Vital Signs Assessment Chapter 7 -Nurselytic

Questions 64

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Vital Signs Assessment Chapter 7 Questions

Question 1 of 5

A patient presents for evaluation of a sharp, aching chest pain which increases with breathing. Which anatomic area would you localize the symptom to?

Correct Answer: A

Rationale: Chest pain that increases with breathing is typically related to the musculoskeletal system, such as costochondritis or pleuritic pain.

Question 2 of 5

A physician orders an electrocardiogram (ECG) for a patient diagnosed with congestive heart failure. The medical record indicates the patient is currently taking digitalis. What effect would you expect digitalis to have on the patient's ECG?

Correct Answer: B

Rationale: Digitalis typically causes a lengthened PR interval due to its effect on atrioventricular conduction.

Question 3 of 5

The nurse is assessing a patient for signs of anemia. Which finding is most consistent with this condition?

Correct Answer: B

Rationale: Pale conjunctivae are a common sign of anemia due to decreased red blood cell count.

Question 4 of 5

Which of the following is an example of a sign?

Correct Answer: B

Rationale: Signs are objective findings observed or measured during the physical exam, like a temperature of 102° F.

Question 5 of 5

During an assessment, the nurse knows that expected assessment findings in the normal adult lung include the presence of:

Correct Answer: C

Rationale: Normal lung findings include symmetric chest expansion, resonant percussion tones, vesicular breath sounds over the peripheral lung fields, muffled voice sounds, and no adventitious sounds.

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