Francis is a middle-aged man who noted right-sided lower abdominal pain after straining with yard work. Which of the following would make a hernia more likely?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 2 of 63
A patient has been diagnosed with schizophrenia. During a recent interview, he shows the nurse a picture of a man holding a decapitated head. He describes this picture as horrifying but then laughs loudly at the content. This behavior is a display of:
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 3 of 63
A young patient presents with a left-sided mass in her abdomen. You confirm that it is present in the left upper quadrant. Which of the following would support that this represents an enlarged kidney rather than her spleen?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 4 of 63
The nurse is assessing a patient with anemia. Which physical assessment finding is most consistent with this condition?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 5 of 63
Which of the following examples represents an objective finding?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 6 of 63
Which of the following findings during a respiratory assessment is considered abnormal?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 7 of 63
The respiratory rate is...
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 8 of 63
A nurse walks into a patients room and finds him having difficulty breathing and complaining of chest pain. He has bradycardia and hypotension. What should the nurse do next?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 9 of 63
The nurse is assessing a patient's abdomen and detects a mass. What is the next step in the assessment?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 10 of 63
A nurse is assessing a client's pain and determines that the pain is neuropathic in nature. Which medication would be most appropriate for the nurse to administer?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 11 of 63
The nurse is reviewing information about evidence-based practice (EBP). Which statement best reflects EBP?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 12 of 63
You note that a patient has anisocoria (unequal pupil condition) on examination. Pathologic causes of this include which of the following?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 13 of 63
A patient is newly diagnosed with benign breast disease. The nurse recognizes which statement about benign breast disease to be true? The presence of benign breast disease:
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 14 of 63
When observing a patient's verbal and nonverbal communication, the nurse notices a discrepancy. Which statement is true regarding this situation? The nurse should:
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 15 of 63
The nurse notices a colleague is preparing to check the blood pressure of a patient who is obese by using a standard-sized blood pressure cuff. The nurse should expect the reading to:
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 16 of 63
A 62-year-old construction worker presents with chronic cough and occasional shortness of breath for almost a year. He has smoked two packs a day for 45 years. On examination, his chest diameter seems enlarged. Breath sounds are decreased throughout all lobes. Rhonchi are heard over all lung fields.
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 17 of 63
The nurse is preparing to examine a 6-year-old child. Which action is most appropriate?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 18 of 63
A 60-year-old woman presents with complaints of difficulty swallowing and weight loss. On examination, she has a palpable mass in the left upper abdomen. What is the most likely diagnosis?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 19 of 63
An older adult woman is brought to the emergency department after being found lying on the kitchen floor for 2 days; she is extremely dehydrated. What would the nurse expect to see during the examination?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 20 of 63
When reviewing the concepts of health, the nurse recalls that the components of holistic health include which of these?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 21 of 63
When checking for proper blood pressure cuff size, which guideline is correct?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 22 of 63
A 52-year-old woman has a papule on her nose that has rounded, pearly borders and a central red ulcer. She said she first noticed it several months ago and that it has slowly grown larger. The nurse suspects which condition?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 23 of 63
All of the following muscles involved in wrist and finger extension receive innervation from the radial nerve except:
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 24 of 63
You ask a patient to draw a clock. He fills in all the numbers on the right half of the circle. What do you suspect?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 25 of 63
The findings from an assessment of a 70-year-old patient with swelling in his ankles include jugular venous pulsations 5 cm above the sternal angle when the head of his bed is elevated 45 degrees. The nurse knows that this finding indicates:
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 26 of 63
The nurse is assessing an 80-year-old patient. Which of these findings would be expected for this patient?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 27 of 63
The nurse is assessing a patient for signs of dehydration. Which finding is most indicative of dehydration?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 28 of 63
The nurse is reviewing the technique of palpating for tactile fremitus with a new graduate. Which statement by the graduate nurse reflects a correct understanding of tactile fremitus? 'Tactile fremitus:
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 29 of 63
The nurse is assessing the pulses of a patient who has been admitted for untreated hyperthyroidism. The nurse should expect to find a(n) _____ pulse.
