ATI RN
Rn Vital Signs Assessment ATI Questions
Question 1 of 5
A physical therapist examines the lymph nodes of a 62-year-old male diagnosed with lymphoma. Which of the following is the therapist MOST likely to observe?
Correct Answer: C
Rationale: The correct answer is C: Hard, nontender, and immobile lymph nodes. In lymphoma, lymph nodes often become enlarged due to cancerous cell growth, leading to hard consistency. The lack of tenderness is typical in lymphoma, unlike infections. Immobility indicates infiltration of cancer cells disrupting normal node movement. Choices A, B, and D are incorrect as they do not align with the typical characteristics of lymphoma presentation, which involves hard, nontender, and immobile lymph nodes.
Question 2 of 5
A patient recovering from a stroke demonstrates neglect on the left side. Which intervention is MOST appropriate to address this deficit?
Correct Answer: B
Rationale: The correct answer is B: Encourage scanning to the left side. This intervention is appropriate because it helps the patient actively engage in exploring their neglected side, promoting awareness and attention to that side. By encouraging scanning to the left, the patient can improve their ability to attend to and interact with stimuli on the neglected side. A: Position objects on the unaffected side does not actively engage the patient in addressing the neglect on the left side. C: Providing verbal cues to the right side may not effectively stimulate the neglected side and may not promote active engagement. D: Focusing therapy on the unaffected side does not directly address the neglect on the left side and may not lead to improvement in neglect symptoms.
Question 3 of 5
The nurse is assessing a patient with suspected deep vein thrombosis (DVT). Which test is most useful for confirming this diagnosis?
Correct Answer: B
Rationale: The correct answer is B: D-dimer test. The D-dimer test is a blood test that measures the presence of a substance released when a blood clot dissolves. In patients with suspected DVT, an elevated D-dimer level suggests the presence of a blood clot. This test is non-invasive, easy to perform, and can help confirm the diagnosis of DVT. A: Homan's sign is not a reliable test for DVT as it lacks specificity and sensitivity. C: Ankle-brachial index is used to assess peripheral arterial disease, not DVT. D: Chest X-ray is not useful for diagnosing DVT as it primarily shows lung and heart abnormalities.
Question 4 of 5
During a cardiovascular assessment, the nurse palpates a thrill at the base of the heart. What does this finding suggest?
Correct Answer: C
Rationale: The correct answer is C: Turbulent blood flow. A thrill at the base of the heart indicates turbulent blood flow, which is often associated with structural abnormalities like stenosis or regurgitation of heart valves. However, the presence of a thrill does not specifically point to a particular valve issue like mitral valve stenosis (A) or aortic regurgitation (B). It is a general indicator of turbulent blood flow, which can occur in various conditions. Heart failure (D) is a broader diagnosis that may have multiple signs and symptoms, but a thrill specifically suggests turbulent blood flow rather than heart failure.
Question 5 of 5
Which of the following examples best represents information gathered during the 'history of present illness'?
Correct Answer: C
Rationale: The correct answer is C because it provides specific information related to the patient's current condition. The 'history of present illness' focuses on the patient's chief complaint, including symptoms, duration, severity, and exacerbating factors. Choice A is about the patient's family history, not the current illness. Choice B refers to past medical history, not the current illness. Choice D is a vital sign measurement, which is important but not directly related to the patient's current symptoms. Therefore, choice C best represents information gathered during the 'history of present illness' as it describes the patient's current symptom pattern.