ATI RN
PN Vital Signs Assessment Questions
Question 1 of 5
During an assessment, the nurse notices that a patient's left arm is swollen from the shoulder down to the fingers, with nonpitting brawny edema. The right arm is normal. The patient had a left-sided mastectomy 1 year ago. The nurse suspects which problem?
Correct Answer: B
Rationale: The correct answer is B: Lymphedema. Lymphedema is a condition characterized by swelling due to lymphatic system blockage or damage, commonly seen after mastectomy. In this case, the swelling is unilateral and nonpitting, typical of lymphedema. Venous stasis (A) usually presents with bilateral swelling and pitting edema. Arteriosclerosis (C) typically manifests with decreased or absent pulses and cool skin. Deep-vein thrombosis (D) presents with unilateral swelling and pain, but is usually pitting.
Question 2 of 5
For the following situations, state the type of data collection you would perform (i.e., complete database, focused or problem-centered database, follow-up database, emergency database). c. first visit to a health care provider for a checkup
Correct Answer: A
Rationale: The correct answer is A: Complete database. During the first visit for a checkup, a complete database is necessary to gather comprehensive information about the patient's medical history, current health status, family history, medications, allergies, and lifestyle factors. This type of data collection allows the healthcare provider to establish a baseline for the patient's health and identify any potential risks or issues. Choice B (Focused or problem-centered database) would not be appropriate for the first visit as it involves gathering information related to a specific health issue or concern, which may not capture all relevant information for a new patient. Choice C (Follow-up database) is used to track changes or progress over time for established patients, so it is not suitable for the initial visit. Choice D (Emergency database) is designed for urgent situations where quick access to critical information is needed, which is not the case for a routine checkup.
Question 3 of 5
Mark each of the following statements as therapeutic or nontherapeutic. a. "I'm sure everything will be fine."
Correct Answer: B
Rationale: The correct answer is B: Nontherapeutic. This statement is nontherapeutic because it dismisses the client's feelings and concerns by invalidating them with a superficial reassurance. It does not address the client's emotions or provide meaningful support. Other choices are not applicable as only the therapeutic vs. nontherapeutic aspect is being evaluated here.
Question 4 of 5
Compression of which nerve is commonly misdiagnosed as lateral epicondylitis?
Correct Answer: A
Rationale: The correct answer is A: Posterior interosseous nerve. Compression of this nerve can mimic lateral epicondylitis due to similar symptoms like wrist and finger extension weakness. The other choices are incorrect because: B: Anterior interosseous nerve compression presents with different symptoms, C: Median nerve compression typically causes different symptoms like carpal tunnel syndrome, and D: C8/T1 nerve roots are associated with different conditions like thoracic outlet syndrome.
Question 5 of 5
Which statement is NOT true regarding myositis ossificans of the hip?
Correct Answer: A
Rationale: The correct answer is A because ultrasound, heat, and massage are NOT recommended treatments for myositis ossificans as they can potentially worsen the condition by promoting further inflammation and ossification. The ideal treatment involves rest, avoiding aggravating activities, and physical therapy focused on gentle range of motion exercises. Surgery may be considered in certain cases to remove the ossified tissue. Choices B, C, and D are all true statements regarding myositis ossificans, emphasizing the importance of preventing contractures, timing of surgery, and the definition of the condition.