ATI RN
Vital Signs Assessment Chapter 7 Questions
Question 1 of 5
The nurse is assessing a patient's peripheral pulses. Which pulse is located at the back of the knee?
Correct Answer: B
Rationale: The popliteal pulse is located behind the knee, where the femoral artery passes through the popliteal fossa.
Question 2 of 5
A patient with longstanding COPD was told by another practitioner that his liver was enlarged and this needed to be assessed. Which of the following would be reasonable to do next?
Correct Answer: B
Rationale: Measuring the liver span is most appropriate as COPD can cause the diaphragm to flatten and push the liver down, giving a false impression of hepatomegaly. The total span measurement helps distinguish true enlargement from displacement.
Question 3 of 5
A pregnant woman states, 'I just know labor will be so painful that I won't be able to stand it. I know it sounds awful, but I really dread going into labor.' The nurse responds by stating, 'Oh, don't worry about labor so much. I have been through it, and although it is painful, many good medications are available to decrease the pain.' Which statement is true regarding this response? The nurse's reply was a:
Correct Answer: B
Rationale: By providing false assurance or reassurance, this courage builder relieves the woman's anxiety and gives the nurse the false sense of having provided comfort. However, for the woman, providing false assurance or reassurance actually closes off communication, trivializes her anxiety, and effectively denies any further talk of it.
Question 4 of 5
The components of the health history include all of the following except which one?
Correct Answer: B
Rationale: Thorax and lungs are part of the physical examination, not the health history.
Question 5 of 5
The nurse is assessing a patient's peripheral pulses. Which pulse is located on the top of the foot?
Correct Answer: A
Rationale: The dorsalis pedis pulse is located on the top of the foot and is an important indicator of peripheral circulation.