ATI RN
Vital Signs Assessment Nursing Questions
Question 1 of 5
All of the following are true about iliopsoas bursitis and tendonitis EXCEPT which of the following?
Correct Answer: B
Rationale: The correct answer is B because pain with hip extension is not typically associated with iliopsoas bursitis and tendonitis. The iliopsoas muscle is responsible for hip flexion, so pain is usually felt with activities that involve hip flexion. Choices A, C, and D are incorrect because these are commonly associated with iliopsoas bursitis and tendonitis. A: Snapping hip syndrome is related to the iliopsoas tendon moving over the hip joint. C: Pain deep in the groin and radiating to the front of the hip is a common presentation. D: Iliopsoas bursitis and tendonitis can involve inflammation or injury to the tendon, but complete rupture is less common.
Question 2 of 5
L2 nerve root compression would cause which of the following reflex abnormalities?
Correct Answer: B
Rationale: The correct answer is B: Cremasteric reflex. L2 nerve root compression affects the genitofemoral nerve, leading to loss of the cremasteric reflex. The cremasteric reflex is elicited by stroking the inner thigh, causing the ipsilateral testicle to elevate. This reflex is absent in L2 nerve root compression due to disruption in the sensory or motor pathways. Choices A, C, and D are incorrect as they are associated with different nerve roots and reflexes not affected by L2 compression.
Question 3 of 5
The nerve that is injured during a mastectomy, sometimes leading to postmastectomy pain syndrome, is which of the following?
Correct Answer: A
Rationale: The correct answer is A: Intercostobrachial nerve. During a mastectomy, the intercostobrachial nerve is often damaged, leading to postmastectomy pain syndrome. This nerve runs along the chest and upper arm, making it susceptible to injury during the surgery. The suprascapular nerve (B) innervates the shoulder joint, the musculocutaneous nerve (C) innervates the muscles of the anterior arm, and the axillary nerve (D) innervates the deltoid and teres minor muscles, none of which are directly affected during a mastectomy. Thus, these choices are incorrect.
Question 4 of 5
Which of the following is an indication for microwave diathermy?
Correct Answer: D
Rationale: In the context of vital signs assessment in nursing, understanding the appropriate use of modalities like microwave diathermy is crucial for providing safe and effective care to patients. The correct answer is D) All of the above. Microwave diathermy is indicated for increasing heat to muscles, joints, and resolving hematomas. This modality uses electromagnetic waves to generate heat deep within tissues, promoting vasodilation, increasing blood flow, and aiding in pain relief and tissue healing. Option A) Increase heat to muscles is correct because microwave diathermy can penetrate deep into muscle tissue, providing therapeutic heat that can help relax muscles, reduce pain, and improve circulation. Option B) Resolution of hematomas is correct because the heat generated by microwave diathermy can accelerate the breakdown of blood clots and promote reabsorption of the hematoma, aiding in faster resolution. Option C) Increase heat to joints is correct because microwave diathermy can be used to deliver heat to joints, helping to reduce pain, stiffness, and inflammation associated with conditions like arthritis. It is important for nurses to be knowledgeable about the indications, contraindications, and appropriate use of modalities like microwave diathermy to ensure patient safety and optimal outcomes. By understanding the physiological effects and therapeutic benefits of this modality, nurses can make informed decisions in providing holistic care to patients with musculoskeletal conditions.
Question 5 of 5
What physical exam finding will be observed in 'Saturday night palsy'?
Correct Answer: A
Rationale: The correct answer is A: Marked wrist and finger drop. In Saturday night palsy, there is compression of the radial nerve, leading to weakness of the wrist and finger extensors. This results in the characteristic presentation of wrist and finger drop. Choice B is incorrect as atrophy of the APB is seen in carpal tunnel syndrome. Choice C is incorrect as weak elbow extension is not a typical finding in Saturday night palsy. Choice D is incorrect as painless weakness and atrophy of hand intrinsic muscles are more indicative of ulnar nerve compression.