ATI LPN
Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 21 : Physical Assessment Questions
Question 1 of 5
Which of the two heart sounds is the loudest?
Correct Answer: A
Rationale: S1 is typically louder than S2 because it involves the closure of the mitral and tricuspid valves, which produce a stronger sound.
Question 2 of 5
List all the assessments that are part of a neurological examination.
Correct Answer: D
Rationale: A neurological examination includes level of consciousness, pupil response, motor function, sensory function, reflexes, cranial nerve testing, coordination, and gait.
Question 3 of 5
Which of the following assessment findings is not within the textbook normal range?
Correct Answer: B,D
Rationale: Capillary refill of 5 seconds (normal is <2-3 seconds) and systolic pressure of 86 mm Hg (normal is 90-120 mm Hg) are outside normal ranges.
Question 4 of 5
You know that it is important to foster rapport and communication with all of your patients. Which of the following actions and interventions would be helpful to increase the effectiveness of your communication and increase nurse-patient rapport?
Correct Answer: B,D,E,F,G
Rationale: Smiling, spending time, being genuine, explaining actions, being nonjudgmental, and respecting cultural differences foster rapport and effective communication.
Question 5 of 5
Your instructor has asked you to come to the patient's room to hear a good example of a murmur and a bruit. You know that there are specific instances when you use the bell versus the diaphragm side on your stethoscope and when you use light pressure as opposed to pressing to make a firm seal against the patient's skin. Which of the following correctly describes how to use the bell and diaphragm chest piece of your stethoscope?
Correct Answer: B,D
Rationale: The bell is used for low-pitched sounds with light pressure, while the diaphragm is pressed firmly for high-pitched sounds like murmurs and bruits.