ATI LPN
Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 21 : Physical Assessment Questions
Question 1 of 5
During examination of the eyes, you check something known as consensual reflex. How is this done?
Correct Answer: A
Rationale: Consensual reflex is tested by shining a light into one eye, causing constriction in both the illuminated and opposite pupil.
Question 2 of 5
Percussion of a patient's abdomen and chest provides you with what information about the patient?
Correct Answer: D
Rationale: Percussion reveals density, fluid, air, and organ size/position through sound differences (e.g., dullness, tympany).
Question 3 of 5
The acronym CTA stands for what? Which means what?
Correct Answer: A
Rationale: CTA stands for 'clear to auscultation,' indicating normal lung sounds with no abnormalities.
Question 4 of 5
The acronym PMI stands for what? Which means what?
Correct Answer: A
Rationale: PMI stands for 'point of maximum impulse,' the location where the heart's apex beat is strongest, typically at the 5th intercostal space.
Question 5 of 5
Explain the importance of performing an initial shift assessment within the first hour of your shift.
Correct Answer: D
Rationale: An initial shift assessment within the first hour establishes a baseline, detects changes, and guides care planning.