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 30 of 63
What is the primary reason for performing light palpation before deep palpation during an abdominal examination?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 31 of 63
The nurse is performing an otoscopic examination on an adult. Which of these actions is correct?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 32 of 63
Which of the following values for vital signs would the nurse address first?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 33 of 63
A 35-year-old recent immigrant is being seen in the clinic for complaints of a cough that is associated with rust-colored sputum, low-grade afternoon fevers, and night sweats for the past 2 months. The nurse's preliminary analysis, based on this history, is that this patient may be suffering from:
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 34 of 63
While conducting a physical examination of the thorax, a nurse notes and documents breath sounds as moderate blowing sounds with equal inspiration and expiration. What type of breath sounds are these?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 35 of 63
The nurse is assessing a patient with a history of intravenous drug abuse. In assessing his mouth, the nurse notices a dark red confluent macule on the hard palate. This could be an early sign of:
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 36 of 63
A 60-year-old woman presents with a complaint of painful and swollen joints in her hands, especially in the morning. She also reports stiffness that lasts for over an hour. What is the most likely diagnosis?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 37 of 63
The nurse is performing an abdominal examination and detects a bruit over the aorta. What condition is most likely associated with this finding?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 38 of 63
Which of the following are objective data? Select all that apply.
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 39 of 63
The nurse is preparing to use a stethoscope for auscultation. Which statement is true regarding the diaphragm of the stethoscope? The diaphragm:
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 40 of 63
Which of the following assessment findings is most concerning in a patient with a head injury?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 41 of 63
The nurse is performing an otoscopic examination of a patient's ear. Which finding is considered normal?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 42 of 63
The following information is recorded in the health history: 'The patient completed 8th grade. He currently lives with his wife and two children. He works on old cars on the weekend. He works in a glass factory during the week.' Which category does it belong to?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 43 of 63
All of the following patients have a body temperature of 38 C (100.4 F). About which patient would a nurse be most concerned?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 44 of 63
The Q angle is increased by which of the following?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 45 of 63
A patient has a head injury and damages the hypothalamus. Which vital sign will the nurse monitor most closely?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 46 of 63
When assessing a child's lung sounds, the nurse hears loud, low-pitched tones. What should the nurse do?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 47 of 63
When assessing the temperature of newborns and children, the nurse decides to utilize a temporal artery thermometer. What is the rationale for the nurse's action?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 48 of 63
The nurse is assessing a 75-year-old man. As the nurse begins the mental status portion of the assessment, the nurse expects that this patient:
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 49 of 63
Which technique is used to assess for tactile fremitus during a respiratory examination?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 50 of 63
A nurse is assessing a client's pulse rate. Which location should the nurse use to accurately measure the pulse rate?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 51 of 63
The nurse is assessing a patient's lungs and hears a harsh, grating sound during both inspiration and expiration. What is the most likely cause of this finding?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 52 of 63
Which muscle is the main flexor of the forearm?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 53 of 63
The nurse is assessing a patient with a history of chronic obstructive pulmonary disease (COPD). Which finding is expected?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 54 of 63
The patellar tendon reflex assesses which nerve root?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 55 of 63
A nurse is caring for a patient who smokes and drinks caffeine. Which point is important for the nurse to understand before she assesses the patient's blood pressure?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 56 of 63
The nurse is performing a musculoskeletal assessment and notes that the patient has crepitus in the knee joint. What does this finding most likely indicate?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 57 of 63
Which of the following is an indication for microwave diathermy?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 58 of 63
A 36-year-old female presents to the GP with painful hands which started two weeks ago. She describes the pain as constant but worst in the mornings where it takes an hour or so for her hands to loosen up and become fully functional. She has no significant past medical history and is functionally independent. On examination, there is erythema, swelling, and tenderness of the metacarpophalangeal joints on both hands. She is not able to make a tight fist due to the discomfort. On systemic examination, there is nothing else of note and vital signs are all within normal limits.
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 59 of 63
The following patients require routine vital signs to be obtained by the nursing assistive personnel (NAP). You instruct the NAP to obtain vital signs on which patient first?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 60 of 63
The nurse should measure rectal temperatures in which of these patients?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 61 of 63
A nurse is documenting a blood pressure of 120/80 mm Hg. The nurse interprets the 120 to represent:
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 62 of 63
The nurse is assessing a patient's abdomen and notes the presence of visible peristalsis. What is the most likely cause of this finding?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
ATI RN · Vital Signs Assessment ATI Quizlet
Question 63 of 63
Which of the following symptoms is most likely to be documented under the endocrine system in the review of systems?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
End of free preview
You have finished the first five questions. Sign in to continue this set and save your progress.
