ATI RN
Health Assessment Vital Signs Quizlet Questions
Question 1 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 2 of 5
During a mental status examination, the nurse wants to assess a patient's affect. The nurse should ask the patient which question?
Correct Answer: A
Rationale: The correct answer is A: "How do you feel today?" because affect refers to the patient's observable emotional expression. By asking this question, the nurse can assess the patient's emotional state, mood, and overall demeanor. Choices B, C, and D do not specifically address the patient's affect. Choice B focuses on memory and cognitive function, choice C relates to medication effectiveness, and choice D addresses the physical impact of pain on activities of daily living. It is important to ask about the patient's affect to understand their emotional well-being during the mental status examination.
Question 3 of 5
During an interview, the nurse states, 'You mentioned having shortness of breath. Tell me more about that.' Which verbal skill is used with this statement?
Correct Answer: D
Rationale: The correct answer is D: Open-ended question. This type of question encourages the interviewee to provide detailed and descriptive responses, allowing them to freely express their thoughts and feelings. In this scenario, the nurse's question prompts the interviewee to elaborate on their experience with shortness of breath, leading to a more in-depth conversation. Reflection (A) involves restating the interviewee's words, Facilitation (B) involves encouraging the interviewee to continue talking, and Direct question (C) is closed-ended and limits the response to a specific answer, unlike the open-ended question used in this situation.
Question 4 of 5
The nurse is reviewing percussion techniques with a newly graduated nurse. Which technique indicates that more review is needed?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Percussing once over each area is incorrect because percussion should involve multiple strikes to accurately assess underlying structures. 2. Percussion requires a series of light and rapid strikes to elicit different sounds based on tissue density. 3. By percussing only once, the nurse may miss subtle differences in sound pitch and quality, leading to inaccurate assessments. 4. Therefore, more review is needed to ensure the nurse understands the importance of multiple percussion strikes for proper assessment. Summary of other choices: B. Quickly lifting the striking finger after each stroke is a correct technique to enhance the accuracy of percussion. C. Striking with the fingertip, not the finger pad, is important to produce clear sounds during percussion. D. Using the wrist to make the strikes, not the arm, is the correct technique to achieve controlled and precise percussion strikes.
Question 5 of 5
When auscultating for bowel sounds, the nurse should:
Correct Answer: C
Rationale: The correct answer is C: Use the diaphragm of the stethoscope. The diaphragm is the appropriate part of the stethoscope for listening to bowel sounds due to its ability to pick up higher frequency sounds. Bowel sounds are best heard with a higher frequency range, which the diaphragm is designed to capture. Using the bell of the stethoscope (choice A) is not ideal for bowel sounds as it is better suited for low-frequency sounds like heart murmurs. Ensuring the patient is standing upright (choice B) is unnecessary for auscultating bowel sounds. Avoiding pressing the stethoscope too firmly (choice D) is a good practice to prevent unnecessary noise interference, but it is not directly related to the optimal choice of stethoscope component for bowel sounds.