year-old man presents with a complaint of difficulty walking. He has a history of Parkinson's disease and is currently taking levodopa. On examination, he has rigidity, bradykinesia, and a shuffling gait. Which of the following is the most likely cause of his symptoms?
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Question 54 of 65
The nurse is auscultating the lungs and hears a pleural friction rub. What is the most likely cause of this finding?
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Question 55 of 65
When auscultating for bowel sounds, the nurse should:
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Question 56 of 65
A 28-year-old married clothing sales clerk comes to your clinic for her annual examination. She requests a refill on her birth control pills. Her only complaint is painless bleeding after intercourse. She denies any other symptoms. Her past medical history consists of two spontaneous vaginal deliveries. Her past six Pap smears have all been normal. She is married and has two children. Her mother is in good health and her father has high blood pressure. On examination you see a young woman appearing healthy and relaxed. Her vital signs are unremarkable and her head, eyes, ears, throat, neck, cardiac, lung, and abdominal examinations are normal. Visualization of the perineum shows no lesions or masses. Speculum examination shows a red mass at the os. On taking a Pap smear the mass bleeds easily. Bimanual examination shows no cervical motion tenderness and both ovaries are palpated and nontender. What is the most likely diagnosis for the abnormality of her cervix?
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Question 57 of 65
A 65-year-old man presents with chest pain and dyspnea. He has a history of coronary artery disease and diabetes mellitus. His ECG shows ST-segment elevation in leads II, III, and aVF. What is the most likely diagnosis?
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Question 58 of 65
In describing prosthetic feet, what does SACH stand for?
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Question 59 of 65
Which of the following is not an indication for cold therapy?
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Question 60 of 65
For the following situations, state the type of data collection you would perform (i.e., complete database, focused or problem-centered database, follow-up database, emergency database). a. OxyContin overdose
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Question 61 of 65
During a cardiovascular assessment, the nurse notes a patient's apical pulse is irregular. What is the next action?
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Question 62 of 65
While performing the otoscopic examination of a 3-year-old boy who has been pulling on his left ear, the nurse finds that his left tympanic membrane is bright red and that the light reflex is not visible. The nurse interprets these findings to indicate a(n):
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Question 63 of 65
During an assessment of a 68-year-old man with a recent onset of right-sided weakness, the nurse hears a blowing, swishing sound with the bell of the stethoscope over the left carotid artery. This finding would indicate:
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Question 64 of 65
A 48-year-old policeman comes to your clinic, complaining of a swollen scrotum. He states it began a couple of weeks ago and has steadily worsened. He says the longer he stands up the worse it gets, but when he lies down it improves. He denies any pain with urination. Because he is impotent he doesn't know if intercourse would hurt. He states he has become more tired lately and has also gained 10 pounds in the last month. He denies any fever or weight loss. He has had some shortness of breath with exertion. His past medical history consists of type 2 diabetes for 20 years, high blood pressure, and coronary artery disease. He is on insulin, three high blood pressure pills, and a water pill. He has had his gallbladder removed. He is married and has five children. He is currently on disability because of his health problems. Both of his parents died of complications of diabetes. On examination you see a pleasant male appearing chronically ill. He is afebrile but his blood pressure is 160/100 and his pulse is 90. His head, eyes, ears, nose, throat, and neck examinations are normal. There are some crackles in the bases of each lung. During his cardiac examination there is an extra heart sound. Visualization of his penis shows an uncircumcised prepuce but no lesions or masses. Palpation of his scrotum shows generalized swelling, with no discrete masses. A gloved finger is placed through each inguinal ring, and with bearing down there are no bulges. The prostate is smooth and nontender. What abnormality of the scrotum is most likely the diagnosis?
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Question 65 of 65
The nurse is caring for an infant and is obtaining the patient's vital signs. Which artery will the nurse use to best obtain the infant's pulse?
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