ATI LPN
Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 21 : Physical Assessment Questions
Question 1 of 5
A patient was admitted yesterday with pneumonia. When auscultating his breath sounds you detect rales in the right lower lobe. How quickly should you reassess this abnormal finding?
Correct Answer: C
Rationale: Rales (crackles) indicate fluid in the lungs, requiring reassessment within 2 hours to monitor for worsening pneumonia or respiratory distress.
Question 2 of 5
A 5-year-old child has a fever of 104.4°F axillary. When should you reassess the child's temperature?
Correct Answer: A
Rationale: A high fever in a child requires reassessment within 60 minutes to monitor response to interventions and prevent complications like febrile seizures.
Question 3 of 5
Select the symptom(s) from this list of assessment findings.
Correct Answer: C,D,E,F
Rationale: Symptoms are subjective complaints reported by the patient (nausea, vomiting, light-headedness, cramping), while others are objective findings.
Question 4 of 5
Blood pressure can provide you with information regarding which of the following?
Correct Answer: B,D,E
Rationale: Blood pressure reflects cardiovascular function (
B), renal function (
D) through regulation of blood volume, and fluid status (E) as it affects vascular volume.
Question 5 of 5
Body temperature can provide you with information regarding which of the following?
Correct Answer: B,D
Rationale: Body temperature is influenced by the immune system (
B) in response to pathogens and indicates infection (
D) when elevated.