ATI RN
Vital Signs Assessment Chapter 7 Questions
Question 1 of 5
A patient has had a cerebrovascular accident (stroke). He is trying very hard to communicate. He seems driven to speak and says, 'I buy obie get spirding and take my train.' What is the best description of this patient's problem?
Correct Answer: D
Rationale: In Wernicke's aphasia, speech is fluent but incomprehensible with word substitutions and made-up words. Patients often have a strong urge to speak but their speech lacks meaningful content.
Question 2 of 5
During an assessment, the nurse uses the profile sign to detect:
Correct Answer: B
Rationale: The nurse should use the profile sign (viewing the finger from the side) to detect early clubbing.
Question 3 of 5
The nurse is assessing the vital signs of a 3-year-old patient who appears to have an irregular respiratory pattern. How should the nurse assess this child's respirations?
Correct Answer: A
Rationale: For irregular respiratory patterns, respirations should be counted for a full minute to ensure accuracy.
Question 4 of 5
The nurse is preparing for a class in early detection of breast cancer. Which statement is true with regard to breast cancer in black women in the United States?
Correct Answer: C
Rationale: Black women have a higher mortality rate from breast cancer than white women and are more likely to die of their disease. In addition, black women are significantly more likely to be diagnosed with regional or distant breast cancer than are white women. These racial differences in mortality rates may be related to an insufficient use of screening measures and a lack of access to health care.
Question 5 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.