ATI RN
Chapter 12 Vital Signs Assessment Questions
Question 1 of 5
During an interview, a patient reveals that she is pregnant. She states that she is not sure whether she will breastfeed her baby and asks for some information about this. Which of these statements by the nurse is accurate?
Correct Answer: B
Rationale: The correct answer is B because breastfeeding provides the perfect nutrition and antibodies for the baby, promoting optimal growth and immunity. It is essential for the baby's health and development. Incorrect answers: A: Breastfed babies are not necessarily more colicky; this statement is misleading. C: Breastfed babies may feed more frequently initially but not necessarily throughout infancy. D: Breastfeeding may not come naturally to every woman, as it can be challenging for some due to various reasons.
Question 2 of 5
A patient reports severe abdominal pain. The nurse begins with:
Correct Answer: C
Rationale: The correct answer is C: Inspection to note visible abnormalities. Inspection is the initial assessment technique used to observe visible signs such as distention, discoloration, or scars. This helps in gathering important information about the patient's condition before proceeding to palpation or percussion. Light palpation (choice A) and deep palpation (choice B) involve touching the abdomen, which may worsen the pain or miss important visual clues. Percussion (choice D) is typically used after inspection and palpation to assess organ density, not as the initial step in assessing abdominal pain.
Question 3 of 5
Which statement is true regarding the arterial system?
Correct Answer: B
Rationale: The correct answer is B: The arterial system is a high-pressure system. Arteries carry blood away from the heart to various parts of the body, and they experience high pressure due to the force exerted by the pumping heart. This pressure is essential for delivering oxygen and nutrients efficiently throughout the body. Therefore, choice B is correct. Choices A, C, and D are incorrect because arteries are not always large in diameter, the walls of arteries are thicker than veins for maintaining higher pressure, and arteries do not greatly expand like veins to accommodate large blood volume increases.
Question 4 of 5
A patient has been diagnosed with venous stasis. Which of these findings would the nurse most likely observe?
Correct Answer: D
Rationale: The correct answer is D because brownish discoloration to the skin of the lower leg is a classic sign of venous stasis due to hemosiderin deposition from chronic venous insufficiency. This occurs as a result of red blood cell breakdown and leaking into the tissues. The other choices are incorrect because: A) Unilateral cool foot is more indicative of arterial insufficiency, B) Thin, shiny, atrophic skin is characteristic of arterial insufficiency or aging, and C) Pallor of the toes and cyanosis of the nail beds are signs of arterial insufficiency as well.
Question 5 of 5
Suzanne, a 25-year-old, comes to your clinic to establish care. You are the student preparing to go into the examination room to interview her. Which of the following is the most logical sequence for the patient-provider interview?
Correct Answer: C
Rationale: The correct sequence (C) starts with greeting the patient to establish rapport, then inviting the patient's story to understand their perspective. Next, establishing the agenda ensures all concerns are addressed. Expanding and clarifying the patient's story allows for a comprehensive assessment. Finally, negotiating a plan involves collaborative decision-making. Option A is incorrect because establishing rapport is essential before setting the agenda. Option B is incorrect as inviting the patient's story should come before negotiating a plan. Option D is incorrect as negotiating a plan should be the final step after understanding the patient's story.