ATI RN
Vital Signs Health Assessment Questions
Question 1 of 5
In assessing the tonsils of a 30 year old, the nurse notices that they are involuted, granular in appearance, and appear to have deep crypts. What is correct response to these findings?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A 65-year-old patient with a history of heart failure comes to the clinic with complaints of 'being awakened from sleep with shortness of breath.' Which action by the nurse is most appropriate?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
The nurse is assessing the lungs of an older adult. Which of these changes are normal in the respiratory system of the older adult?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
During a health history interview, a female patient states that she has noticed a few drops of clear discharge from her right nipple. What should the nurse do next?
Correct Answer: C
Rationale: The use of some medications, such as oral contraceptives, phenothiazines, diuretics, digitalis, steroids, methyldopa, and calcium channel blockers, may cause clear nipple discharge. Bloody or blood-tinged discharge from the nipple, not clear, is significant, especially if a lump is also present. In the pregnant female, colostrum would be a thick, yellowish liquid, and it would be normally expressed after the fourth month of pregnancy.
Question 5 of 5
The component of the conduction system referred to as the pacemaker of the heart is the:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.