ATI RN
Vital Signs Health Assessment Questions
Question 1 of 5
During a respiratory assessment, the nurse notes that the patient has increased tactile fremitus over the left lower lung field. What does this finding suggest?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
The nurse is assessing a patient's cranial nerve function and asks the patient to close their eyes and identify familiar smells. Which cranial nerve is being tested?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
The nurse is performing an abdominal assessment and notes a positive Murphy's sign. What condition is most likely associated with this finding?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
Considered the 5th vital sign:
Correct Answer: D
Rationale: Pain, is correct as its widely recognized as the fifth vital sign in modern healthcare, alongside temperature, pulse, respiration, and blood pressure. Pain assessment (often via a 0-10 scale) helps evaluate patient comfort and guide treatment, especially post-surgery or in chronic conditions. Height and weight, are metrics, not vital signs. Respiration, is a core vital sign (not fifth). Body mass index, derived from height and weight, isnt directly measured as a vital sign. Since the 1990s, pains inclusion reflects its impact on health status, making D the correct answer per nursing standards emphasizing holistic care.
Question 5 of 5
A patient is experiencing dyspnea. What is the nurses priority action?
Correct Answer: B
Rationale: Dyspnea (shortness of breath) requires improving lung expansion. Elevating the head of the bed allows abdominal organs to shift downward, giving the diaphragm more room to move, easing breathing. Removing pillows might flatten the patient, worsening lung expansion. Elevating the foot could increase abdominal pressure on the diaphragm, exacerbating dyspnea. Taking blood pressure is secondary to addressing the immediate respiratory need. Choice B is the priority as it directly improves oxygenation, a critical nursing intervention rooted in anatomical and physiological principles for respiratory distress management.