ATI RN
Health Assessment Vital Signs Quizlet Questions
Question 1 of 5
A nurse is assessing a client's blood pressure using a manual sphygmomanometer and a stethoscope. What action should the nurse take to obtain an accurate blood pressure reading?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A nurse is preparing to examine the breasts of a patient. In what position should the nurse place the patient?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A 28-year-old married clothing sales clerk comes to your clinic for her annual examination. She requests a refill on her birth control pills. Her only complaint is painless bleeding after intercourse. She denies any other symptoms. Her past medical history consists of two spontaneous vaginal deliveries. Her past six Pap smears have all been normal. She is married and has two children. Her mother is in good health and her father has high blood pressure. On examination you see a young woman appearing healthy and relaxed. Her vital signs are unremarkable and her head, eyes, ears, throat, neck, cardiac, lung, and abdominal examinations are normal. Visualization of the perineum shows no lesions or masses. Speculum examination shows a red mass at the os. On taking a Pap smear the mass bleeds easily. Bimanual examination shows no cervical motion tenderness and both ovaries are palpated and nontender. What is the most likely diagnosis for the abnormality of her cervix?
Correct Answer: C
Rationale: The most likely diagnosis for the abnormality of her cervix is Cervical polyp. This is indicated by the red mass at the os that bleeds easily on Pap smear. Cervical polyps are benign growths that can cause bleeding after intercourse. The absence of cervical motion tenderness and palpable ovaries rules out other conditions like Carcinoma of the cervix and Mucopurulent cervicitis. Retention cyst is unlikely as it does not present with a red mass that bleeds easily. In this case, the clinical presentation and findings point towards a cervical polyp as the most likely diagnosis.
Question 4 of 5
A patient is concerned about a dark skin lesion on her anterolateral abdomen. It has not changed, and there is no discharge or bleeding. On examination there is a medium brown circular lesion on the anterolateral wall of the abdomen. It is soft, has regular borders, is evenly pigmented, and is about 7 mm in diameter. What is this lesion?
Correct Answer: C
Rationale: The correct answer is C: Supernumerary nipple. This is because the description matches the characteristics of a supernumerary nipple, which is a benign condition. The lesion is soft, has regular borders, is evenly pigmented, and is a medium brown circular lesion with no changes, discharge, or bleeding. A melanoma would typically have irregular borders, variation in color, and may grow or change over time. A dysplastic nevus may have irregular borders and uneven pigmentation, and it is a type of atypical mole that can be a precursor to melanoma. A dermatofibroma usually presents as a firm, raised nodule that may have a dimple in the center, which does not align with the characteristics described in the question.
Question 5 of 5
A 55-year-old smoker complains of chest pain and gestures with a closed fist over her sternum to describe it. Which of the following diagnoses should you consider because of her gesture?
Correct Answer: D
Rationale: The correct answer is D: Angina pectoris. The gesture of a closed fist over the sternum is a classic description of angina pectoris, which is chest pain or discomfort due to coronary artery disease. The patient's age, smoking history, and location of pain all point towards a cardiac origin. Bronchitis (A) typically presents with cough and respiratory symptoms, not chest pain. Costochondritis (B) is inflammation of the cartilage that connects the ribs to the sternum, causing localized chest pain worsened by movement or palpation. Pericarditis (C) is inflammation of the sac surrounding the heart, leading to sharp chest pain worsened by breathing or lying down. Angina pectoris (D) is the most likely diagnosis given the patient's presentation and risk factors.