ATI RN
Vital Signs Assessment Chapter 7 Questions
Question 1 of 5
A physician orders an electrocardiogram (ECG) for a patient diagnosed with congestive heart failure. The medical record indicates the patient is currently taking digitalis. What effect would you expect digitalis to have on the patient's ECG?
Correct Answer: B
Rationale: Digitalis typically causes a lengthened PR interval due to its effect on atrioventricular conduction.
Question 2 of 5
G.R. is a 75-year-old male who presents to the emergency department with chest pain, palpitations, and appears pale and diaphoretic. As the history and physical are completed, the following problems emerge. Please label them first-, second-, or third-level priority problems. b. Serum potassium 2.7 mmol/L (low), Glucose 225 mg/dL (high)
Correct Answer: A
Rationale: Low potassium and high glucose levels are critical and require immediate attention, making this a first-level priority.
Question 3 of 5
A patient tells the nurse that he has noticed that one of his moles has started to burn and bleed. When assessing his skin, the nurse pays special attention to the danger signs for pigmented lesions and is concerned with which additional finding?
Correct Answer: A
Rationale: Abnormal characteristics of pigmented lesions are summarized in the mnemonic ABCD: asymmetry of pigmented lesion, border irregularity, color variation, and diameter greater than 6 mm.
Question 4 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.
Question 5 of 5
A physical therapist plans to measure blood pressure and identifies the patient's brachial artery. The therapist knows that proper positioning of the cuff is essential. To avoid errors, the cuff should be positioned:
Correct Answer: C
Rationale: Proper blood pressure measurement requires the cuff to be directly over the brachial artery.